For all the folks not taking Prolia or a biphosphonate, have you considered Forteo, Tymlos or Evenity? I could not take Prolia, biphosphonates or Forteo and my doctor agreed. I went several years without meds. I fractured three lumbar vertebrae with one movement. It was/is so painful and disabling. I am not on Tymlos. The side effects aren't great but I wish I had taken it sooner. I will go through any side effects at this point, and the body adjusts after awhile so they are more than tolerable anyway. Forums are so negative. I really feel that the Internet affected me so I am trying to post an alternative view so others don't go through what I have gone through.