I think, in your case it truly is
a matter of knowing how badly your bone density loss is
, and if your risk factors for
the side effect risks of serious health concerns are increased for any reason other than the suggested link to a possibility of cancers/stroke etc. If you have cancer risks in your family, your risk is obviously elevated. If you have a family history of heart disease, your risk for stroke is also elevated, and therefore your need to adjust for those risks accordingly.