My gyn pretty much said that I was too old to start (too long past menopause). She thought there was a risk of blood clots. However, she said she would prescribe if I insisted and got clearance in writing from my cardiologist. My p1np was not retested in April 2024, but will be retested in 2025.
I have no idea what was the main contributing factor since I was doing so much (no alcohol, no caffeine, no sugar, Marodyne vibration plate, quality supplements, weight training, yoga, walking, protein powder, collagen, better sleep).