@psmnonna, when I consulted the menopause certified naturopath about starting HRT at age 67, my greatest hopes were to stop the progression of my rapid bone loss. I thought this would be a big win. The naturopath stated with certainty that the BHRT would stop my bone loss progression and may or may not provide some small gains I would have to remain on the BHRT to maintain. It was an unexpected bonus that my Echolight score improved a little. I also experienced the bonus of longer uninterrupted sleep and mild feeling of calmness and clarity. This result along with my 80% reduction in bone turnover on my CTX made me feel confident I had stopped the bone loss progression. I am using a low dose estradiol patch .25 and micronized progesterone 100 mg. The naturopath suggested getting a coronary artery scan. My results showed zero plaque which the naturopath said would make my arteries more flexible and receptive to estrogen. As I have so far not fractured I am okay with where I am at now though would like to increase my bone density further. I still have to monitor my OP as the potential for further loss is always there so will continue to get REMS Echolights, occasional DEXAS, CTX bone markers and vitamin D tests, take supplements, eat well with high protein, daily walking etc. Thank you for sharing your experience as well. I wish you all the best in your journey and look forward to hearing about your future results on HRT.