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Help finding HRT over 10 years post menopause
Osteoporosis & Bone Health | Last Active: Jun 26 11:56am | Replies (103)Comment receiving replies
@gravity3
Which anabolic you ask me? I had my initial consult visit with the Endocrinologist last week, Wed. 6-10-26. She had reviewed my maintenance Bone Density exams done at the same facility starting with:
10/2000,
02/2004,
09/2006,
08/2011,
10/2015,
11/2017, last one of L3-4
04/2022,
05/2024,
05/2026
Her thought was for me to use Forteo (teriparatide) pen, self injections for up to two (2) years, to build bone, followed by an antiresorptive agent to maintain the bone built (decided towards the end of the two years).
Her clinical observation would be supported or adjusted after the lab studies she wanted me to complete, which I did do the following week, 6-18-26.
The lab studies ordered:
Creatinine 24 hour urine, a fasting CMP (comprehensive metabolical panel), Collagen Type 1 C-Telopeptide,
IgA,
PTH,
Phosphorus,
Protein Electrophoresis serum,
TSH,
Tissue Transglutaminase IgA,
Vitamin D 25-Hydroxy.
I am waiting to hear back from the Endocrinologist office. In the meantime,I am doing my due diligence, and after I hear back from the office, I may seek a second opinion, supplying all my radiology and lab reports.
I will make no treatment decisions until November at the earliest.
Where are you, on this osteoporosis journey we share?
Replies to "@gravity3 Which anabolic you ask me? I had my initial consult visit with the Endocrinologist last..."
@countryliving That is a much better panel of tests than most of our doctors will order! Surprisingly to me, I see that your doctor has not included Procollagen Type 1 N-Terminal Propeptide = P1NP although CTX = Collagen Type 1 C-Telopeptide has been included. Any chance you can talk your Endo into adding P1NP in? If not you can do self-pay for P1NP as I and others have done.
You can see discussions about the importance of the ratio of CTX and P1NP with some links on this site. Your Endo may be willing to take some of the research papers into account.
Here is the IOF praising and referencing the paper in my next link below.
https://www.osteoporosis.foundation/news/joint-consensus-highlights-role-bone-turnover-markers-osteoporosis-diagnosis-and-management
Update on the role of bone turnover markers in the diagnosis and management of osteoporosis: a consensus paper from The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO), International Osteoporosis Foundation (IOF), and International Federation of Clinical Chemistry and Laboratory Medicine (IFCC)
https://link.springer.com/article/10.1007/s00198-025-07422-3
EXCERPT: "We re-affirm the use of serum/plasma tPINP and plasma β-CTX-I as reference BTMs ..."
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@countryliving
I started 12+ years ago. I knew nothing and didn't find resources. I wish I was starting my journey now......scratch that..... I wish that I had been started on hrt after my spontaneous early menopause at 38. I don't know if that would have changed my dx of osteoporosis but certainly adding more strenuous weight bearing exercises would have helped my bones along with hrt. Because I had osteopenia and my U. C. Davis PCP told me not to fall as a treatment plan I did not begin drugs intervention right away. Anyway I was given alendronate for 3 years, then forteo for two, 2 more years of alendronate ( during that time I had no idea what the drugs were supposed to do or whether I could have side effects. I had some minimal gains from forteo. I then had 1 year of evenity. I have just had my 4th shot of Prolia and now am considering whether to get one shot of reclast to deal with Prolia rebound hoping I'll get to have a drug holiday.
On a brighter note I have not had noticeable side effects with any of those medications.