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Osteoporosis & Bone Health | Last Active: 1 hour ago | Replies (195)

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@mayblin

I wish you luck in finding a physician who is informed with current info and who can give you an individualized evaluation.

My endo wasn't sure at first. After I got cleared by 2 cardiologists, she gave me an obgyn name at a different organization and send me for a second opinion. When all lights came back green, she is okay with it and even okay with writing a script when I need one. My thinking is the risks of cvd and breast cancer while using HRT need to be thoroughly evaluated by pertinent physicians, not endocrinologists. However, endo is the one to judge what role HRT is playing in the management of your osteoporosis - whether or not it can be used alone or as an adjuvant (add-on) therapy; and how to monitor progress etc.

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Replies to "I wish you luck in finding a physician who is informed with current info and who..."

drsuefowler | @drsuefowler | 1 day ago

@mayblin,

I'm glad you were able to get the evaluations you needed to safely take
estrogen. I currently have 3 endocrinologists, the only 3 in this area. One
actually gave me a 1mg estradiol tablet prescription, but that is not what
I wanted. He didn't even ask about the uterus. He didn't even listen to me
when I asked about bioidentical estrogen. I still have a cervix so I think
I am supposed to take progesterone with estrogen. The other two (who are
more competent) are firmly against it. I think I would be more comfortable
with evaluations by other specialists. Unfortunately, the cardiologists
here are so busy that so far I haven't been able to see one. So far, every
time I ask for a referral, I don't get one. I can see a gynecologist. My
PCP asked me to sign a release to one of my endos in response to my
estrogen request. I will see him in 2 weeks to find out what he thinks.

Thanks so much @mayblin for your input. I always appreciate what you write
on the Mayo thread.
Sue

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