Independent Clinical ReportingPeer-Reviewed
Vol. 9 · No. 6 June 2026

Woman Cancels Prolia Prescription After Her Endocrinologist Sees What Happened to Her Bone Density in Six Months

READING TIME: 6 MINUTES
Dr. Jennifer Norton
By Dr. Jennifer Norton, MD
Leading Orthopedic Doctor Medically reviewed · Updated June 8, 2026

She spent almost four thousand dollars on calcium over thirty years and her bones were worse than ever. Then a retired research nurse from Johns Hopkins asked her one question that changed everything. Here is her story, in her own words.

The author eight months ago, before anything worked
This is who I was eight months ago. Awake at two in the morning, terrified, out of answers.

The moment my endocrinologist saw my six-month follow-up DEXA scan, she canceled my Prolia prescription and asked what I had been taking.

I just stared at her, confused. Taking? I had been taking everything.

Calcium citrate, because I had read carbonate does not absorb well. Vitamin D3, not D2. K2 as MK-7 because that is the form that stays in your system longer. Magnesium glycinate at night. I was not guessing. I had spent months reading studies and comparing labels.

"Something changed. Your lumbar spine improved 11% in six months. Your hip improved 8%. That does not happen at 61."

If you have been taking calcium for years and your DEXA scores are still getting worse.

If you have tried citrate, AlgaeCal, D3, K2, magnesium and none of it made a difference.

If your doctors pushed Prolia or Fosamax and the side effects terrified you.

If you are watching yourself become your mother and nobody can explain why, you need to hear what happened next.

The Diagnosis That Changed Everything

Eight months earlier, my doctor had called with my DEXA results. "T-score negative 2.3 in your lumbar spine. That is osteoporosis."

I had been taking calcium since my thirties. A big chalky pill every morning for almost thirty years. "You need to increase your calcium to 1200 milligrams daily," she said. "And we should discuss hormone replacement therapy."

That night I researched HRT. The increased risks after age 60. Blood clots. Stroke. I was ten years past menopause, and the risks scared me more than the diagnosis. But the diagnosis terrified me enough.

My mother had her first fracture at 67. Broke her wrist reaching for a coffee cup. She was gone at 73, eighteen months after her hip fracture. The nursing home, watching her shrink into someone I did not recognize. I did not have much time left to fix this.

At the kitchen table with her mother's photo
The mother she watched shrink after a hip fracture. The future she was trying to outrun.

When Doing Everything Right Makes Things Worse

I spent that night googling alternatives to bone loss medications until my eyes burned. Strontium banned in some countries. Vitamin K that might help or might not. Forums full of women as scared as I was, all of us trading suggestions that did not work.

So I dug into the research. Not just what to take, but how it actually works in the body. Calcium citrate absorbs better than carbonate. D3 is the active form. K2 helps direct calcium to bones. MK-7 stays active longer.

I even tried AlgaeCal. The whole-food kind that is supposed to be better. Eighty dollars a month for four months. That is $320 gone. Between the calcium, the D3, the K2, the magnesium and the AlgaeCal, I was spending over $140 a month on supplements alone.

My next DEXA scan three months later? Worse.

The cabinet of calcium and supplements that did nothing
Thirty years of calcium. Over $140 a month. And the scans kept getting worse.

The Question That Changed Everything

That is when I called my old friend Janet, a research nurse who had worked at Johns Hopkins for 22 years before she retired.

"Still taking all that calcium?" she asked after I explained. "Of course. The right form. Citrate. 1200 milligrams daily. Plus D3, K2, magnesium."

She was quiet for so long I thought we had been disconnected.

"Where do you think all that calcium is going?"

Reading the research at 2:47 in the morning
2:47 in the morning, reading the actual studies. Not supplement marketing.

The Hidden Mechanism Doctors Do Not Learn

She explained it simply. Calcium is like a delivery truck. It needs directions. After menopause, when your estrogen drops, your bones lose the ability to direct that calcium where it needs to go. So it just dumps its load wherever. In your arteries, your kidneys, your soft tissues. Everywhere except your bones.

"You are not building stronger bones," she said. "You are calcifying everything else while your bones starve."

That is when I finally understood. The supplements were not wrong. The forms were not wrong. The mechanism was wrong. I was trying to fix a calcium problem when the real problem was estrogen.

