I was put on Prolia without any mention of rebound effects when going off it or anything else. I suffered terrible reactions from it. Aching joints, bleeding swollen gums and hair loss just to mention a few side effects. I am now on actonel once a week which I have been tolerating. My osteoporosis readings aren't horrible -I exercise vigorously - have a high vitamin d content in my body and have a lot of natural calcium in my diet. The doctors scare you about falling and dying within a year of fracture. However the side effects of these medications are bad. You are correct you have to be your own health care advocate.