@lightlifts just a thought, but when my new doctor was willing to put me on BHRT at age 68, after doing all the testing, she specifically asked about menopausal symptoms. Basically, she asked, "You ARE experiencing menopausal symptoms, right?". I did experience limited hot flashes, but was not too bothered by that. I wanted to try it for bone loss. It seems that BHRT is recommended for menopausal symptoms, but at this point not for bones, although some studies show that it does help. I know that sounds manipulative, but doctors need to protect themselves too. Maybe lean on the "relief from hot flashes and hoping it helps my bones"" when you see your doctor. I have only been on it for about 3 weeks, and so far feel fine, actually good. Sleep is much better and my migraines have stopped, for the moment.