A 68-year-old woman with established osteoporosis has been s…
A 68-year-old woman with established osteoporosis has been stable on alendronate for 5 years, with improved bone mineral density and no fractures. Her current femoral neck T-score is −1.8, she has no prior fragility fractures, and her FRAX 10-year risk is below treatment thresholds. She asks about continuing treatment. What is the best next step?