Your numbers aren't terrible, especially your spine. From what I've seen, it's unusual for the T-score for the hip to be worse, so that's really interesting. Dr. McCormick says that if your scores are better than -3.0 there's a good chance you can improve your BMD naturally. In an interview about OP meds during the bone health, he talked about which are the best for the hip vs the spine, and both Evenity and Prolia are far more effective on the hip than any of the others, though I'm definitely not advocating for taking OP meds, especially not Prolia. My scores are in the severe range for both the hip and the spine, so I'm on Evenity hoping to eventually get out of the hole and switching to more natural approaches. I've made an appointment at a women's health center to discuss HRTs, because my Endo, like yours seems to be anti-hormone replacement.