dear patient prolia injection contains denosumab which is recommended for post menopausal osteoporosis. denosumab has many side effects which needs to be monitored. but it is also very effective. I would advise you to undergo DEXA scan first to assess severity of osteoporosis so that treatment can be decided accordingly. if mild osteoporosis you need to increase calcium intake and calcium tablets taken orally. also bisphosphonates should be started weekly. for moderate osteoporosis start both calcium tablets containing isoflavones and bisphosphonates. for severe osteoporosis injection teriperatide can be started which needs to be taken for 5 to 6 months. thanks