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@teb

After Forteo, I went on HRT to maintain the gain. After reviewing the options carefully, I chose HRT as the most "natural" option; something that my body recognizes and knows what to do with. I was 63 at the time and within the 10 year window and chose the very lowest dose of transdermal to be as safe as I possibly could be. Attitudes towards using HRT are beginning to shift and for some individuals, it is a good option to help maintain bone. It's definitely not for everyone but I felt it was best for me. Because I have autoimmune issues, my doctor agreed to prescribe it. I have been mostly holding steady with some decent gain in my hip which I think is also due to my exercise regimen which includes walking 4 miles a day, pressing 20 lb weights, squats with weights, core, pilates, dance, exercise bands and nutrition along with the meds. (just a note...I did all of that exercise and good nutrition without the meds and failed miserably to improve bones so it's the combination that's working) It is darn hard work!! It's a constant in my mind and life but it's just what we have to do to manage this condition.
Thank you for your kind thoughts. Wishing you well. Keep us posted.

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Replies to "After Forteo, I went on HRT to maintain the gain. After reviewing the options carefully, I..."

Thank you so much, @teb, for all these specifics. I wish I could take HRT. To me that would be the perfect solution, but had breast cancer almost 25 years ago, and from what I understand it is still contraindicated for me. I'm going to dive into the research a little more to see if anything's changed. Your work-out routine is really wonderful. I know I need to up the amount of weights i'm using. I guess it has to be a full-out effort, leaving no stone unturned.

I am glad you found something that is working. Your daily exercise regimen is just amazing.Have a great day.

Teb, Your story is very encouraging.
After my first injection of Prolia, I had severe leg pain when walking outside for exercise. I had to stop every 5 minutes while walking. This did get better after about two months. I'm very prone to side effects anyway and don't feel I should continue the Prolia, even though I feel pressured to by my MD. Two pharmacists I know very well told me that the leg pain is a red flag.
Do you recommend Forteo?
I am 69 with autoimmune disease, Rheumatoid Arthritis, and wonder if it should have been prescribed Prolia anyway.
How did you learn your exercise routine? Did you go to a physical therapist first?

Hi Teb, I’m new to this site and loved your comments and approach. I was diagnosed with osteoporosis after menopause at the age of 48. My lumbar spine was the worst. Thankfully with exercise and a good diet I maintained steady numbers, until recently. I’m 64 years old and my lumbar spine dropped from -2.8 to -3.1 in the past 2 years likely due to stress and bad habits as a primary caregiver for an elder. My doctor wants me to go on Prolia, but I’m very reticent given my age, as I hear you can only be on it for 6-10 years and bone mass reduces more than normal when you go off of it. I’d love to learn more about alternatives and why you chose Forteo, then estrogen.

I am 4 months in on taking Evenity and I also started BHRT . I am having pellets inserted in my upper buttock once every 3-4 months depending on my lab work . I basically had no hormones in my body . The company is biote and they use bioidentical hormones.