@lynn59 that's very nice of you to say. I think I've just spent more time than i should admit reading and falling down the osteoporosis rabbit holes - retirement has provided a lot of time for "deep diving". You've clearly done your own due diligence as well, which is the best way to navigate all the conflicting opinions out there.

It sounds like you’re nearing a final decision for your path forward. In your shoes, I’d be thinking twice (even thrice!) about HRT as well. Your endocrinologist and team physicians are definitely the best ones to guide you through the next steps. While the Reclast protocol is often individualized, all the right lifestyle habits will certainly help. Please update us on how your endo manages your maintenance phase - I'd love to hear how it is done.