@nycmusic
I think my oncologist and PA took one look at my FRAX score from my August 2025 DEXA and felt a 23% chance of a major osteoporotic fracture in the next 10 years was too high to ignore. Add me being on an aromatase inhibitor for years, potentially the rest of my life, and I'd definitely be rolling the dice.

I agree with you that starting Reclast a few months after finishing chemo is a lot for a body to handle. On top of that, they are recommending a CDK 4/6 inhibitor like Kisqali. I think this has been the history of cancer treatments, e.g., try meds which may prevent a recurrence until the patient cries "uncle."

Keep up with those supplements, diet, and exercise. I managed to avoid osteoporosis meds for many years, relying on exercise and supplements (especially strontium citrate, MK4 and MK7, and nattokinase) I've known I'm at risk for osteoporosis: fair, small bones, and my mom fractured her spine in her 80s. Had I not developed atrial fib, I would have preferred to stay on strontium citrate, though I don't know if you should take it at the same time as you are taking any osteoporosis medication.

I sure hope my oncologist agrees that the Reclast infusion should be slow...an hour ideally. I've found recommendations here about hydration, acetaminophen and claritin and will follow those. Will also discuss a lower dose of Reclast.

Thank you for replying and hope your regimen keeps you off meds forever or for a long time!