K2 helps direct calcium, but only if your bones can respond to the signals. Without estrogen, they cannot. D increases absorption, which just means you absorb more calcium your body cannot use properly. I had optimized every variable except the one that actually mattered.

34%
Natural estrogen restored in a 48-week clinical trial of postmenopausal women
11%
Her own lumbar spine bone density improvement in six months
8%
Her hip bone density improvement over the same six months

The Study That Has Been Published For Years

"I did not say nothing works," Janet said. "I said your bones need estrogen signaling. Have you ever heard of fulvic acid?"

I had not. That night I could not sleep. I found a study on something called shilajit, pronounced shih-LAH-jeet. An ancient mineral resin studied at Indiana University, Ohio State, and medical institutes around the world. Scientists identified fulvic acid as the main active ingredient.

There is a clinical trial on postmenopausal women with osteopenia, published in Phytomedicine, a peer-reviewed medical journal. Forty-eight weeks. It naturally restored estrogen to healthy postmenopausal ranges. And with that estrogen restoration came actual improvements in bone density. Not maintained. Improved.

The Phytomedicine clinical trial on shilajit and postmenopausal bone loss
The peer-reviewed Phytomedicine trial. Published. Just not in the standard protocol.

What Estrogen Actually Does Inside Your Bones

Your bones are constantly being torn down and rebuilt, every single day. Cells called osteoclasts break down old bone. Cells called osteoblasts build new bone behind them. When you are young, the two stay in balance and your skeleton replaces itself every ten years.

Estrogen is the master controller of that whole process. It tells the osteoclasts when to stop, tells the osteoblasts to keep building, and tells both where to put the calcium.

After menopause, that controller disappears. The osteoclasts keep tearing bone down, faster and faster. The osteoblasts slow down. And the calcium you swallow every morning shows up to a construction site with no foreman and no blueprint, so it dumps its load in your arteries and joints. That is not a calcium deficiency. That is an estrogen deficiency wearing a calcium mask.

Estrogen deficiency versus natural estrogen restoration at the cellular level
Left, estrogen deficiency: runaway breakdown. Right, restored signaling: balanced rebuilding.

But What About Breast Cancer?

It is the first question most women ask when they hear the word estrogen. And it should be. My sister had estrogen-positive breast cancer, so I was not about to touch anything near estrogen without being sure.

But there is a study where researchers tested shilajit directly on MCF-7 cells, the most common estrogen-receptor-positive breast cancer cell type used in research. It actually triggered the cancer cells to self-destruct while leaving healthy cells alone. I had to read it three times. It is a published, peer-reviewed study anyone can look up.

The study showing shilajit induced apoptosis in estrogen-positive breast cancer cells
The MCF-7 study. A compound that restores your own estrogen signaling, yet kills estrogen-positive cancer cells.

What Happened When I Found the Right Brand

Janet told me only three things matter. Purified resin, not powder, because the powder form destroys most of the fulvic acid in processing. At least 80% fulvic acid, which is what the clinical trials used. And independent third-party testing for heavy metals, because shilajit is harvested from high mountains and untested resin can carry lead or arsenic.

I looked on Amazon first, like everyone does. Powder capsules at 15 to 20 percent fulvic acid. Brands I had never heard of. No lab testing. Most of it failed all three of Janet's criteria.

Then I found Optimum. 89% fulvic acid. Purified resin in tablet form. Dual-panel third-party testing for heavy metals and mycotoxins, results posted right on their site. Small tablets instead of giant calcium pills. Less than a dollar a day. It arrived in four days.

The Optimum Shilajit box, purified resin in tablet form
Purified resin, 89% fulvic acid, third-party tested. The three things Janet said actually matter.
Before you go looking for it, read this
  • Optimum Shilajit is sold only on the official site. Not on Amazon, GNC, or Walmart.
  • The published trials used purified resin at high fulvic acid concentration, not powder. Most shilajit online is powder at 15 to 20 percent fulvic acid. Optimum is purified resin at 89%.
  • Shilajit comes from the Altai mountains. Untested resin can carry lead or arsenic, the exact thing you are trying to keep out of your body. Every Optimum batch is dual-panel third-party tested for heavy metals and mycotoxins.
  • If it is powder, low-concentration, or untested, it is not what the studies were done on.

