1. < Osteoporosis & Bone Health

Is hrt a good option after Evenity

Posted by gravity3 @gravity3, Sep 3 2:02pm

I am a 76 year old woman. Menopausal at 38. Took some hrt 20 years ago. I am going to begin estrogen and testosterone pellets with a functional medicine provider. There may already be a discussion site for:
Discussion of the Women's health initiative study and what we are learning.
Fear of hrt linked with this flawed study
Can robust hrt act in place of prolia post Evenity.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

mayblin | @mayblin | Sep 12 8:44pm
In reply to @sonodeka "Hi mayblin. My dexas are not bad, and my frax score is low. None the less..." + (show)
@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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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!

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1 reply
mayblin | @mayblin | Sep 12 9:58pm
In reply to @dooshie "It’s been a lot longer for me but my cardiologist felt HRT would help sustain my..." + (show)
@dooshie

It’s been a lot longer for me but my cardiologist felt HRT would help sustain my bones and also provide the necessary boost for what I’m lacking. I just had some bloodwork done and hoping to see how my markers look. Went off Tymlos in June and will begin Evenity in Oct. a bit of a drug holiday but I’m traveling so don’t have a choice.

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@dooshie, my endo thinks even a small dose will help with maintaining bmd somewhat, although the go-to dosing appear to be 0.05mg/day transdermal (or equivalent oral) estradiol. If you don't mind, could you share your bone markers when results are back? I'm monitoring too to get a right dose currently. Thanks a lot and have a great trip!

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gravity3 | @gravity3 | Sep 13 1:14am
In reply to @dooshie "It’s been a lot longer for me but my cardiologist felt HRT would help sustain my..." + (show)
@dooshie

It’s been a lot longer for me but my cardiologist felt HRT would help sustain my bones and also provide the necessary boost for what I’m lacking. I just had some bloodwork done and hoping to see how my markers look. Went off Tymlos in June and will begin Evenity in Oct. a bit of a drug holiday but I’m traveling so don’t have a choice.

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How long has it been?

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sonodeka | @sonodeka | Sep 13 1:32am
In reply to @mayblin "Thank you very much @sonodeka for your reply and sharing your info with me. Your dxa..." + (show)
@mayblin

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!

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Thanks Mayblin. I'd also be satisfied with holding steady, but good to know there's a possibility of growth as well! I read that hrt combine with exercise is better than either alone. I am doing as much as I can, currently following the strength training program by Margaret Martin, as well as other forms of exercise every day.
Thanks for sharing your research, it's good to have confirmation that we're on the right track. Best of luck on your path forward!

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sonodeka | @sonodeka | Sep 13 1:36am
In reply to @dooshie "It’s been a lot longer for me but my cardiologist felt HRT would help sustain my..." + (show)
@dooshie

It’s been a lot longer for me but my cardiologist felt HRT would help sustain my bones and also provide the necessary boost for what I’m lacking. I just had some bloodwork done and hoping to see how my markers look. Went off Tymlos in June and will begin Evenity in Oct. a bit of a drug holiday but I’m traveling so don’t have a choice.

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Best of luck, dooshie, I hope hrt helps you maintain, and thrive!
Happy travels.

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1 reply
gravity3 | @gravity3 | Sep 13 2:05am
In reply to @sonodeka "Best of luck, dooshie, I hope hrt helps you maintain, and thrive! Happy travels." + (show)
@sonodeka

Best of luck, dooshie, I hope hrt helps you maintain, and thrive!
Happy travels.

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Is anyone considering a bit of testosterone in their hrt cocktail?

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2 replies
sonodeka | @sonodeka | Sep 13 9:01am
In reply to @gravity3 "Is anyone considering a bit of testosterone in their hrt cocktail?" + (show)
@gravity3

Is anyone considering a bit of testosterone in their hrt cocktail?

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I haven't seriously considered it. My cocktail is pretty basic. Let us know what you find.

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1 reply
gravity3 | @gravity3 | Sep 13 9:57am
In reply to @sonodeka "I haven't seriously considered it. My cocktail is pretty basic. Let us know what you find." + (show)
@sonodeka

I haven't seriously considered it. My cocktail is pretty basic. Let us know what you find.

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Will do.

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kristie2 | @kristie2 | Sep 14 10:05am
In reply to @gravity3 "Is anyone considering a bit of testosterone in their hrt cocktail?" + (show)
@gravity3

Is anyone considering a bit of testosterone in their hrt cocktail?

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I have been using a combo of estrogen and testosterone . It’s been in the pellet form . I feel great .

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1 reply
gravity3 | @gravity3 | Sep 14 11:06am
In reply to @kristie2 "I have been using a combo of estrogen and testosterone . It’s been in the pellet..." + (show)
@kristie2

I have been using a combo of estrogen and testosterone . It’s been in the pellet form . I feel great .

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Thanks for sharing. I have heard this from a number of women and I can't wait to give it a shot.

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