I had osteoporosis for 16 years and did cancer meds toward the end that greatly worsened things. I fractured as a result (lumbar spine) with a very unwise movement.

Talk to an endocrinologist and you can also consult with Keith McCormick, a chiropractor (you can google him) or buy his book "Great Bones" (on Amazon). He might tell you that your scores aren't terrible and give you some tips on how to maintain what you have (his other book is "The Whole Body Approach to Osteoporosis."

My doctor as well as McCormick tell me (and write) that it is better to do Forteo, Tymlos or Evenity before Prolia or a bisphosphonate. The problem is that insurance wants it the other way around!

Once you go on Prolia you are kind of stuck because going off of it can mean quick loss of bone density and increase in fractures. You then have to go on Reclast or Fosamax to avoid that situation and the timing of that transition is very very tricky. My docs won't use Prolia at all for that reason.

If you are borderline or just over the borderline for osteoporosis, you may be able to avoid Prolia but ask your doctor and get other opinions if you need to.