I went on HRT at about 62 years old. I was lucky in that I had a doctor whom I was able to convince that it was the best option for me. As someone with autoimmune issues, I did not want to go on anything that would further mess with my immune system and he ultimately agreed. If you don't want to go on Reclast afterwards and want a script for HRT, Alloy Health may be the way to go. An MD will review your case at no cost, determine whether you are a good candidate and if so, write the prescription. If you want a personal consult with one of their docs, the cost is $35. Cost for the medication is virtually the same as through any doctor prescribing it as at our age, insurance won't cover it (but it's not expensive out of pocket). It's really a great service, helping women who want HRT as most doctors are still reluctant to prescribe especially once you are well into menopause. The other alternative is finding a doctor certified as a menopause specialist and you can find a database on the North American Menopause Society website (if you are in the states). I am seeing a menopause specialist, Dr Felice Gersh, here in SoCal and she is extremely experienced and knowledgeable. When I initially went on hormones the philosophy was "lowest dose, shortest amount of time" but that mindset is shifting due to the revelations on the faulty analysis, confounders and misrepresention of the WHI study. I'll be seeing Dr Gersh again in a couple of weeks and based on our last discussion, I think it is likely she will be increasing my dose for greater effectiveness at maintaining my density (along with many other things). The only downside to going the route of personal appointments with a menopause specialist is the very high cost of a visit as many of them do not accept insurance. So, the alternative is the online service but for me, a lengthy analysis and discussion was really important so I opted for the specialist. Once I'm established with her and we figure out best dose, I may just switch to Alloy and continue on.