@kbradtke back in 2015 I was told I had a legal right to symmetry. My oncologist wanted me to have one mastectomy first to see how I handled it due to lupus and heart etc. I had the second one a couple of months later. They found atypical hyperplasia (precancer) so I was glad I did it. That breast was full of cysts! I like being flat to be honest. I would not have liked having on breast. I don't wear prostheses and clothes actually fit me better than before.

My endocrinologist at the time did not want me on Reclast but my oncologist wanted me on bone meds. The endo won out. There was concern about aggravating my afib. After cancer treatment I have done two years Tymlos which made my bones better than before letrozole. Then 4 months Evenity (most do a year, I kind of created my own protocol).

Now I am on Reclast but at a low dose due to kidneys and afib. I did 1 mg in June and 1 mg in Sept. I was due for another 1mg in Dec. but asked my endo to do a bone marker test called a CTX which showed my bone turnover rate was low. I asked my endo if I could skip the Reclast for Dec. and he agreed. I was told by the infusion nurse that a 2mg dose is not uncommon (usual is 5mg). So if the 5mg does not work for you, in terms of side effects, there are things you can do. I feel I am a little protected from bone metastasis but a full dose would be better in that regard.

If you do a Reclast infusion, hydrate day before, day of, day after (you can even ask for IV hydration). Ask for an hour long infusion, not 15 minutes. Use tylenol. I have read that 40% of women have a flu-like reaction the first time but not with second or later doses. I had a fever for 5 days, then fine, no big deal.