Hi @kper I started HRT at 61 and was 11 years post menopausal at the time. My hrt dosage and forms are exactly like yours. My bone markers and dexa so far have shown that the dosage is working for me as a follow-up for Forteo. As of now, i won't be adjusting doses unless otherwise indicated. Since everyone responds to medications differently, maybe you could use periodic bone marker testings and yearly dexa as monitoring tools?