@trishanna I’m diabetic, have CKD stage 3-4 and osteoporosis too. My endocrinologist put me on Prolia because it is the least problematic for kidneys. That is what my doctor said and my nephrologist agreed. My new problem is that my insurance doesn’t cover it anymore. For the past 6 years they have but next year they won’t. My next injection is due in January. I also have a diabetes medication that isn’t covered. Their suggested alternatives are not supposed to be used by people with the GFR that I have. ☹️