Conversation: The conversation between human and AI assistant.
[|Human|] My obgyn has recommended prolia injections. I am76, female diagnosed with osteoporosis I had a severe break of my left femur I have had bilateral knee replacement and I have serious back problems degenerative disc s and scoliosis . I m really afraid of the prolia injections for many reasons...HELP?
[|AI|]  Dear patient prolix 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 perioperative can be started which needs to be taken for 5 to 6 months. Thanks