@katwhisperer My rheumatologist is suggesting the exact same thing. I am 64 and have longevity in my family. Prolia sounds like a life sentence with significant draw backs. Every time I press my rheumatologist on the downside of Prolia he downplays side effects entirely. Tells me I have a 20% chance of being wheel chair bound within 5 years and it’s just hard for me to believe. I’ve always had good conditioning; my main sin is that I am small and small women seem to be afflicted with this condition the most. Hoping an alternative comes up to Prolia before the end of Tymlos. I live in a medical black hole out here so there really isn’t a way to get a second opinion unless I am willing to travel extensively.