@ellerbracke if you are just over the line and just in the hip (and the hip is not always a reliable indicator of change in bone density), and on Zometa, you will most likely be fine. Wondering why Zometa rather than Reclast? I believe Zometa is stronger.
To reassure you, I already had pretty severe osteoporosis everywhere that was scanned, no medications for osteoporosis, three fractures from a traumatic fall, and did an aromatase inhibitor for five years without any fractures.
For me there was a drop in bone density when I first started, similar to that at menopause, and then it went back to the same rate of change as before the meds for the next 4 years. This is anecdotal of course!
Good luck with your treatment!
@windyshores : thank you for sharing your personal experience with AI and bone density. I went back to DEXA scan results, and other than the borderline right hip everything else (spine, neck) is hunkey-dorey. Of course that scan was taken about 8 months ago, at the very beginning of AI’s. So while I need to be cautious in a general sense, and do some (dreaded) exercises specific to bone density, I feel somewhat less afraid of possible fractures. I was told by oncologist that as soon as I get off the AI’s, bone density will revert to whatever is was before those meds, minus of course any progressive deterioration that would have occurred anyway.