26th January 2024

A 52-year-old female with a recent diagnosis of breast cancer has been commenced on letrozole.

A 52-year-old female with a recent diagnosis of breast cancer has been commenced on letrozole. She also suffers from type 2 diabetes, chronic kidney disease stage 4, hypothyroidism and has a history of previous gastric ulcer 2 months ago. She undergoes a FRAX assessment, which reveals a 10-year fracture risk of greater than 10%; therefore, she undergoes a DEXA scan. The DEXA scan reveals a T score of -2.7. 

What is the first-line therapy recommended for this lady?

Select the SINGLE most appropriate option from the list below. Select ONE option only.