@risagee I did 5 years letrozole and lost bone density. I also had osteoporosis at the start but my doctor was afraid to prescribe Reclast due to my afib and kidneys.

Most cancer patients on aromatase inhibitors do Reclast (Or Zometa, which is the same drug with different dosing). It may have some protective effect with bone metastases as well as increasing bone density.

If you were not on letrozole I would ask why they are not putting you on a bone builder like Tymlos, Forteo or Evenity. I did two years of Tymlos when I finished.

Perhaps doctors are afraid a bone builder will encourage cancer spread-? The bone cancer black box warning was lifted and not a single patient has gotten bone cancer from these osteoporosis meds.

I am curious. Your DEXA score would justify a bone builder vs Reclast but it seems Reclast is still being given to patients on AI's. I would be curious to know what the doctor says if you ask about Forteo, Tymlos or Evenity in your situation. Let us know!