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Which exercises are helpful to build bone strength? Do medications slow down the progression of osteoporosis?
For bone health in breast cancer patients, there are two main treatment options:
1. Bisphosphonates (like pamidronate and zoledronic acid) - given through IV infusion every 3-4 weeks or every 3 months
2. Denosumab (Prolia/Xgeva) - given as an injection about every 6 months
Both treatments are effective at preventing bone Show Full Answer
@A MyBCTeam Member I had zometa infusions every month for a year. Now, 3 years later I have necrosis of the lower jawbone and will need surgery under general anesthesia in a hospital. I was one of the unlucky 2% that this happens to. According to my maxifacial surgeon the zometa will stay in my body possibly up to 10 years! Which means I could still have future oral bone problems. Had I known this I would not have had infusions every month for a year. Most people get infusions quarterly or once a year. My bone Mets was extensive in my spine and pelvis, bones paper thin. Between ibrance, letrozole and zometa that first year was very painful and difficult. If my bone Mets come back I don't know what I can be treated with that won't further damage my jawbone. Some treatments are a like a double edged sword. Good to treat one thing, causes problems elsewhere. Good luck.
I was told to take calcium (be careful, only take recommended amount or you may end up kidney stones), magnesium glycate, and zinc. Yogurt is your friend. I bought a weighted vest (16 to 20 lbs) from Amazon and walk for 15 minutes with it every day, at least
I've been on Prolia for about 6 years, way before BC dx. I've had no problems. The risk of jaw necrosis is rare around 1%.
There is also a risk of atypical thigh bone fractures with biphosphonates.... Like anything else, you have weigh the pros and cons! Supplements you can take include calcium and Vitamin D with a calcium rich diet - always check with your provider before taking anything new!
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