Should I start HRT again at 60?

@janieben thank you

@hello1234

Is there a reason for reclast first rather than an anabolic/bone builder like evenity, forteo or tymlos? Sequencing of these medications is very important.
I was diagnosed quite some time ago. I took alendronate for 5 years, forteo for two, evenity for one year (greatest gain in bone), now on Prolia. None have given me any noticeable side effects.
It was the standard at the time to start with fosomax/alendronate however the current thinking appears to be start with an anabolic then follow with a bisphosphonate. Of course all decisions are dependent on a individual medical history. Is your provider an endocrinologist or someone that is well trained and experienced in treating osteoporosis?

@hello1234
Forgot to say that I have not had any fractures related to osteoporosis.
If I had know then what I know now, I would have had a different treatment approach.

@gravity3 if you knew then, what you know now, would you have started with Evenity and then Prolia? Or something else?

@hello1234

My numbers were lower than yours. And finding a well trained or even a modestly trained physician in the field of Osteoporosis would have been difficult. It has changed so much but has a long way to go.
Do you have an experienced and well trained physician to help guide you? There are a number of people here and elsewhere have had consults with
Dr. Keith McCormick a chiropractor with osteoporosis who was an athlete as well. He wrote a book called great bones.
If it were me, I would make sure that the prescribing physician was monitoring the medication using bone marker blood work. This would give a way to track the effectiveness of the med without having to wait one or even two years for a dexa scan.
Perhaps someone here has had a situation similar to yours and can comment on their choice and what they have experienced.
Also, check out Dr. mary Claire havers and OsteoBoston on you tube. Melioguide.come can provide info on movement/exercise for osteoporosis patients.
https://melioguide.com/medications/bisphosphonates-osteoporosis-guidelines/
Do your own research too....much to learn using the search engine here

@happyjoyous980

There is more recent info on this topic
Susan Hardwick-Smith on YouTube.

Yes you should. You probably gave up too soon with the spotting. You need someone who will work with you to adjust the dose or delivery method. Yes the info is overwhelming but nothing takes the place of educating and advocating for yourself. Also look up Menopause Taylor, Mary Claire Haver, and Louise Newsome.

@hello1234
I’ve been on HRT since early 2024. My last Dexa scan was December 2024 and it noted osteopenia for the first time but I will see if there is any improvement in December after more than two full years on HRT. Some of the benefits I’ve realized over the past two years are:
Didn’t realize how achy I was until it stopped!

Brain fog lifted! I couldn’t find the word I was looking for! I thought I was getting dementia!

A level of anxiety lifted that I didn’t realize I was carrying.

Some other things that have improved are:
Itchiness
Anger
Vaginal Atrophy

@tanyamarie
How wonderful!! Here is my story. At 40 years old I had a full hysterectomy. I had HRT for about 3 years. My fabulous female endocrinologist passed away from leukemia. I didn't understand the importance of continuing my HRT treatment. At that time, there was a lot in the news regarding HRT and a possible link to breast cancer. Fast forward twenty years, I am now 66 years old with osteoporosis and every other symptom you mentioned. (I am also a kidney transplant patient)
Whenever I bring up the idea of HRT at age 66 years old, the doctors laugh and say "too late" and they want to treat the osteoporosis.
Do you think I would be a candidate for HRT patch or has too many years passed since my hysterectomy? Are you going to a gynecologist or endocrinologist for your treatment?
Thanks so much for letting me know your FABULOUS experience with HRT. It truly sounds like the fountain of youth!

@hello1234 I started HRT at 61. It was prescribed by my gynecologist. As I started researching HRT, I asked my primary care doctor if she had any recommendations of gynecologists who specialized in menopause. She said she didn’t know of any but referred me to a gynecologist who didn’t do obstetrics. I went in for a first visit with a lot of questions, she answered them all before I could ask and sent me home with HRT. Keep advocating for yourself.