@awesomemomx2 I had posted my situation earlier as I had 4 shots of Prolia with the last one a year ago. I met with endo doc who I asked for ctx and other tests but she declined because I chose not to go on another pharmaceutical drug for osteoporosis . I will see my GP in 2 months and discuss, but so far no issues but know I have a way to go. So many things these doctors do not know about osteoporosis as far as things like not using same facility for your department scan, I was never informed that it's apples to oranges if you did not use same for another scan, also was never told my osteoarthritis in spine and neck could make my dexa look better than it is and that I should have a Rems scan not dexa. Never mention the hit on immune system either which caused much if the side effects. As one doctor I heard said osteoporosis is an epidemic and no good treatment nor enough resources or research. Very disheartening for us. One day at a time.