@kper , My situation is very similar to yours. I am 68 now and began BHRT low dose estradiol patch with 100 mg micronized progesterone at 14 years past menopause 7 months ago (age 67). Like your doctor, my NA menopause certified naturopath said she would not be increasing the dose. Like you, I notice improvements in my sleep and thinking. My main reason also for using BHRT is to preserve my bones and hopefully avoid medication. My REMS Echolight showed good bone quality still with borderline low fracture risk in April of 2024 despite my -3 spine T score and -3.5 DEXA score. I am scheduled for another Echolight and will request another DEXA with TBS to check my scores now. I will have another CTX bone turnover marker done as well. If I am preserving bone, I hope to remain on BHRT for the longterm. I also take supplements, greatly increased my daily protein, greens etc. walk daily and do some weight resistance. The naturopath provides guidance with this and I also follow Keith McCormick's "Great Bones" book.