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!