I am in Louisville, Kentucky -- a hospital town and health education hub. I was put on Fosamax by my PCP, and she referred me to an endocrinologist who wanted Prolia. That's it. I tried to get an appt with a rheumatologist within my network who had advertised as an osteoporosis specialist, but when I called I was told that the practice "no longer treated for osteo". I was shocked. There is just no specific path of care.