@Annski I was osteoporotic before breast cancer diagnosis and take 2 Caltrate Bone and Muscle Health plus Minerals tablets - one morning. (These tablets also contain Magnesium but probably not the quantity others have used - powdered Magnesium seems to be very popular with members on this blog. )One late afternoon which fulfills Osteoporosis society recommendations for my age and circumstances. I was prescribed and did take Bisphosphonate tablets but ceased because of fears on Osteonecrosis of the Jaw which can occur with extractions and root canals eg.Basically I found when I needed an extraction marked reluctance in the dental community here to help - Prof Goss here was the only one who would do so and he did cross laps before the extraction to assess risk.
As I am er+ after radiotherapy I was advised to commence Letrozole which thins bones amongst other things. Radiotherapy is also a problem for the ribs for breast cancer patients. I was advised to start Prolia injection to counter this problem.Prior to lumpectomy last March I had a cracked rib and because of this I am able to have Prolia injections 6 monthly at the PBS price of $38 rather than full price of $275. To access the PBS price you need to be over 70 or have had an osteopor
I admit to being fearful of both drugs but have been on them now for 8 + months and managing ok. The critical thing for me on Letrozole is to keep moving and so I walk daily for an hour.Walking also helps with my emotional state as Letrozole impacts on that too.I also do a gentle stretch and balance class twice per week. All of the above is to counter joint pain and stiffness.
My medical oncologist recommended Krill Oil tablets which I take daily for joint pain/stiffness - as it’s a concentrated form of fish oil and Omega 3 I think it might help with cholesterol.Yes the other big side effect of Letrozole is spiking of cholesterol- my good low cholesterol more than doubled. I try to be careful about diet - eat minimal red meat and know rolled oats lower cholesterol so have porridge every morning.I took statins for a while but found after 4months they were causing problems - basically I thought I was developing dementia but after stopping statins my memory rapidly returned to normal - this was a frightening episode.
Hope some of the above helps and happy to answer anything else about Letrozole/ Femara. BTW I gather the difference between the two is the pill coating and that the cheaper coating on Femara may have caused problems for some members.
Am glad @melclarity hopped as was about to ask her too as she has done a lot of research on Magnesium and is probably the best to seek advice from about it.