@lisaberkowitz How did you fracture your shoulder? Was it due to a fall which might not have been related to your osteoporosis? It would be helpful to know your age and DEXA score.

You need to take another medication after stopping the Evenity to maintain your bone density gains. If you don't want Prolia, could the doctor recommend another drug to lock in your gains?

Regarding the Prolia, ask your doctor how long they want you to stay on it and what drug you will take afterwards. Prolia must be followed by something to lock in your gains and prevent fractures.

I also have fibromyalgia and am taking LDN low-dose naltrexone, which has helped me tremendously with pain reduction and insomnia. I've written about it under the Fibromyalgia support group. In addition, some studies show it can help osteoporosis. https://www.sciencedirect.com/science/article/pii/S0024320519302395