Hi Elaine, sorry I don't have any suggestion other than to share my experience with Prolia injections. I managed to handle 7 injections. I began suffering most of the horrible side effects before doing research on Prolia. I was not told about the side effects and trusted my doctor. My last shot was in 2015, and I am still suffering from unbearable pain, vertigo, skins problems . I just had an injection of cortisone in my back hoping this will help me. I have contacted Amgen, the drug company and the FDA to no avail, my suggestion to you is no more Prolia. It is a form of chemotherapy , the active drug is Denosumab, also marketed as Xgeva for cancer patients. This drug has been a nightmare for me and as I said, I wish I had never taken. It should be taken off the market. I hope this help you. Best of health.