It is possible that they won't be enough if started later in the game. BUT, if you look at absolute risk reduction on many of the bone meds, the studies you can find on hormones, when you dig, show similar risk reductions, so fingers crossed for those of us trying them. I am sorry that you cannot use them. They were naturally occurring substances in our bodies, before some of us developed osteoporosis, so logic and bone marker tests provides hope. We can check to see if we are receiving benefit from HRT and if not, reevaluate choices.