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Is hrt a good option after Evenity

Osteoporosis & Bone Health | Last Active: Sep 17 9:23am | Replies (61)

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@sonodeka

Hi mayblin. My dexas are not bad, and my frax score is low. None the less the diagnosis rocked my world. The doc was happy for me to do nothing until things worsened, but I'd like to stem the loss so asked for hrt. Fingers crossed. My dexas for spine , neck and hip: -2.6, -1.6, -1.4.
Frax is 8% for spine. I'm 63.
She prescribed the therapeutic, low dose for me, without checking hormone levels. She is going to make adjustments based on my response, which has been unnoticeable to minimal so far, 2 weeks in. I have initial bone markers, which she deemed normal, and she has all my extensive blood results, which are also good. I'm lucky to be healthy, except this creeping bone loss... I have a follow up with her in 5 months. I'll see what she suggests then.

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Replies to "Hi mayblin. My dexas are not bad, and my frax score is low. None the less..."

I was also rushing to start hrt while I was still, if barely, in the 10 year window, for my peace of mind. As I said earlier though, this particular doctor didn't view that time-frame as hard and fast.

Thank you very much @sonodeka for your reply and sharing your info with me. Your dxa results are a lot better than mine when I was diagnosed at 59 (my worst spine t score -3.4), my frax risk was a bit better than yours probably due to age. I'd do the same if I were you - give hrt a try as long as doctors give clearance. There are a few studies showing 2-3 years of transdermal hrt used in postmenopausal women could increase lumbar and hip bmd ~3-4%. To me, i'd be satisfied if hrt could hold bmd. Your current dosing is commonly used which is nice. Best of luck to you!