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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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@bluebonnet242

Thanks so much! I’m going to see what my insurance covers. They do not cover my compounded progesterone so would be nice to pay less. Thanks for the info on the estradiol. I’m not ready yet but will bookmark this conversation. I still have some research to do and find a good hormone doctor:). I know I need to visit a cardiologist too. Everything has always been fine and I’m not due back until 2029 but I’m sure I should get a CAC score. HDL, LDL, Triglycerides all good but i have elevated lipoprotein (a) which isn’t good and there’s nothing available to lower it.

Which tests did you cardio run if you don’t mind sharing?

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Replies to "Thanks so much! I’m going to see what my insurance covers. They do not cover my..."

@bluebonnet242 thanks for asking. I'm under the care of my current cardiologist for almost 3 years now. He did the following:

Lipid panel: LDL-c and triglyceride are the ones he looks at most, twice a year;
LP-a (just once is needed), APO-B, and hs-CRP;
Echo cardiocardiogram: Once a year for first two years, now once every 2 years;
CT heart with quantitative eval of coronary calcium: best to do before statin therapy; he said once every 5 years from now on;
PV vascular screening heart scan plus: screening for carotid artery disease, aaa (abdominal aortic aneurysms), and pad (peripheral artery disease);

We discussed the last three tests and I insisted to get them done for a baseline, and am very glad having those info on hand when I was evaluated for the suitability of estrogen therapy.

I had a second opinion from a women's heart specialist who adjusted my LDL-c target to < 55, and HbA1c target to =/< 5.6. She spent an hour evaluating all my labs and tests, my family history, past life style, current diet and exercise regimen. With her opinion, I felt very much at ease.

Hope this is helpful. Honestly, I'm not sure if all the tests and labs that i had are must-do's for hrt evaluation. Each person varies quite a lot in cardiovascular health regardless of age, seeking an individualized evaluation from a cardiologist before the start of estrogen therapy is definitely a good idea.