@kathleen1314 Yes, I am on BHRT for 3 years. I think that is why I went from Osteoporosis to Osteopenia in one year. I went to the endo years ago and all diseases were ruled out. I am thrilled with my recent Rems density score and my bone quality is very good. I was just curious as to why the CC would want to put me on Reclast when a CTX score of 80 is not that bad. These bone marker tests can be confusing.