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Looking ahead after Tymlos: Reclast, Evenity or HRT?
Osteoporosis & Bone Health | Last Active: Jun 8 10:19pm | Replies (114)Comment receiving replies
@drsuefowler, your comment about the impact of estrogen and progesterone on osteo oclasts and osteoblasts is interesting. I hadn't heard that progesterone increases osteoblasts and estrogen decreases osteoclasts but it makes sense. My naturopath physician certified by N.A. Menopause Society, said that the BHRT may give me a small amount of gain and if it did, I would need to remain on the BHRT to maintain any small gains. My REMS Echolight scan showed an increase from spine t-score -3 to -2.6 over a 10-month period. I had also been taking supplements recommended by Keith McCormick. My CTX bone turnover was reduced by 80% from 688 to 138 over an 8 month period. I began taking BHRT at 67 lin July 2024 and have so far not fractured nor taken any OP medication, I wish to avoid, though I would not refuse it if things took a severe turn for the worse. I will have another CTX next week.
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@debbie1956 That's fantastic you had gains from HRT! No osteo meds, just supplements and HRT! I think a gain like that in just 10 months is wonderful! Just what I needed to hear after being on HRT for only a week now. So hopeful it will help increase any gains I get from Tymlos in the next few months. If it works out it would be nice to just continue HRT after Tymlos to see if it can maintain gains or continue to build. I'm not interested in bisphosphonates or Prolia as a follow up. Too many negatives, even though they may be rare, that outweighs the "locking in gains" part for me.
Thank you for your comment! Cheers!
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@debbie1956, Those are great gains on BHRT! It would be interesting to find out what your P1NP level is. Maybe ask your naturopath to add it to your blood work? What were your REMS hip results? I had good results from Forteo and Tymlos on DEXA and TBS, but REMS showed no change.
I am seeing a functional physician while I am in Michigan, but I return to Florida next week. I have a list of N.A. Menopause Society doctors there and will check them out. It sounds like your naturopath knows what she's doing.
Thanks for posting. I am encouraged by your results.