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HRT Safety

Osteoporosis & Bone Health | Last Active: May 5 9:56pm | Replies (203)

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@kshea2

This is fantastic information, thank you! Your results look very encouraging. I was not aware of the NA Society, so will leverage that source to help find a provider.

I'm just turning 62 and had a dexa in December, 2024 which showed Spine -2.9 (Osteoporosis) /Total Hip -1.8/Femoral Neck -1.8 T-Scores (osteopenia) . Unfortunately one week later I fainted, fell and experienced a compression fracture in T12. January, 2025 I had a Echolight scan which showed Spine -2.2 (Osteopenia)/Femur -2.5/Right-2.9 (Osteoporosis). Fragility scores are in the green zone. I know you can't really compare these types of scans 1:1, but it's a bit confusing.

I've taken Vitamin D for years and have now added K2 and Magneium. I'm working hard to get more calcium through diet. I'm very nervous about the drug therapies and believe HRT could also help with sleep and couple other post menopause issues I experience.

Hoping I can find a provider in the Minneapolis area that is open to this approach. I'm looking forward to hearing your updates! Thanks again!

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Replies to "This is fantastic information, thank you! Your results look very encouraging. I was not aware of..."

@kshea2 I'm so sorry to hear about your fall and fracture. I hope you are not suffering a lot of pain. This is a stark reminder of how fragile and vulnerable we are often without knowing. Your REMS Echolight scores are interesting. The difference in your spine T score compared to DEXA is similar to my initial Echolite spine score compared to DEXA. Mine was .5 lower than the dexa and yours .6. My femur neck T score however was the same as the dexa score at -2.6. My second Echolite 10-months later showed my femur neck at -2.3. When I was initially diagnosed with osteoporosis in 2019 with spine T score -2.8, I took calcium and vitamin D for the next 4 years but still rapidly lost bone to a level of -3.5. However I was taking high dose prednisone during 2019/20 for a year for an autoimmune condition. I began many other supplements and diet changes, including increased calcium from food sources, increased protein, K2 Collagen...suggested by Keith McCormick in December of 2023. I find the nutritional and supplement counseling another benefit of the N.A. Menopause Society naturopath. I provided her records of all my DEXAS, Echolight, CBC lab tests, including urine calcium, CTX, vitamin D etc. My blood tests were mostly fine, including vitamin D, calcium and urine calcium. My CTX was at 670 which the naturopath and osteoporosis doctors surprisingly said was okay (Lab test shows 100 to 1000 is acceptable) However Keith McCormick says this number is too high and should ideally be below 400. So it will be interesting to see the result of my follow-up CTX next week. I have heard that HRT can reduce the rate of bone turnover (confirmed also on chat GPT). I consulted with an internal medicine doctor specializing in osteoporosis in May of 2024. She recommended Evenity. I said I would like to hold off to see if I could stop the progression of bone loss first and consulted with the naturopath in July of 2024.

I forgot to mention it is notable that your Echolight showed your fragility score in the green zone and yet you still fractured. This is another stark reminder these results can sometimes give us a false sense of security, and make me reflect on my own Echolight fragility score. I wish you all the best and a full recovery from your fracture.