@mariannepp if you have severe osteoporosis, my doctor would never prescribe Prolia. In fact he doesn't like to use it all. If severe, your osteoporosis might benefit from doing an anabolic first (Forteo, Tymlos or Evenity). That is the recommended sequence. You might benefit from McCormick's book "Great Bones" and maybe watch Dr. Ben Leder's videos on YouTube.

I did take prolia for just a few treatment in the year before the pandemic. I did see an increase in my bone scores and no rebound from it.
I also had zero side effects from it. I did everything they said in keeping my calcium levels even, and drinking lots of water.
I know that you hear a lot of negative about things on these pages, but that is because the vast majority of people who get these drugs don’t have issues and have no reason to be here. It is the same with any medication, the folks who do have the side effects go looking for support and answers in conversations like this one.
If you are uncomfortable with your doctors recommendations, are you able to get a second opinion?

@mariannepp, my mother has been on Prolia for years and it was the right choice for her.

From Mayo Clinic:
"...some women aren’t sufficiently helped by bisphosphonates, and some can’t take them due to issues with swallowing, stomach upset, heartburn, low-functioning kidneys, or other side effects, such as bone or muscle aches.
...the drug denosumab (Prolia) has emerged as an alternative to bisphosphonates for the treatment of postmenopausal osteoporosis. Denosumab may be considered a first-line treatment for women with osteoporosis who are at high risk of fracture or in women who can’t take bisphosphonates. Since denosumab isn’t metabolized by the kidneys, it’s also a first-line option for women with more advanced chronic kidney disease." Read more:
- Mayo Clinic Q and A: Finding the right osteoporosis medication https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-finding-the-right-osteoporosis-medication/

This article outlines the function of the various medication options available:
- Osteoporosis treatment: Medications can help https://www.mayoclinic.org/diseases-conditions/osteoporosis/in-depth/osteoporosis-treatment/art-20046869
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I'm sorry that you feel doctor are "pushing you to take it." That's not a good feeling and you want to feel confident in the treatment you will be taking. Sometimes online forums like this one can cause fear about medication. Rather than instilling fear, I encourage you to use the experiences you learn here to ask your doctor questions and to make an informed decision with your doctor.

Prolia might be right for you, but ask why. Here are a few of the questions I suggest:
- Of all the medication options, why is Prolia your first treatment choice for me?
- How long will I have to take Prolia?
- Is it safe to take Prolia long term (for the rest of my life)?
- What if it stops working?