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@dabell1004

I have been doing quite a bit of research on bone density and how to improve it. I was diagnosed with osteoporosis about 2 years ago, -2.5 score, which is borderline. I have broken many bones over my life, most having nothing to do with osteoporosis, the first being fractured tibia and fibula when I was 13 years old, and a fractured fibula, same leg, a year later. I am 74 now. The last fracture was about two years ago, while hitching up a camper trailer to my car, I felt a pop, and oh the pain. I had fractured L4, which I am pretty sure is osteoporosis related. I've started on Fosamax, and I hate it. It gives me the worst constipation of my life.

From my research, I've learned that the absolute best way to strengthen bones is exercise, particularly strength training, weight lifting, etc. But now, as of this past spring, I've been diagnosed with breast cancer, Stage 1, Grade 1, hormone positive, and HER2 negative. It was a tiny 6mm tumor found on a routine screening mammogram, and for which I felt nothing. I've had a lumpectomy and radiation, and I am now considered cured, but on an aromatase inhibitor, Letrozole, for the next five years to prevent a recurrence. I have none of the lousy side effects that many women experience on letrozole, except that it will invariably result in bone loss. I need that like a hole in the head.

My point for writing this is I am planning to take the fosomax for a while, as a kickstarter to bone development, but using bone strengthening exercises as my main modality for bone strengthening. In about a year, I plan to completely go off the fosamax. I have read that using fosomax as a kickstarter is a good strategy, as long as you follow through with a consistent exercise program. That's my plan. Hope this helps.

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Replies to "I have been doing quite a bit of research on bone density and how to improve..."

Merci pour votre partage, j'espère que tout ira mieux dans les mois à venir.

@dabell1004 I will just share my experience and what I was told along the way. I struggled to get on bone meds for years (starting in 2006) and had a grade 3 ER+PR+ HER2- breast cancer in 2015. I did letrozole for 5 years, and my endo did not want to prescribe Reclast due to fears about my afib.

I lost a lot of bone density and fractured 3 lumbar vertebrae and possibly one thoracic. I had previous 3 thoracic fractures in 2006 from a traumatic fall.

Reclast and Zometa are both zoledronic acid and are supposed to have protective effects in terms of cancer spread, but your cancer was tiny and grade 1.

I ended up doing Tymlos and got my bone density back to borderline from severe.

IF you had a fracture you might have benefited from Tymlos, Forteo or Evenity and with a fracture insurance would have covered it. But now that you have cancer, bisphosphonates are the usual course. I hope that Fosamax is strong enough for this situation- let us know! And I hope you can tolerate it for some of the time you are on an AI.

More later!

Have you tried drinking two glasses of water with your Fosamax to prevent constipation? Also, the generic for Atelvia is taken after a meal. That may go down well with two glasses of water. Something to consider, if it is easy to try once or twice.