You should have a bone scan before you start the hormone blocker. If it shows osteopenia, they will offer you a bone modifier, usually given every 6 months. Depending on your insurance, Zometa, an IV infusion or Prolia, a shot. They are very effective.

Also, weight bearing exercises increase bone density…….

LauraAh, Thank you very much for your response. My last bone density test was in 2022 - the report says osteoporosis. (Cancer dx in late 2023) Strangely, the dr never mentioned anything about bone modifiers even though I told him I had osteoporosis. I'm learning so much from the wonderful women here! I will mention this to my new oncologist. I feel so much better about this now after reading both your and FloStein's response. Thank you so much for your help. Wishing you the best and will be keeping you in my thoughts and prayers.

FloStein, Thank you so much for the valuable input! My oncologist (new, 2nd opinion) has not mentioned anything about a bone builder - just the anti-hormone. I will definitely ask him about this. I'm so glad that Prolia has worked for you! I never knew that this condition could be reversed. So sorry you had to go thru this twice - what a nightmare!! Keeping you in my thoughts and prayers. And again, thank you so much for your help. I truly appreciate it.