I'm in a similar spot -- 2 yrs Anastrozole this July, ostopenia diag at 1.5 yr mark, I take some Calcium, 6000 Vit D + K2. I walk a lot, and have recently added a weighted vest to increase the load, hoping it helps.

I was not told about connection between Anastrozole and heart disease, cholesterol, or blood sugar!! Just finding this out, on my own, and asking for additional labs this week. Why does the patient have to think of, and request these ourselves??? That's a whole other post, I guess. Anyway ... if any labs are of concern, I will consult ND (integrative oncologist) to talk about adjustments to diet, exercise, lifestyle, etc.

I already eat mostly plant-based (by choice for several years, even before bc), walk 3-5 mi a day, and willing to adjust, add, or remove whatever is needed for my best health and immunity, without adding another med. Anastrozole is my only med, and I want to keep it that way.