She recommended Prolia as f/u to Evenity. She follows a large caseload of patients and the vast majority do well. Reclast was another option but I wasn’t crazy about getting an infusion. I asked about “all of the terrible side effects” with Prolia and she was honestly surprised. She said that she has only had to take less than a handful of patients off of it due to side effect and yes, if I have to stop, I will need to immediately get on another treatment (probably Reclast), because I will very quickly lose my gains. I will need to be on something for the rest of my life. I was under the impression that I could just improve my score, stop medication, and maintain with my exercise, diet, supplements, and hormones. I didn’t want to hear that I had to continue medication but honestly, after I thought about it, I was already doing all of those things and I had lost so much bone strength. I also met other women at the infusion center who were on Prolia and doing great. I asked the NPs if they see a lot of patients on Prolia (answer-yes) and do they see a lot of problems (answer-no, but if I notice any issues, let the dr know right away). I don’t have any pre existing conditions, haven’t had chemo, radiation, steroid use, or kidney disease. So we’ll see how it goes. Talk to your provider about questions/concerns and good luck with whatever you decide!