Interesting about HRT. Some have to be careful because of the breast issues. I am your age and length of time since menopause and I am also considering it. I had a consult with Dr Mc Cormick and he agrees with me and said I can do this and tymlos together but start tymlos first and then on a few months add hormones.
I’ll see if I can find that info you listened to.

I used HRT after Forteo to maintain my gains and I have been predominantly stable in the 5 years since. I was about 62 and 10ish years out of menopause. HRT not only benefits bone but so many other systems of the body. There are slight risks but there are also risks of osteo meds as well which benefits only the bone. If you are interested in HRT, I would highly recommend the book Estrogen Matters by Dr Avrum Bluming. If you've been listening to Peter Attia, you may have seen the 2 hour interview he did with Dr Bluming and his co-author. He really challenges the risks sited in the WHI study with studies and statistical evidence disputing the findings. Percentages of risk are so misleading and when you calculate them in actual numbers, you realize how low the risk actually is. I'm currently re-reading the book and one of the statistics that struck me is the breast cancer risk in the general population. He sites the risk as being 1 in 26 overall, not the 1 in 8 we've been led to believe. The 1 in 8 risk is only at the point you reach the age of 85 when your risk of basically everything is increased. Other experts to glean information from are Dr Mary Claire Haver and Dr Felice Gersh. Dr Haver has a very active IG account and posts daily. She is no-nonsense, disputes fiction with fact and sites pertinent studies. She posts powerful little snippets you can easily understand and integrate. Dr Gersh has been prescribing hormones for decades and is extremely knowledgeable. Not as active on IG but you can find several interviews with her.

I am 75. I had early menopause at 38. Had hrt for a period of years then taken off due to breast cancer risk. My endocrinologist said he does not prescribe hrt so I scheduled a consult with a woman gynecologist. She determined that it would not help me due to years between menopause onset, and length of time after ceasing hrt. I've had forteo and alendronate. 2nd month on Osteostrong and one day post first evenity shots.

I am also interested in HRT vs Prolia (which I think my doctor will recommend). I am 16 years post menopause (age 71) so that may be an issue. My next appointment with my osteoporosis doctor is next month so I will wait to see what she says before seeking other opinions (which I will do before trying Prolia or any other osteo meds). I believe that I am at low risk for breast cancer, so I think Prolia may be riskier for me than HRT.