Hi @patwerthman I'm not too sure if your question was directed to me or to someone else. In any case, I had 22mo treatment with Forteo as my first med, which was followed up with HRT. So now im only on HRT. The idea is to use it as a mild/moderate antiresorptive although estrogen has numerous effects on bones. Currently I'm in osteopenia range so hopefully HRT is sufficient to counter any foreseeable bone loss. The plan is to boost bone building with retreatment of Forteo should future dexa scan call for more anabolic therapy.