It is a constant maze of conflicting information. My docs don't do bone markers and don't go near Prolia unless absolutely necessary due to intolerance of other drugs. They are "world class" doctors and researchers. I also talk to McCormick. Put it all in a blender and what do you have? A confusion smoothie!

I do think McCormick's fairly new advice to try Prolia for one year makes sense though we don't yet know if everyone's rebound will be sufficiently addressed even with that short of a time on it.

For my mental health I am sticking with my main endo. I am grateful he deals respectfully (and somewhat wryly) with questions I bring (whether from McCormick or this forum or research) and is flexible with my sensitivities. But I trust he has good reasons for not doing bone markers (He says they don't tell enough about what is going on, and are affected by other things going on in the body). He jokes that he will prescribe Prolia when he is retiring so he doesn't have to deal with rebound.