@,prettyflower I think you are doing exactly what I would do. Your values aren’t that bad , you have time to figure out a plan. And I personally would not go on Prolia after all I’ve read and understand about it. are you doing other things to help your situation like appropriate exercise, eating well, getting the protein you need, , taking supplements that are indicated, managing stress , getting good sleep, etc…. I think getting a DEXA with a TBS is a great plan. Some people, not saying this is you , but if they begin to understand what the root cause of why they are losing bone becomes known they can really help their situation and may not need drugs. It all depends. Finding out the root cause I’m told is best to work with a Functional/Integrative physician. And I would suggest getting a copy of Dr Keith McCormick’s book. And there’s a great place to learn all things about osteoporosis this upcoming week. Go to https://morebone health.byhealthmeans.com/?idev_id=30380. And if you don’t have time at least go to a podcast by Margie Bissinger put out on Jan 4 , 2024 with Craig . Title is something like - Osteoporosis 101 with Craig and Margie Bissinger. Good luck to you!!!!