May I ask what are your t scores on all parts ? Since you took Actonel for 5 years, did it help? By how much? I took Actonel for 6-7 years and it helped to hold all numbers constant or improve a little except the femur neck. My ENDOs ( saw two) said Actonel doesn't work on femur neck only Prolia will. I learned that the reason it is hard to improve the density of femur neck is because it is hard for blood to go there so the drug doesn't go there as easy. I am not sure how Prolia works to bypass that difficulty.