I used inhaled to avoid oral sometimes. I was given inhaled for years as preventative as they used to be marketed. My doctors absolutely think the inhaled steroids impacted my bone density. The recommendation now is to use when needed, not everyday for years. Certainly, they are better than oral or shots, but I didn’t need them every day. They used to be marketed to improve lung function if used on a daily basis. My bmd improved when I quit using them.

I also was told the effect of inhaled steroids was not systemic, but only restricted to the lungs. 9 years later I had my first Dexa scan and found out I have advanced osteoporosis! When I discussed the impact on my bones with my pulmonologist he said, “ Do you want to live?”
So now, like many of the rest of you, I’m reading about all these scary side effects from the osteoporosis drugs. My doctor is starting me on Evenity.

Inhaled steroids are mentioned as causing problrms in the Coltan’s micronutrient deficiencies book, recommended by Dr. Lucas,