My HRT patch was prescribed by my gyn. She will not prescribe a higher dose. I did still have bone loss and reached out to an OB-GYN bone specialist at Georgetown University. She's recommending Forteo. She said I could stay on my low dose of HRT while I'm taking Forteo. We're scheduled to more fully discuss transdermal HRT. She says there is a greater risk of stroke after the age of 70. I keep reading studies like the one I posted here from ACOG that say otherwise, which is what I want to talk further with her about. We have already talked about it a little but she's adamant about the stroke risk . What I'm curious about is this: is the risk of my having a stroke greater than the risks of the other first-line osteoporosis treatments like: osteonecrosis of the jaw; spontaneous femur fractures; stroke; osteosarcoma; loss of teeth; renal impairment; difficulty swallowing; increase risk of blood clots; digestive disorders, etc etc? It seems like I'm not only still at risk of a stroke, but that I'm adding a number of other terrible side effects to that risk.

I do plan to take Forteo, but am hoping that after that I might be able to just increase my HRT dose a little to maintain whatever gains I get from Forteo. I'm on the lowest dose (.014), 1x a week of Menostar w/100mg of Prometrium 3x a week. Sorry this is long.

my endocrinologist prescribed it but typically, they do not prescribe HRT unless you can find an open minded progressive doc. He happened to be well versed in hormones because he was a specialist in treating trans people. Once I explained why I felt it was my best option due to my autoimmune issues, he agreed to it at lowest dose, shortest duration. I'm 5 years into using it and now use an integrative gynecologist who is very knowledgeable to prescribe.