Hi @jheieck I'm sorry to hear that you are in this dilemma. Cessation of prolia after 6yr treatment could be a quite endeavor on its own which might take 1-2 years. Raloxifene (Evista) is a mild to moderate antiresorptive compared to a strong one like Reclast. To use raloxifene for prolia cessation, your endo may use bone turnover marker CTX to monitor the progress. If you have elevated parathyroid hormone, my mention of potential using either Tymlos or Forteo to aid bone healing in last comment may not be a valid one. It's good that both your bone specialist/endo and oral surgeon are taking your current situation seriously. Hope everything works out for you!