So I saw my doc last night. After 2.5 years on femara, my hip is holding steady at a perfectly acceptable -1.1.
The back has declined steadily since femara and it was osteopenic already when we started. It is down to -2.3 (L2-L4), but L4 is all the way down to -2.9, which strictly speaking means I "qualify" for osteoporosis treatment.
1. Because of the SEs of both bisphosphonates and prolia (he is inclined to use prolia, btw, if necesary, rather than zometa), he does not want to jump the gun on the drugs.
2. Because I am physically active and in good shape, he considers my fracture risk low, in spite of the low score on in the back.
3. Even on femara, in his experience, the bone loss could still slow down and stabilize (as my hip already has).
So, we will wait and see for now and I am glad that my doc, as he said himself, is not a "drug-pusher."
6/1/2011, ILC, 5cm, Stage IIIB, Grade 2, 7/23 nodes, ER+/PR+, HER2-
6/20/2011 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil), Taxotere (docetaxel)
9/13/2011 Mastectomy: Left, Right
3/8/2012 Prophylactic ovary removal
4/1/2012 Femara (letrozole)
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