I’m starting HRT and progesterone today. I spoke with a NP from Midi Health who seemed more knowledgeable than my Endocrinologist. I’m using the gel though as we cant find the patches where I live. The NP said she doesn’t even prescribe the patch anymore because it’s too hard to find. She said it also bypasses the live so that was good news. My spine is -2.7 and hips -2.0. I’m going to try HRT for a year and see if there is any improvement, along with diet and exercise. If not then I’ll take medication. Hopefully the HRT improve my numbers.