May I ask your age? I took an trying to work my way out of the Prolia bind. I've had one injection and don't want another. Having just started bioidentical hormone replacement at 76 I am hoping that this will help my bones. Who knows. I m trying to come up with a meds plan that makes sense considering that I've already had five years of alendronate, two of forteo and one of Evenity with good gains and now the first injection of Prolia. What a bind and I have limited faith in my endocrinologist's creativity in helping me navigate. He doesn't do hormone replacement. For that I needed a functional medicine provider. I am getting a second opinion from a well respected young Duke endocrinologist but in the meantime I thought if I didn't get another prolia I injection and did a one time low dose infusion of reclast then either try just the bhrt or tymlos to protect my gains. I've never had a fracture. Again, I may be trying to buy some time before prolia for the remainder of my life. This is so difficult!!!