bocabird, you really have to take a bisphosphonate after Prolia. And you can't wait. The after effects of Prolia are known to cause fractures, even cascade fractures. But definitely go the exercise and supplement route as well. You might ask your provider to order CTx so that you can understand when the dangerous after effects of Prolia have abated. The cells that destroy our bones are greatly enhanced after Prolia because Prolia prevents them from developing fully and they collect half formed just waiting until the Prolia is gone.