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Mild osteoporosis DEXA scores: what would you do?

Osteoporosis & Bone Health | Last Active: Feb 5 6:40am | Replies (54)
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@teb

I saw in your other post that you are 59. In answer to your "what would you do" question, I would suggest considering bioidentical hormones (transdermal estradiol and oral bioidentical progesterone). Your dexa scores are not severe and you are in what is considered the safe window for HRT. Barring a prior or current cancer diagnosis or CVD, hormones, along with a healthy diet and exercise, will provide a safety net of maintaining your density. I wish that I went on them sooner than I did as I would not have had the volume of loss that I suffered. I ended up having to go on Forteo to build back some density and afterwards, I chose HRT to maintain the gain which seems to have worked effectively.

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Replies to "I saw in your other post that you are 59. In answer to your "what would..."
prettyflower | @prettyflower | Jan 9 9:07am

Thank you, @teb! I don't know anything about those hormones. Do you have a preferred web source for information? The endocrinologist who suggested Prolia also said HRT was not an option. I've been in menopause for seven years, and I've had no fractures that I know of. This was my first experience with an endo; I've been hearing they tend be pretty curt.

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lamay | @lamay | Jan 9 9:51pm

Thanks for mentioning HRT, I'm also curious. It was never brought up to me until recently except to scare me away after the WHI study. I've heard you can't take them after 59, or 10 yrs past menopause. I'm 57, seven years past menopause, -2.6 femoral neck. If I tried HRT would I have to stop in two years and my bone density would drop? I.e., does it give any lasting benefit or only delay the inevitable by two years?

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sallyj2 | @sallyj2 | Jan 10 10:36am

Yes and yes! I wish I had too! Obgyn recommended, bio identical, endo said no, bad info, based on outdated studies.
I’d love to know what doses hrt you’re using to maintain! I’ve read so much. Easier to find dosing for estrogen than testosterone. Really frustrating.

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