Yup, a lot my asthma treatment surely hastened the development of osteoporosis.
I also have an Albuterol inhaler and I rarely get it refilled more than once in a year, usually have just one. I use pre-ride, on hot days, or when there's an air quality issue. Before, I would avoid riding in those conditions, but given how hot it's been the past 2 years, I can't avoid it.