I am in agreement w @rjd, you probably need a stronger bisphosphenate to transition from Prolia. And the more Prolia injections you’ve had the greater the possibility of a severe rebound. I took 4 shots of Prolia, stopped, went on monthly Boniva (okayed by endo with NO warnings at all and no testing) and within a year right before due for my yearly exam and labs had three compression fractures of spine. Horrible way to find out that Boniva was not strong enough to counteract rebound! Now on Tymlos since October, Ctx 635 and P1np 112. I have done tons of research including reading Great Bones by Dr Keith McCormick, and realize that if my endo had known what she was doing would have put me on Reclast and monitored my progress closely. I now am starting with a new specialist in bone health, may 15th is my first appointment.
It’s wonderful to do all the natural remedies and supplements as well as safe exercises but many times we are just stuck for a while at least on the medication train! I hope your transition is smoother than mine was. I’d say the quicker you can get off Prolia the better, but I did have a terrible experience with it, so I am jaded!
Also interesting fact my Dexa scans were always just osteopenia, until after the Prolia was out of my system, and I fractured, now it shows osteoporosis.