@pennykj if you watch Dr. Ben Leder's video on Sequencing and Combinations or read Keith McCormick's book "Great Bones," it is suggested that we do bone builders before the anti-resorptives.

If your doc wants Prolia you might ask about the best sequence of meds and whether Forteo, Tymlos or Evenity might be the best first choice. I am noticing so many docs are prescribing Evenity instead of the other two! I chose Tymlos because the pen dose is adjustable and I could ramp up slowly. I did not do a full dose until month 22 and still had excellent gains.

I would also ask the doc how they expect you to get off Prolia. The transition to Reclast is very tricky in terms of timing with a need for testing of CTX. This is also covered in McCormick's book which might be available in your library. My docs won't use Prolia unless every other drug is not possible.