But as things are here I cannot get full HRT - not even privately. My private - british - psychiatrist has no problem with accepting me as a woman. But he's not willing to give me a prescription for anything near a sufficient dose. It seems this is out of fear of the psychiatrists ...
HRT will restore both levels to pre-menopausal levels, whereas a SERM will have lower efficacy on bone. In alignment, treatment with bisphosphonates will suppress bone resorption to lower levels than cartilage degradation. Presence and activation of osteoclasts seem to be involved in the pathogenesis...