@paulyd1 patients with hormonal breast cancers (80% are hormone-positive I believe) take Prolia to combat the bone loss from anti-hormone meds. With a triple negative cancer, you are not taking Prolia for that reason but for osteoporosis alone (or whatever bone med you end up with, Reclast is also used for bones with cancer meds.)

For others, just want to clarify this is not correct:
"I am postmenopausal in my 70's so I really do not have a high risk for hormone + breast cancer at anytime and dont need the drug to prevent it."

We older women still get hormonal cancers- many of us_ since there are other sources in the body that produce estrogen (adrenals, fat). The rate of breast cancer is higher for older folks and many of them are hormonal cancers.

Of course with a triple negative cancer, anti-hormone meds aren't useful since your cancer is not fed by hormones.

Unfortunately, I am dealing with my 2nd reoccurrence of TNBC in 4 and 1/2 years. All the best to you.