My doctor wants to start me on Prolia for newly diagnosed osteoporosis. I was diagnosed with osteopenia 10 years ago, was treated with Fosamax for 5 years, showed some improvement, and went on drug holiday. I have been hypothyroid (and on meds for it) for decades. Is that a contraindication? I have not had an osteoporatic fracture. At what DEXA score would you recommend Prolia over say, going back on Fosamax? After reading on NOF site, I also wonder whether a year or 2 on Forteo first would be a good idea? Maybe its side effects are less worrisome--as long as the bone cancer risk doesn t seem to be a factor. Thank you! Hard to sort through the pros and cons. Will sit down to discuss it with my doctor, of course (just got the phone results of the scan). But I ve only been seeing her for a year, so haven t built up a real therapeutic relationship yet.