Continue Fosamax at 97?

Perhaps a consult with an endocrinologist.

Definitely consult an endocrinologist. Amazing that she is teaching ballet at age 97! I have been told that bisphosphonates stay in the body a long time so holidays are possible. Use over 5 years does increase risk of atypical femur fractures and jaw necrosis (how are her teeth?) though still not common. If she is in osteopenia for all scores that is wonderful. Maybe she can do holistic approaches for awhile-? No doubt ballet/barre reduce her risk and keep her safer since her balance and alignment must be enviable.

A study I saw noted that the effects of Fosamax and its ilk carry on for a year or so after the pills are discontinued. Maybe that is why some docs like a holiday. It is a freebie and they think/hope the holiday gives a patient's system a "break," thus allowing them to take this drug for a longer period of time. The alternative drugs may not have a good track record for long term use.

Something I am trying to practice, "don't go looking for trouble."

Yes, researchmaven, looking for trouble could be what I'm doing. I regret somewhat having broached the subject with her. She has been ok with her situation, though not well informed, preferring to carry on with things more interesting to her.
Thanks for the info and reminder.

Good idea. Thanks for the feedback.

Thanks Windyshores.
That's what I also read about Fosamax, but neglected to think of moving beyond her pcp to an endocrinologist for input rather than relying on my newly found info. We'll ask the pcp for a referral.
She does count on her balance, and it's kept her safe so far. Her dental issues were pretty major in the past. I now wonder if the difficulties may have had something to do with the drug. Gratefully she now seems stable. Holistically she's pretty well covered. She has a good diet, albeit somewhat of a sweet tooth, and we've added a variety of supplements, enough to make her a little crazy. She's not much of a walker, but uses stairs all day and exercises in the morning.
Thanks for your response! I've benefited so much from you and others on this forum.

@sonodeka I have a sweet tooth too. Tell your mom she is an inspiration to a fellow sugar lover who hopes to live a long time!

Good luck with the endocrinologist. Your mom is lucky to have you. (I took care of my mom until she made it to 95 but not 96...)

The other thing to mention @sonodeka is there is no rebound when stopping Fosamax, as we have implied. Perfectly safe to stop and if your mom has osteopenia and good balance, sounds like a good idea. The drug will still work for awhile and there will be less of a chance of atypical fracture or dental issues. But of course ask a doctor !

I will tell her! She is inspiring to many, including me. Also a pretty hard act to follow!
I've no doubt your mom was lucky to have you as well. 💜

That was my thinking. Also getting one less interference out of her life in her late years. I'll ask her doctor tomorrow and also if a referral to an endo is warranted. Thanks so much!