Prempro

When I began to have difficulty swallowing, he switched me to Actonel, which I recently stopped taking because of heartburn.

Currently, I take 1,000 mg of Viactiv daily plus a multivitamin with 200 mg of calcium.

I also exercise, drink milk and eat yogurt and lots of vegetables.

My question is, now what?

Would a lower dose of hormone therapy be the less risky route?

It's very hard for a layperson to know what to do given all the information (and misinformation) out there.

Maybe other postmenopausal women would be interested in your response.

A You can bet a legion of other women share your place.

The osteopenia in your hip (indicating loss of bone mass) might be thought of as "pre-osteoporosis." Fosamax and Actonel, called bisphosphonates, gradually increase bone mass and reduce fracture risk.

The downside is that these drugs can damage the food tube (esophagus) unless they're taken exactly as directed.

They are poorly tolerated in people with gastroesophageal reflux disease, which causes acidic stomach contents to back up into the food tube.

GERD is fairly common in elderly people.

You might be more likely to tolerate the once-weekly version of Fosamax or Actonel.

Or, if you'd rather try estrogen again, you could ask your doctor about low...

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