@vegada Thanks for checking back in. I’ve learned that the biggest driver of my bone loss appears to be related to gut health issues and chronic systemic inflammation. I’m also postmenopausal, but because of the findings from the Women’s Health Study, my doctor had not previously recommended BHRT. I eventually pursued additional testing, including a GI-MAP test and baseline hormone labs, which helped identify underlying concerns and led me to start BHRT.

I know this approach may not be an option for everyone, but I highly recommend considering a functional medicine provider if possible. They can often help look more deeply at root causes rather than just managing symptoms.