My pharmacist called me and insurance covers an estrogen patch only. Less side effects with just estrogen. I will try it. I had hysterectomy at 40 and was on patch for thirty years and no osteoporosis. Took patch off when I had knee replacement surgery as surgeon was worried about clots. I did take it off and now osteoporosis. I’m going back on patch. I now have severe osteoporosis, and know it doesn’t rebuild bone, but could maybe stabilize them. Evinity has black box warnings, as that’s what doc recommended at Mayo.