I have taken AI for over five years, Anastrazole, and have not had a single issue or problem. Have you considered a trial run to see if you actually do have issues? What I was told at the onset was if I had an issue with the anastrozole, the oncologist would work with me to find medication that would both suppress estrogen and not cause undesired side effects.

It is Not a given that every patient given an AI medication will have problems.
DC
In addition to reducing your risk of return of breast cancer, aromatase inhibitors in recent studies, 2024, are showing a statistically significant decrease in the development of dementia.