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> . It's a tragedy that more doctors don't recommend HRT for older women, at least some level of replacement

Once you get on this your only options are 1. use till you die 2. stop and face consequences of suppressed natural estrogen production from HRT.

Is that right?

"Use it till you die" seems like less and less of a penalty the older you get.

Is their natural estrogen production not already suppressed from menopause?

sure but wouldn't HRT suppress whats remanning? Otherwise you are just getting free biological lunch.

I’m no expert but I don’t believe it’s similar to testosterone in that it could be suppressed for life after doing replacement therapy.