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.

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@gravity3

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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Among the many ironies of the old dictum is that
bio-identical estrogen is actually protective for breast cancer... my dose has just doubled - I'm 86 - for help with osteoporosis and I already am thinking more clearly, having more energy, plus an additional feeling of well-being. One recent day I realized I was feeling exactly like my old self in my late 60s, which was quite astonishing.

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@stuffy

Among the many ironies of the old dictum is that
bio-identical estrogen is actually protective for breast cancer... my dose has just doubled - I'm 86 - for help with osteoporosis and I already am thinking more clearly, having more energy, plus an additional feeling of well-being. One recent day I realized I was feeling exactly like my old self in my late 60s, which was quite astonishing.

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Thank you for sharing your story. It is inspiring and reassuring.

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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 also did two years of Forteo and then Raloxafine for 5 years as maintenance. Now back on Forteo. Can you tell me what kind of HRT you are taking and dose? I would really appreciate that, as I don't want to push my luck with Forteo (as in extending past the recommended 24 months). Hoping to do only a year at the most, if bone density shows improvement. Trying to get approval for Evenity after Forteo, but nervous about that also. Thank you : )

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@stuffy

Among the many ironies of the old dictum is that
bio-identical estrogen is actually protective for breast cancer... my dose has just doubled - I'm 86 - for help with osteoporosis and I already am thinking more clearly, having more energy, plus an additional feeling of well-being. One recent day I realized I was feeling exactly like my old self in my late 60s, which was quite astonishing.

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Very encouraging ! Can you share dose and brand name that you take? Than you : )

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@broken13

I also did two years of Forteo and then Raloxafine for 5 years as maintenance. Now back on Forteo. Can you tell me what kind of HRT you are taking and dose? I would really appreciate that, as I don't want to push my luck with Forteo (as in extending past the recommended 24 months). Hoping to do only a year at the most, if bone density shows improvement. Trying to get approval for Evenity after Forteo, but nervous about that also. Thank you : )

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I was on transdermal estradiol at .025 which seemed to maintain my density for 5-6 years. I just recently increased my dose to .05 which I'm hoping will provide additional protection along with using weights 2-3 x week, 20 minutes of core and back lifts daily, dancing 3 x week, walking almost daily and of course, a stellar diet! Gosh, we sure do have to work hard at this!

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@broken13

Very encouraging ! Can you share dose and brand name that you take? Than you : )

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I take a transdermal compounded cream called Bi-Est 80:20 0.4mg/30mg
I have a clotting factor, Factor 5, so it's a bit lower than it would be otherwise. Requires prescription and really needs to be formulated for your situation.

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@teb

I was on transdermal estradiol at .025 which seemed to maintain my density for 5-6 years. I just recently increased my dose to .05 which I'm hoping will provide additional protection along with using weights 2-3 x week, 20 minutes of core and back lifts daily, dancing 3 x week, walking almost daily and of course, a stellar diet! Gosh, we sure do have to work hard at this!

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That's pretty amazing! Good for you! My bone density is -3.5 and after a series of 13 spinal compression fractures, I have a fear of fracture risk with weights. I do use 5 pound weights while walking on a treadmill 30 minutes in the evening, in addition to 30 minutes trail walking earlier in the day. Grand children keep me busy as well. It is so important to stay active for sure. I am 67 so figure I need to keep ahead of this and really appreciate all the info shared on this site. Thank you!

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@broken13

That's pretty amazing! Good for you! My bone density is -3.5 and after a series of 13 spinal compression fractures, I have a fear of fracture risk with weights. I do use 5 pound weights while walking on a treadmill 30 minutes in the evening, in addition to 30 minutes trail walking earlier in the day. Grand children keep me busy as well. It is so important to stay active for sure. I am 67 so figure I need to keep ahead of this and really appreciate all the info shared on this site. Thank you!

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How long did it take to recover from fractures. I was diagnosed with thoracic fracture and in much 😢

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It took 3 months for the Forteo to start working. The recovery for me was very long as my upper spine fractured first and after some recovery, about 4 months, my lower spine fractured. This took much longer to recover as I came home from hospital in wheel chair and had to do much Physio and pool therapy of simply walking back and forth in chest high water. Depending on how many fractures and location of them, it can take a good while, but don't give up. Everyday you are getting a little stronger as you safely move your body and keep up your mobility. I did have to use pain medication, but now just take extra strength Tylenol and walk every day. All the best to you. It is hard work! But our mobility is worth it!

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@bettersleep68

How long did it take to recover from fractures. I was diagnosed with thoracic fracture and in much 😢

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In two days it will be one year since I fractured my T8 vertebra. I am mostly recovered and back to my normal routine which includes lifting weights 3X/week, stair elliptical 3X/week, walking 3-4X/week, running 2X/week, and doing drops from a height of 18 inches 3X/week.

I was quite fit before my fracture, having incorporated similar types of exercise into my lifestyle 13 years ago,

I had pain for months and didn’t seek medical attention for two months after my fracture, thinking it was a muscle injury. I think this set my recovery back because my back muscles weakened significantly during that period.

I did 12 weeks of physiotherapy starting 4 months after my fracture. It was a slow process to recover and around month 9 I saw significant improvement with pain reduction and endurance increasing. I kept a pain and activity log for months to track.

I still have occasional pain if I am not careful about my posture or I neglect to do my back exercises for a couple of days but the days of all-day pain are thankfully gone.

It does get better with time, hang in there.

Edited to add that I did not fracture from exercise. I bent over a bathtub to rinse my hair (extreme flexion) then pushed down very hard on my ribcage attempting to get my head under the tap. I remember thinking about how hard I was pushing down on my bottom rib when I felt a searing pain that radiated to the left side of my back.

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