Can you ask how the rheumatologist gets patients off Prolia "successfully"? From what I have read and heard from my doctors, bone density goes down and even more importantly and separately, fracture risk goes way up if you go off Prolia without a bisphosphonate. Some on here are doing 1-3 shots of Prolia for an extra boost after other meds and then do Reclast or Fosamax. Maybe that is a compromise-?

At 58, if you do Reclast after Evenity and then Prolia, you probably cannot stay on Prolia for life and will have to do Reclast again. I did Reclast after Tymlos and Evenity and hope for a drug holiday during which I will try more natural approaches (with the expectation more drugs will be needed).

My doctors agree with your endo on not getting off Prolia safely. It seems very unclear what the long term plan is for any of us to be honest. I am not sure our doctors know.

If I were you I would do Reclas, or 1-3 Prolias then Reclast- and then research the next step after that. It might even be more Evenity once the time limit is lifted- if it is! Research is ongoing and we need more time!