Is hrt a good option after Evenity

I was on bioidentical hormone crème for 20 years with good results for menopause…no symptoms. I went on pellet therapy 8 months ago on a low dose…there are 10 levels. My integrative medicine dr does bloodwork every three months. I am doing this for my bones but I have to say I feel more mental clarity and energy. I will post my dexa results in Feb. I will not go on a higher dose. Now I am on 67 and the average dosing is 100. My blood levels are good at this time. If you choose this path please use a reputable integrative medical doctor with a lot of experience. Dr Erika Swartz in NYC is an expert in the field. In Philadelphia De Anthony Bazzan at Jefferson is excellent. Both are published and highly regarded. One thing to keep in mind is that big pharma gets nothing from bioidentical hormones so it is not approved. $$$$

The current preferred HRT prescribed by many physicians appears to be transdermal estradiol plus oral micronized progesterone if the uterus is intact. The preferred starting time is within 10 years post menopause with exceptions. The presenter in this video talked about HRT usage in the management of osteopenia/osteoporosis:

Please keep us posted regarding your endeavors in using HRT, and whether or not you will use bone markers to monitor progress.

All the best!

@mayblin Thanks for posting this excellent informative presentation

I only pray it helps in some way. All women are different and my hope is that someday the doctors will look beyond the standard. Bless all that are on this group. You are more informative to me than the medical community. Knowledge is power. As a group we can make a difference! 🩷

I hope that this group will help make a positive change

Patientrevolution.org

I only pray it helps in some way. All women are different and my hope is that someday the doctors will look beyond the standard. Bless all that are on this group. You are more informative to me than the medical community. Knowledge is power. As a group we can make a difference! 🩷

This group has been a profound life changing support to me at a time of great need with my terrifying OP diagnosis 10 months ago. I would never have found my way alone to starting HT at 67 two months ago. I obtained an HT prescription from a well qualified women's health naturopath certified by N.A. Menopause society, and am really noticing the calming effects of it now. I feel safe with no history of breast cancer and recent coronary artery calcium test results. The naturopath said confidently that the Estradot patch and Progesterone would stop the progression of bone loss which I'm hoping will be enough to protect me along with correct diet, supplements and exercise as I have incredibly so far never fractured. I will do follow-up CTX, P1NP, DEXA with TBS and REMS scan. The benefits of HT far outweigh the risks for me. I only wish I had started it at age 62 when I was first diagnosed with OP to prevent progression from spine -2.8 to -3.5 four years later.

Hi gravity3
I'm far from an expert on this (and a guy) but I do want to kick in that the concerns about starting HRT well after menopause may be exaggerated? Our integrative cardiologist / functional medicine doctor helped my wife get started on bio-identical hormones for the first time around age 70. He was not greatly concerned with the "time limit" that seems to say you have to do this within 10 years or so of menopause. He did have my wife do a test each year or two to confirm that her body was using the hormones "properly".
Again I admit to having no great knowledge on women's hormones but I'm suspicious whether the fears on late start female hormones are not yet another way in which modern medicine has got it wrong about women and their bodies.
If anyone has dug into this, like where does this time limit come from and how solid the evidence is for it and so on I'd love to hear about it. Not that I need another health topic to dig into. I'm overloaded already.
Best of luck to you.