Hi, @dooshie: Would you mind letting me know what your cardiac issue is that your cardiologist suggested HRT instead of Evenity? I have a left branch bundle block and have variously (depending on the doctor) been diagnosed with cardiomyopathy; basically, my heart doesn't pump efficiently and it's now controlled by a pacemaker. My current cardiologist feels I'm not a heart attack risk and to rule out stroke risk he ordered a carotid study. I don't have results of that yet. But his opinion after googling Evenity was that it wouldn't be risky for me. He said the same about HRT. He has not studied either in depth, mind you, and he seems to be more concerned about the osteoporosis -- that I will break a hip and consequently die -- than he is about my cardiovascular risk.

My endocrinologist, meanwhile, disagrees both about the Evenity and the HRT risk. She has had two patients have a heart attack on Evenity, but they had no known cardiac problems, and as far as I'm concerned, might have been heart attack candidates without the drug. No way to know, right? As far as HRT goes, I am 73, more than 10 years past menopause, and because I've got a heart condition she thinks HRT is "too much risk for too little reward." She wants me to start Prolia and then go on Reclast.

I am VERY disappointed by her point of view, but it's given me enough pause not to trust my cardiologist's, either. So could you tell me why your cardiologist shied away from Evenity but felt HRT would be safe enough for you? It might help me to know given that both have cardiac risks.

Thanks for any words of wisdom... 🙂