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Osteoporosis & Bone Health | Last Active: 4 days ago | Replies (196)
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Replies to "How did it go? What did you end up deciding to do and how do you..."
Thanks for asking and I apologize for the long answer.
The osteoporosis specialist did not offer an opinion about HRT, but did say that she is on HRT (but she is in her 50s). The specialist suggested I speak to my gyn.. The specialist made a follouwup appointment for April 2024 and gave me a script for blood work and 24 hour urine to be completed 2 weeks prior to my appointment.
I saw my gyn, who I really like and respect. The gyn spent a lot of time listening to me and talking to me. She explained that blood clots are a risk for someone my age and for someone is more than 10 years post menopause. However, she said she would prescribe if I received clearance in writing from a cardiologist (which I am not sure I could get) and if I thought long and hard about the risks of blood clots versus the risks of broken bones. I have decided to delay my decision about HRT.
For now, I am being vigilant about what I am eating and how I am exercising with the hope my blood work in April will show an improvment in my CTX level (which was quite bad last May). I am avoiding alcohol, sugar, limiting gluten, eating Natto daily, and attempting to get most of my nutrients from food. I have tried to gain weight by eating a lot of healthy foods and I am up over 4 pounds, about which I am happy. I am lifting weights and increasing the weight slowly. I walk every day. I practice yoga every day. I am trying to get more sleep. I am using an online food diary (cronometer) to make sure I am getting enough calcium and magnesium and not too many oxalates. I use my Marodyne twice a day for 10 minutes each session. I am not sure what else I can do.
I plan to go to my April appointment with my "specialist," but if she insists on Prolia (which she has indicated), I will decline and either go to a functional medicine doctor or go to North Carolina for an appointment with Dr. Bush who uses REMS technology.