I have diabetes, osteoporosis, a history of hyperthyroidism and chronic kidney disease (CKD) stage 4. My medical team includes a primary, an endocrinologist and a nephrologist. The endocrinologist diagnosed the osteoporosis around the time I was being treated for hyperthyroidism. She did some bone density tests and prescribed Prolia. At that time I asked if it would be approved by my nephrologist. It was. I have a Prolia injection every 6 months at a nurse visit appointment.