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.