Like you, I did NOT want to take Prolia. I joined a support group for osteoporosis and I went there the night before I was to get my first injection. I said I didn't want to do it and some women started talking to me. They had me speak by phone to a couple of women who both got osteonecrosis of the jaw (which spread from there in one woman). After talking to them, I was resolved not to take Prolia or any other "bone-growing drug." I stopped eating sugar and drinking diet sodas six years ago - that's a step in the right direction. But my osteoporosis got worse still. I started paying attention to every single thing I ate - and I supplemented with boron, magnesium, postassium, the calcium I wasn't getting from food, vitamins D and K2 (mk4, mk7). I stopped using Nexium for acid reflux. I also used a very low dose of estrogen patch 0.025 mg. I am not using it as much as I was using it in the beginning. For what it's worth, I also did collagen peptiddes. My DEXA scan has improved for my back - for the first time EVER. My left forearm is slightly worse (0.02 change). I do a LOT of research and I have worked in the medical field for many years. I know that vitamin K2 (mk4, mk7) has caused some improvement in studies. Boron is a trace mineral that has been shown to improve bone density. You will have a very hard time finding anything good written about boron. It relieves arthritis pain dramatically (in my experience with both RA and OA as well as FMS - I am about 85% relieved of pain). The medical community makes a lot of money off arthritis - and boron is very inexpensive. It's just garbage what they do. Of course, the small amount of estrogen is helping also. I will know more in another couple years and I will report back. I was not able to exercise much during this time as I lost someone very dear to me during the pandemic, and I became ill because of the loss. I was pretty much bedridden for 13 months. I am just starting to feel better, and it will take a while to get up to speed. Exercise may be enough to see a big difference.