@sophie93 the sequencing of drugs for bones is a big issue. Ben Leder MD has a great video online about sequencing and combinations (he is at MGH). Insurance wants us to try bisphosphonates or Prolia first so doctors prescribe them first, often, simply because insurance considers them to be first line.

But bisphosphonates should come after the bone builders, not before.

If the issue is insurance, as it usually is, a patient assistance program might help.