@Chris I started Femara/Letrozole with Osteoporosis at the outset.I had also had an osteoporotic fracture. I was recommended to have Prolia injection 6 monthly - have had 2 so far and due again in August
.I too read online the negative comments and was more worried about Prolia side effects than Femara.I saw my long term GP who said he had many women having it with no issues whatsoever and it would be the least of things to worry about.
I have also learned several friends have the injection with no difficulty whatsoever.That is exactly as I have found it - no problems.
I have also learned that it works synergistically with Femara to lower risk of recurrence.
You need to avoid dental work like extractions and root canals whilst on it but as the drug exits the system after 6 months I schedule my dental appointments after this time and before I have a new injection.
I have been on the alternative bone builder drugs briefly prior to bc ie bisphoshonate tablets which I do not recommend .They have a very very long stay in the system and the risk of osteonecrosis of the jaw is high with dental work.I stopped them after 3/4 months when I needed an extraction and no dentist would help me except Prof Goss from the dental school as they were scared of the risk of ONJ.Goss only did so after a test called cross laps showed my bone was turning over.
Prolia apparently builds bone quickly but be aware bone thins quickly if you stop the injections.
The Bone Clinic in conjunction with Griffith Uni on the Gold Coast has been achieving good results in reversing bone loss with a weights program. @Deanne might be able to help in this regard and you could use the search bar on the blog to find out more - there was a post quite recently about it.I do light weights twice per week plus walk one hour daily.
Whatever you decide I would be very wary of bisphoshonate tablets.The injections are expensive $275 per jab or $38 is you can access the pbs price. The pbs price is accessible if -
1. Osteoporosis and over 70. OR
2. Osteoporosis and have had a fracture
As you know an osteoporosis diagnosis is dependent on your t score.