BMD was measured in the left hip and lumbar spine at baseline and 24 months after AI treatment initiation using dual-energy x-ray absorptiometry (DXA) and converted to T-scores as described previously [7 (link)]. Fasting blood and urine specimens were collected at baseline and after three months of AI treatment for measurement of biochemical BTMs including serum bone-specific alkaline phosphatase (BAP) and urinary type I cross-linked N telopeptides (NTx). BAP and NTx were analyzed using enzyme-linked immunoassay (ELISA) kits (Quidel® Corporation, San Diego, CA) as previously described [7 (link)]. NTX concentrations were corrected for urine dilution by adjusting for the corresponding urine creatinine concentrations.