Long-term use of inhaled corticosteroids may lead to a decrease in bone strength or density (BMD). This means your bones could become weaker over time. People who are at higher risk for bone loss include those who are immobile for long periods, postmenopausal women, older adults, smokers, those with poor nutrition, or who have a family history of osteoporosis. These individuals should be regularly monitored by the doctor. To protect bone health, your doctor may suggest bone density tests, healthy lifestyle changes (like diet and exercise), or medications, based on your condition.