Is hrt a good option after Evenity

Your bones will love you for this .

Just got this from the Peak Performance website
Hormone optimization

Twenty five years my Obgyn told me to never let them put you on osteoporosis drugs if you get osteoporosis. he said they are dangerous and do not work. He said his sister, which is an RN up in Boston. She said they’ll have to pry the estrogen out of my cold, dead hands to get it away for me. lol… all the studying that I have done and the people I have been around everything he has said has come to pass. He told me that estrogen was the bucket that put the minerals that we need into the bone. I know our bodies have many estrogen receptors. I will ask my new OB/GYN for low-dose estrogen once again if she does not comply after my cardiologist has OK estrogen, then I will find a new OB/GYN.

In this video, Dr. Hardwick-Smith, an obgyn, talked about the timing of HRT - when to start, when is too late and when to stop. She gave a brief summary of WHI study and discussed the risks of heart disease, clotting, stroke, alzeheimer associated with hrt therapy. From my personal experience, I didnt encounter any "resistence" because of my 11-year post menopausal status although my obgyn wanted a cardiologist's clearance. Breast cancer risk was thoroughly evaluated and yearly mammogram is a must. My prescriptions are filled at a major drug chain store with copay $10/mo, or $20/3mo after deductible.

Check out Peter Attia's podcast #317 on his Drive Time there is a segment on hrt.

Are you taking progesterone? If so would you mind sharing the brand? I have been on progesterone for many years that I get from a compounding pharmacy in the form of a troche. Would be much easier to get from drug chain. Thanks

@bluebonnet242 I'm taking oral micronized progesterone (generic for "prometrium") 100mg at night time. This dose is pretty sedating to me, which is a huge welcome for a good night sleep (CAUTION: potential fall risk)! Pharmacy dispensed generic by "aurobindo". My estradiol patch is generic by "mylan". My insurance does not cover brand name for either med even though obgyn wrote "brand medically necessary".

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?

@mayblin Thanks so much for posting this video and all your previous posts. I watched one of Dr. Susan's previous videos which I found very informative and reassuring. It was great she discussed Progesterone in this video as I'd never heard any specific reference to it before. -- so reassuring to know it is distinct from Estrogen without the same concerns, though I feel very safe and confident with the Estrodiot patch and micronized Progesterone at age 67, 12 years post menopause.

@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.