@goseve
Estrogen is an antiresorptive so it can help slow bone loss and may help maintain gains after an anabolic like Forteo, depending on the individual. In my case, i used estrogen for maintenance after Forteo, and so far, so good.

With a hip Tscore around -3.3, many doctors may feel estrogen alone isn't enough as a starting therapy, even though it may still play a role later on. That's likely why your doctor is recommending Forteo.

If you do decide to go ahead with Forteo, it may be worth asking your doctor how they usually handle estrogen during anabolic treatment - whether it's continued, adjusted, or timed differently, so you're clear on the overall plan from the start.

Please keep us updated and good luck!