Study suggests hormone therapy may help protect bone health in women

Posted by ctpaul @ctpaul, May 13, 2023

Can hormone therapy protect bone health? https://www.medicalnewstoday.com/articles/hormone-therapy-may-increase-bone-density-prevent-osteoporosis
By Annie Lennon on May 13, 2023 — Fact checked by Jill Seladi-Schulman, Ph.D.

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

@teb

If you purchase directly from the manufacturer on Amazon or sold by/shipped by Amazon it is (likely) authentic. If you purchase from a third party it could be counterfeit. That's not definite but Amazon is a known site used to sell counterfeit supplements and NOW, because of their vast popularity, is one of the lines that has been counterfeited. You can authenticate it through their website if you did not buy through them and want to check it.

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You can also look at the seller's name on Amazon. If it is sold by NOW on the Amazon site, it is authentic. I learned this lesson many years ago with buying "authentic" computer parts that were counterfeits.
Sue

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@dna41

I have been interested in reading about HRT therapy because it makes sense to me. What I would like to know is, would it be alright for someone who is 80 to take it?

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Hello! I’m coming up on 80 and have been taking Estradiol .025 for two years.

I originally requested it for hot flashes even though I had a hysterectomy 30 years ago. (I took Premarin for 25 years after the surgery until my doctor took it away).
I feel wonderful - no more hot flashes, UTIs or dryness.

I’m hoping my ostiopenia has improved also because Reclast makes me feel horrible and I hate it.

I’m not a doctor but from my experience age obviously is not a factor.

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@trathfon62

Hi,
I’m 62 years old with Osteoporosis of the spine (T-score -3.1) and I started HRT in mid January. I was wondering if anyone else has mild side effects from the HRT. I’m experiencing mild mid back soreness in the morning and stomach bloating. In addition to HRT I’m going to OsteoStrong once a week, taking the right vitamins and brisk walking 4 to 5 days a week. I’m hoping to see some improvement in my next Dexascan in November. The back soreness makes me nervous because I don’t know if my spine is deteriorating or if it’s just a side effect from the HRT. It’s so hard to know if what you’re doing is working. Anyone else feel sore on HRT? It’s mainly upon waking for me.

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Please do your homework on Osteostrong, there have been reports of some fracturing as a result. I prefer to go the route recommended by Margaret Martin PT , well respected in the Osteo world, using weights that after 10 repetitions you have reached your max.

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@ans

Please do your homework on Osteostrong, there have been reports of some fracturing as a result. I prefer to go the route recommended by Margaret Martin PT , well respected in the Osteo world, using weights that after 10 repetitions you have reached your max.

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Does Martin recommend 10 reps as your max on any given weight? Or do you mean that if you've reached 10 reps, you are at the point where you can increase the weight? Typically you strive for 15 reps at which point you have the strength to move up to the next weight level. Maybe she recommends 10 reps before increasing?

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I have much to share but crazy busy right now and somehow got knocked off my first long response I started. Suffice it to say these 3 PT’s are well respected and known in the world of exercise as it relates to osteoporosis.
Margaret Martin
Sarah Meeks
Sherri Beth
Look them up!!!!

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Correction, typo in previous response
Sherri Betz PT -NOT Beth

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@teb

Thank you for sharing this important information. I opted to go on HRT after I completed 2 years of Forteo . After much reading and careful consideration, I felt it was the best and most natural option for me and my bones. I was about 10 years out of menopause which was not optimal but none of our options really are. It's been about 3 years and I've mostly maintained my density.
The issues of concern with HRT were raised in the Women's Health Initiative Study which turned out to be a somewhat flawed study and the negative results were exaggerated and overblown by the media causing a steep decline in usage. More recently, it is coming full circle and more and more, HRT is being considered a viable option for women to preserve their bones and ease menopausal symptoms. If you have had breast cancer or CVD or have a genetic risk, I can understand not wanting to utilize this option but if those predispositions are not present, I think it's a viable option. I'm really glad I'm on it (along with progesterone which is necessary since I have a uterus). I only wish I had gone on it earlier as my naturopath had suggested about 10 years ago. I was too afraid and wanted to get through menopause naturally. Had I listened to her, I would likely still have a healthy spine and better quality of life.
I'd love to know if others are on HRT and at what dose. I currently use the lowest dose of .025 estradiol transdermal patch and 100 mg progesterone (which seems to be the agreed upon dosage of progesterone to counter risks). I'm considering increasing my estradiol with the hopes of greater preservation. Anyone on HRT? What dose and method are you using?

