I went on Forteo to build back some of the density I lost and then went on HRT to maintain. It was about 6 years ago and there was no discussion at the time about HRT as there is now so it was considered novel, unconventional and risky. I felt that none of the drug alternatives were a good match for me due to autoimmune issues and GERD so I advocated for HRT as the most natural approach since it was something my body would recognize and hopefully utilize well. Once I ran through my reasons for rejecting the conventional alternatives with my endocrinologist, he realized it was a good option for me and agreed to prescribe it. HRT used to be an osteoporosis treatment before the WHI debacle and the development of other drugs. Overall, it seems to have worked for me in maintaining the gains I made with Forteo and I hope to stay on it for the rest of my life. That is something to take into consideration as well if deciding to go on HRT as once you stop, you lose bone mass just as you would in menopause or after using an anabolic.