Hi beestrong,
When I was diagnosed at 70 with TNBC in my L breast and ER+PR+ breast cancer in my right I also had 2 spinal compression fractures and had osteoporosis. I had been trying to decide which bone building drug to go on for months. Should have started a med earlier and maybe I could have avoided the spinal compression fractures. Well wham the fractures and breast cancers happened at once. I went to Mayo Rochester because our hometown hospital had missed my having hyperparathyroidism for years (a cause of osteoporosis and kidney stones and I had both of those for years and saw my pcp and a nephrologist every year) so we lost confidence in the care there for something very serious. I had a bilateral mastectomy at Mayo and they put me on tamoxifen for the ER+ breast cancer due to the osteoporosis because it can help build bone. The oncologist suggested Zometa infusions 2 times a year for 3 years. He said that studies show that women who have had breast cancer and were on Zometa had a higher survival rate. So since I had the TNBC plus the ER+ I was happy to get something else to help me. Reclast is the same drug but the dose is 5 mg once a year vs Zometa 4mg 2x a year. Maybe the 2x a year is more helpful if you have had breast cancer. Good luck deciding what to do. Sending love and wellness wishes to you❤️