Unfortunately, there is no safe way except a strong bisphosphonate like Reclast. I had no side effects from Prolia but my dr left and it was time for my injection. I had to find a new dr and deal with insurance. 4 mo later I started having vertebral fractures. I ended up with 6 and had vertebroplasty. It has been the most painful thing I have ever experienced. I will never be able to do some of the things I used to do. It has totally altered my life. I was given another injection as soon as the dr realized what was happening. I was shuffled from dr to dr and finally sent to an "OP" specialist. She started me on Tymlos because my dexa had got so bad from the Prolia rebound. I had been doing tons of reading and research and asked what happens in a few months when the Prolia runs out again. I was told would be ok. I didn't think it would be so my PCP got me in with a huge OP clinic in a major city (3rs one way) . I was told the same thing even though I tried to argue what my research had found. Unfortunately, I was correct and 3 mo after the prolia ran out and I would have had another injection if I had planned to stay on it, I had 2 more fractures. I went to another dr in same clinic and they realized "OOPS" . Their words were "You are in a hole that now we have to dig you out of". I had CTX tests done and still do every 2 mo. It was very high meaning I was having the Prolia rebound. They did a Reclast infusion, which now they realize should have been done before the Tymlos. It brought my ctx down. That was 7 mo ago and if my ctx goes up I will have another infusion. The prolia rebound can last up to 2 years. I hope none of this happens to you. I was only 56 when this started. I have worked extremely hard to get some of my life back. I don't know why drs can't all be on the same page and be educated in the research and all the medicines for OP. I also have had multiple phone visits with Dr Keith McCormick. I would advise you to read up on him and if you feel like it schedule an appt with him. He has been a wonderful resource. Good luck