Everyone is concerned about bone loss with aromatase inhibitors, but many of us are more concerned about cancer.

I already had had osteoporosis for several years when I went on Femara. And my doc did not want me to take bone meds at that time (long story). So for me, I can say with certainty, the first year on Femara had a drop in bone density similar to that at menopause, but then levelled off. That is just one case. I went 6 more years after the end of my Femara without any meds, and without any fractures. I am now on Tymlos. If I had gone on that right after the Femara, I never would have fractured. There IS enough wiggle room regarding fracture risk for many of us, that we can take aromatase inhibitors w/out excessive worry on this. If you can take Reclast during the AI's, all the better because that combo not only protects bones but provides further protection from cancer.