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I had to start on HRT right at menopause, and felt best option as already have osteoporosis. Needed .05mg/day for symptom relief, 10-20mg/day prog., but I do not have a uterus, so was told prog. is optional (still don't think good idea to leave out). Since I"m so afraid of osteoporosis drugs and they've all given me some bad side effect so far, taking estrogen is about my only option for now. I hope it helps. Was told the negative press on taking estrogen is old thinking from flawed studies. I hope i can continue it indefinitely. Cancer risks certainly are not the same for all, depending on genetics, diet, etc.

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Margaret Martin has a 2 books that are very helpful:
Exercise For Better Bones
Yoga For Better Bones
I purchased the first one and she breaks it down for where you are in your physical abilities and what exercises to start with.

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@callalloo

I would appreciate hearing what you learn from seeing her. I "think" that the HRT discussion for women who've had breast cancer was in one of the APSCO emails but haven't yet found it. If/when I do, I'll post a link so all can read it.

I declined anastrozole after a lumpectomy after much thought and appreciating all of the ways estrogen works in the body, even smaller amounts after menopause. I was concerned about the effect on bone regeneration and arterial endothelial tissue and cholesterol. The latter two were important as I come from a family, most members of which die of heart disease or strokes.

I have familial high cholesterol but, luckily and inexplicably, excellent coronary calcium and carotid artery test results last month. As an aside to those worried about osteoporosis and taking calcium, I've been taking calcium plus vitamin D3 and vitamin K2 for almost a decade now and my recent calcium score is, according to my cardiologist, excellent. I mentioned this because some people are afraid of taking calcium and I was always told that vitamin K2 is important in protecting against arterial plaque buildup. I don't know if the K2 is the critical factor but a decade of taking calcium is continuing to keep me in the osteopenia zone. Even with some actual improvement in Dexa score, and my arteries don't seem to be evidencing any worrisome build-up. I do make some effort to get a lot of the calcium from diet but also take supplements.

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May I ask what brand and dosage of vitamin d3 and k2 you use? Thank you

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@teb

Thank you for sharing this important information. I opted to go on HRT after I completed 2 years of Forteo . After much reading and careful consideration, I felt it was the best and most natural option for me and my bones. I was about 10 years out of menopause which was not optimal but none of our options really are. It's been about 3 years and I've mostly maintained my density.
The issues of concern with HRT were raised in the Women's Health Initiative Study which turned out to be a somewhat flawed study and the negative results were exaggerated and overblown by the media causing a steep decline in usage. More recently, it is coming full circle and more and more, HRT is being considered a viable option for women to preserve their bones and ease menopausal symptoms. If you have had breast cancer or CVD or have a genetic risk, I can understand not wanting to utilize this option but if those predispositions are not present, I think it's a viable option. I'm really glad I'm on it (along with progesterone which is necessary since I have a uterus). I only wish I had gone on it earlier as my naturopath had suggested about 10 years ago. I was too afraid and wanted to get through menopause naturally. Had I listened to her, I would likely still have a healthy spine and better quality of life.
I'd love to know if others are on HRT and at what dose. I currently use the lowest dose of .025 estradiol transdermal patch and 100 mg progesterone (which seems to be the agreed upon dosage of progesterone to counter risks). I'm considering increasing my estradiol with the hopes of greater preservation. Anyone on HRT? What dose and method are you using?

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After decades of a brief period on and then no hrt I began bhrt at 76 (menopause at 38.
I had to get it through a functional medicine provider.
She started me on .025 estradiol transdermal patch now up to .0375, testosterone., 100 progesterone and vaginal estradiol cream.
I had finally done my own research and
examination of the flawed women's health initiative study and was appalled by the impact of bad science on at least one generation of women. The grief of realizing how little money was being used for research on women's health and how my own health issues.... osteoporosis,high blood pressure, lack of energy, vaginal atrophy and loss of libido..to name a few... probably would have been positively effected by having had continued hormone replacement.....
Anger, sadness, grief yes.
I am a quality vs quantity kind of woman when it came to this decision. And increased quality is what I am getting. I am thrilled that I have my libido back, have more energy and mental clarity and can anticipate that bhrt will be helpful in managing my osteoporosis.
Each woman must make her own decision but do the research, read the current information, challenge provider's position.....by that I mean what research informs their treatment plan for you.

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