@awesomemomx2, like gravity3 I appreciate your post. Are you following yourself or is there a really good endocrinologist involved. Because it sounds like you are calling it.
"CTX levels > 212 ng/L had 100% sensitivity for identifying patients with worsened BMD at follow-up and might therefore be the cut-off to aim during the follow-up to obtain BMD stability [42}" From your link, which I would never have seen without your help.
_____________________________So my thought would be extraneous___________________________
There is a process called Prolia calcemic rebound. And while for most Prolia is more likely to cause hypocalcemia. Some experience hypercalcemia during treatment. You are way ahead of the game, so I assume you are keeping track of your kidney function.
I'll be watching for the next bone life episode. And any more links.