@drsuefowler, i’ve been on the 25mcg patch and haven’t needed a higher dose, as my CTX has remained consistently low, in the low 100s. The DXA results from my first year on HRT are shown in the image attached to the original post, although those results were somewhat confounded by my use of 3 leftover Forteo pens during that period (month 7-11 on HRT). We’ll see whether the second year on HRT alone, with this level of bone turnover suppression, translates into BMD preservation at my next DXA scan in a few months.