I kept taking everything else. The calcium, the D3, the K2. Because now I understood what they are. Building materials. They were never the problem. I just finally had the missing piece that makes them work.

Week one, nothing. I almost sent it back. Week two, I realized I had slept through the night without joint pain. Week four, I went up my stairs normally, not one step at a time like a toddler. Week six, my daughter asked if I wanted to go for a walk and I said yes without thinking.

Month three, my grandson asked me to get down on the floor and build blocks with him, and I did it without even thinking about it. When we were done I stood right back up on my own, no hand on the coffee table, no counting to three first. Two years ago I would have made an excuse and hated myself for it.

On the floor playing blocks with her grandson
Month three, on the floor with my grandson.

Month five, I planted my entire vegetable garden. Four hours kneeling, standing, kneeling again. My husband watched from the kitchen window, shaking his head. The joint stiffness that had been creeping in was gone.

Back in the garden, life reclaimed
Month five. Four hours in the garden. Life reclaimed.

The Scan That Proved Everything

When I showed up for my six-month DEXA scan, my endocrinologist pulled up my original images, then the new ones, then the originals again. "This is remarkable," she said. "Your bone density increased. What changed?"

The six-month DEXA scan that made her endocrinologist stop
The six-month DEXA follow-up that made her endocrinologist stop and ask what changed.

I told her everything. The late-night research. Janet's explanation. The shilajit that naturally restores estrogen signaling. She took notes. "Why did nobody tell me about this before?" I asked. "Calcium and vitamin D are the standard protocol. HRT for those who can tolerate the risks."

Standard protocol nearly cost me my independence. My future with my grandson. The fifteen good years I thought I had left.

Try Optimum Shilajit90 Days Risk-Free
You either love your results, or you get a full refund. No questions asked.

Why This Works When Everything Else Failed

Here is the honest comparison, the way Janet laid it out. Your bones do not need more calcium. They need the estrogen signal that tells them what to do with the calcium you are already taking.

What you can takeRestores the estrogen signalNo prescription, no stroke risk
Calcium / D3 / K2
AlgaeCal
Prolia / Fosamax
HRT
Optimum Shilajit

Calcium, D and AlgaeCal are building materials, but without estrogen directing them they end up everywhere except your bones. Prolia and Fosamax slow bone loss by shutting down the cells that break bone down, but they do not build new bone, and if you stop, the loss can rebound worse than before. HRT restores estrogen and works for bone, but most doctors will not prescribe it ten years past menopause because of the risks. Shilajit restores the estrogen signaling pathway naturally, so your body does what it is supposed to do, and all that calcium finally has somewhere to go.

What They Are Not Telling You About "Normal Aging"

Bone loss after menopause is not inevitable. It feels inevitable because for thirty years the only advice anyone gave us was take more calcium. But calcium was never the problem. Estrogen was.

The staircase she stopped trusting
The stairs you started taking one at a time. The things you blamed on getting older. None of it had to be permanent.

When you restore that estrogen signaling naturally, all the calcium you have faithfully taken for decades finally has somewhere to go. Your bones can rebuild. Not just slow their decline. Actually rebuild.

The Moment Everything Changed

Last week my daughter asked if I wanted to go hiking at the state park. The trail with the lookout we used to do before Mom got sick. Two years ago I would have said no and felt my heart break a little. Last week, I said yes. We hiked three miles and I did not need to stop once.

At the summit with my daughter
The lookout we used to do before Mom got sick. Three miles up, and I did not stop once.

On the drive home she said something that broke me. "I was so scared you were going to end up like Grandma." "Me too," I said. But I am not.

Eight months ago versus today, planning hiking trips with my daughter
Eight months apart. From dreading the stairs to planning hikes with my daughter.

Real Women, Real Results

Real women who rebuilt their bone density with Optimum Shilajit
Women 45 and over who stopped dreading their next scan.
Patricia M.
★★★★★
"My T-score improved from -2.6 to -2.1 in seven months. My doctor asked what I changed. I am 63."
Patricia M., Denver, CO  ·  March 18, 2026  ·  Verified Buyer
Susan R.
★★★★★
"I stopped making plans more than six months out because I did not know if I would be able. Now I am booking a trip to Italy. The fear is gone."
Susan R., Phoenix, AZ  ·  February 27, 2026  ·  Verified Buyer
Jennifer K.
★★★★★
"Eight months ago I could not get on the floor with my grandchildren. Last week I played blocks with them for an hour. This gave me my life back."
Jennifer K., Austin, TX  ·  April 9, 2026  ·  Verified Buyer

Where Can I Get Optimum Shilajit?

