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Osteopenia in spine with low TBS (1.19). All else good
Osteoporosis & Bone Health | Last Active: Dec 9, 2025 | Replies (11)Comment receiving replies
@soggybones
Thanks for sharing your story. I completely understand why the DXA results surprised you. Unfortunately, the loss of estrogen after menopause can lead to noticeable changes in bone health despite good activity levels in many women. Your bone loss itself isn't severe, but the disproportionately low TBS is an outlier worth keeping an eye on.
Like you, i wanted to avoid bisphosphonates at my age (early 60s). My obgyn prescribed HRT without hesitation, though she did request a cardiology clearance. I imagine your doctor(s) will also review both cardiac and breast cancer risk as part of evaluation. Wishing you all the best as you go through that process.
Replies to "@soggybones Thanks for sharing your story. I completely understand why the DXA results surprised you. Unfortunately,..."
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@mayblin Thank you! The risks I have for breast cancer are enough to require me to get both mamograms and mri's every year. My mother had breast cancer and I have dense breast tissue. It's my understanding that HRT will make my breast tissue even more dense-thus even more difficult to detect breast cancer. For this reason I have toughed it out with the menopause symptoms and avoided HRT because the risks didn't outweigh the benefits. Now I'm thinking the benefits may actually outweigh the risks. My menopause symptoms are horrible and now I'm dealing with osteoporosis. I'll ask my doctor for guidance. Best of luck to you as well!