Hi @hopefullibrarian. I wanted to say a few things yesterday, and oops, it all got wiped out😳! I gave up for the evening. Please read the threads in here on osteoporosis. Don't just go by the headings bc there are nuggets in every conversation that are useful. Drs, insurance companies, even pharmacies will try and dictate what's best for your young life. They do not always get it right. Yet there are some in the medical field, that have invested their heart & soul into learning abt this disease, and might just take a different approach to Prolia at such a young age. I would recommend Dr Keith McCormick's new book, "Great Bones." Be sure to go right to his chapter on medications, it's not too late. He talks abt sequential therapy as one of the most important things. Also, specific testing is very important before, during, and after.

My experience was similar to yours with my long awaited physician. I was handed a list of meds, told to read abt them, increase calcium, exercise, and see you next year! Very difficult to get best care on this disease. It' s way to important to not discuss the short- and long-term objectives of suggested treatments. Dr McCormick is well aware insurance companies will deny you an anabolic first, he says, "fight for what's best for YOU!"

Just passing on a little of what I've learned and Wishing you the Best.❤️