@goseve I can't really say whether HRT will maintain or increase your bone density. It was my follow up drug of choice after Forteo and it was effective for me but not in isolation as previously mentioned in that I also addressed my osteoporosis with very targeted nutrition and abundant exercise, specifically with weights. It's the combination of all of the above that worked to maintain/gain bone density for me.

Finding a knowledgeable practitioner to manage your HRT is challenging but there are more and more providers getting educated about it as the public demand has increased. It is also challenging to find an endo who is knowledgeable about osteoporosis drug options and sequencing, etc, so you really have to do your own homework. I had to request (demand) Forteo and the same with HRT as my follow up as it was 7 years ago before the boom of HRT re-acceptance. Forteo was great for me as I had no side effects but I did have slight loss in the second year so it's important to monitor your bone markers throughout.