Had you been on any other osteoporosis therapies prior to prolia? If this is your first therapy, I think that one year is too soon too see a consistent improvement. My doctor waited 2-2/2 years to do a DEXA after putting me on prolia. I was diagnosed with severe osteoporosis at the age of 40 and it took 18 years for me to get from osteoporosis to osteopenia. I need to find the copy of my last DEXA to see what my scores were. Treating osteoporosis rarely results in a quick steFy improvement in bone density.