windyshores, these anabolics are not optimal after Prolia. I've read speculation that Evenity is also not a good option, the speculation being that the while Evenity halts the differentiation of cells into osteoclasts, the preosteoclastic cells delayed by Prolia are past that initial stage.
There may be a reason (unknown to us) in a person's medical history that would preclude the use of bisphosphonates.
Sometimes we take the only path available.
Second opinions are significant for the medically underserved. But what can you do meanwhile, if meanwhile is a year.