I was on Fosamax For the first six years I was on ADT. I kept my bones strong and prevented me from having osteoporosis. After six years, I switched over to Zometa and had it for two years and it has kept my bones strong since then.

There’s also Xgeva (denosumab) which some people get instead of Zometa. It is a little higher chance of osteonecrosis

All of these drugs can return you to a better bone health.

You can also switch to estrodiol patches instead of Lupron. That keeps your testosterone just as low, but has fewer hot flashes and Can restore your bone health.

Lots of options to talk to your doctor about.