← Return to Forteo (teriparatide) followed by HRT: My Experience

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Profile picture for mayblin @mayblin

@drsuefowler, no doubt estrogen is the primary driver for you right now. While there have been studies on progesterone’s effect on osteoblasts years ago, the effects are samll and probably not strong enough to override estrogen’s role. Since it helps you sleep, which is vital for bone health - my opinion is it’s probably best to keep it - double check with your team physicians.

Here are two references on using BTMs as a guide if you want to see the 'maintenance' benchmarks researchers are using:
https://pmc.ncbi.nlm.nih.gov/articles/PMC12064614/
https://academic.oup.com/jbmrplus/article/6/6/e10633/7479596
A move from 9.4 to 9.1 in blood calcium level could be just normal physiological variation. However, getting sufficient calcium through natural food source rather than supplements is always a good idea, especially given the ongoing debates around cvd risk with high-dose supplementation. And im sure you are aware the fact that strontium distorts DXA results. If you're trying to get a clear picture of how well the HRT is maintaining your Tymlos gains, adding strontium might make your future data harder to interpret

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Replies to "@drsuefowler, no doubt estrogen is the primary driver for you right now. While there have been..."

Thanks @mayblin. I always appreciate your input. Interesting studies, but the CTX values used in the one study were very low compared to my 371. I try to get as much calcium from food as I can, but usually still need to supplement a little. You are right, the calcium level change is probably not significant. I quit Strontium 2 years ago because of the DEXA problem, but maybe it helps to stop fractures? I have an appointment with my endocrinology PA on Monday and will discuss all this. I am scared that I may have lost all my gains from the anabolics. I am almost done with a course of physical therapy for my knee, hips and balance. You would think that all that resistance exercise would help my P1NP score. Apparently not.