HRT Safety

@loriesco I will take slowing the bone loss as a win. I do plan on doing all the things recommended, good diet, exercise, etc.

@blueberre well you don't know unless you get tested. And even IF you get tested - like I have done annually it will not prevent the worst from happening. I was told I was out of osteopenia to normal! 6 months later I had cervical spine surgery and my C5 fell apart in their hands. (at least they used it in the blender to stuff the cervical cage instead of a cadaver bone!) So how could this be?! It could be because your bone health is only generalized in any tests they give you. They immediately after the SCREWS MOVED because my bones could not hold them! Took me in for another surgery and stuck a rod down my back to hold the screws in place.
I know a lot about bones now. LOL
For me, I'd rather not "hope" on ideas that diet and exercise will make the improvements I "hope" they will make. I will research and go to doctors and make sure I am doing the absolute best I can to stave off losing my strength and independence at 69. My bone building was not sufficient even with the Tymlos in the first year - so I am looking around and asking "what more can I do." I will do the bone meds for a total of 5 years. I get 10 years of benefits from the protocol. That gets me to 80. Then what, I don't know!

I think better clarity has occurred since this MedScape article in 2024. In it, the author seems to confuse "progestins" with "progesterone." Micronized progesterone is the bioidentical form which when paired with Estradiol (not conjugated estrogen or Premarin) offers risk reduction in many areas and is well tolerated by most post menopausal women. Progestins are a manufactured chemical that actually increased risks in the earlier data and led us to the avoidance of much needed HRT. Individual considerations are needed for women with certain age related conditions of course.

HRT helped my osteopenia score improve, so I would say it does help.

@jozer I have been on HRT for 4 years. Do not have osteoporosis anymore.

Any reason to not be able to take hrt at age 82?

I would love to be on hrt patch. I realize that there are possible issues with it years and years after menopause but there sure are apparent issues with prescription meds for osteoporosis also. I could doctor shop to see if I could find someone who would be willing to try it but at this point every single doc I've seen has said absolutely not - for me. Everything changes though, so you never know.

@jozer I too would like to have the hrt patch option. However, I am one of those fortunate few who has, thus far, survived ovarian cancer. No BRAC involved.

Nonetheless, I too am told absolutely not by my gyn onc. He save my life once and I figure knows more about these types of cancers than most.