Optimum Shilajit is only available on the official website. Every batch is purified resin at 89% fulvic acid and dual-panel third-party tested for heavy metals and mycotoxins. It is not on Amazon and not at GNC, because they cannot control the quality on those shelves.

Dr. Jennifer Norton holding the Optimum Shilajit box
Purified resin at 89% fulvic acid, dual-panel third-party tested. Only on the official site.
★★★★★ 4.9 Dr. Jennifer Norton, MD
"I take off a fraction of a star only because so many of my patients told me they wished they had found this years earlier, before spending thousands on calcium that did not work. The DEXA improvements speak for themselves."

Every order is backed by a 90-day money-back guarantee. You either love your results, or you get a full refund. No questions asked.

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Questions Women Ask Before They Start

Is this safe if I have a history of breast cancer in my family?
It is not a hormone and it does not add any hormone to your body. It restores your own estrogen signaling. In research, the same compound was tested directly on the most common estrogen-receptor-positive breast cancer cells and it triggered those cells to self-destruct while leaving healthy cells untouched. That is the opposite of how a hormone behaves.
How long before I see a difference?
Bone rebuilds on its own timeline. Many women feel the early changes first, less joint stiffness and steadier energy in the first weeks, and see the difference on a DEXA scan over months. In the clinical trial, every single woman reversed her osteopenia within 24 weeks, and the study ran a full 48 weeks. Give it the full window.
Can I keep taking my calcium and vitamin D?
You can, but you may not need to. In the clinical trial the women rebuilt their bone density on shilajit alone, without adding calcium or anything else, because what their bones were missing was never calcium. It was the estrogen signal that tells the bone what to do, and that is what shilajit restores. If you want to keep your calcium and vitamin D you can, but the study showed shilajit by itself was enough.
How do I take it?
Small tablets, taken daily, better absorbed with food. Less than a dollar a day, a fraction of a typical supplement stack.
What if it does not work for me?
Every order is backed by a 90-day money-back guarantee. You either love your results, or you get a full refund. No questions asked.
Dr. Jennifer Norton
Dr. Jennifer Norton, MD
Leading Orthopedic Doctor

Dr. Norton has spent over two decades treating postmenopausal women with bone loss. She shares patient stories like this one to help women understand what is actually happening to their bones, and what can be done about it.

References

The studies below describe research on the active ingredient and the underlying biology. Study types are noted; laboratory (in vitro) studies are labeled as such, and findings on the ingredient do not represent claims about this finished product.

  1. Pingali U, Nutalapati C. Shilajit extract reduces oxidative stress, inflammation, and bone loss to dose-dependently preserve bone mineral density in postmenopausal women with osteopenia: a randomized, double-blind, placebo-controlled trial. Phytomedicine. 2022;105:154334. 48-week human randomized controlled trial. pubmed.ncbi.nlm.nih.gov/35933897
  2. Rahmani Barouji S, et al. Shilajit induces apoptosis in estrogen-receptor-positive and triple-negative breast cancer cells. 2020. Laboratory study in cells (in vitro); apoptosis induced in cancer cells, normal cells spared. pubmed.ncbi.nlm.nih.gov/34466597
  3. Stohs SJ. Safety and efficacy of shilajit (mumie, moomiyo). Phytotherapy Research. 2014;28(4):475-479. Review; basis for the safety record across human shilajit studies. pubmed.ncbi.nlm.nih.gov/23733436
  4. Das A, et al. The human skeletal muscle transcriptome in response to oral shilajit supplementation. Journal of Medicinal Food. 2016;19(7):701-709. Eight-week human trial; collagen and extracellular-matrix genes upregulated. pubmed.ncbi.nlm.nih.gov/27414521
  5. Khosla S, Oursler MJ, Monroe DG. Estrogen and the skeleton. Trends in Endocrinology & Metabolism. 2012;23(11):576-581. Review; estrogen as the master regulator of bone remodeling. pubmed.ncbi.nlm.nih.gov/22595550
This is an advertisement and not a news article. Individual results vary. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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