Tamoxifen alone for 2-3 years, then ov plus ai?

LadyC - Tamoxifen taken premenopausally is not protective of your bones. It is when you are post menopausal, however. Please have a baseline Dexa scan before you start treatment, or early in your treatment path. I would even push for yearly Dexa scans rather than two years depending on your bone health.

I was classified with Osteopenia at start of my treatment on Tamoxifen. Two years in, and finally post menopausal, I have Osteoporosis in my hip and lower back area. This was in spite of adding supplements and exercise. Just a word of caution to make sure you are doing everything you can to support your bone health. I, too, had in my head that tamoxifen would protect my bones no matter my menopausal status.

I went to see a endocrinologist who specializes in Osteoporosis and he told me the absolute best exercise for building bones is walking. Cycling and swimming are great cardio but do literally nothing to build up your bones.

Focus your diet as much as possible on eating calcium rich foods. I am finding that Almond milk, at least a cup a day is a wonderful way to increase my calcium intake.