@soggybones I was not treated for osteoporosis before the breast cancer. I'd held steady in the category of osteopenia for many years and even improved a bit in some years. I used exercise (strength, toning, yoga) and supplements (nattokinase, MK4 and MK7) for many years.

I developed afib about a year before the breast cancer. The afib diagnosis led to Eliquis, a newer anticoagulant which meant stopping the nattokinase. With the breast cancer diagnosis, I needed to stop all supplements but plan to resume the MK-4 soon.

My oncologist has mentioned the tamoxifen but the recurrence rates are not as good as with letrozole so will stay with the aromatase inhibitor while I can tolerate one. Will keep the exemastane in mind, though. Since I seem to be handling the letrozole without major issues, reluctant to try a switch yet.

Healing thoughts to you!