a big part of the reason that they put menopausal women through hormone replacement therapy is to keep their serum estrogen levels high enough to prevent bone loss, as they can fall to almost zero after menopause. men have a normal range of up to 200 pmol/l, and that is enough for normal bone health. my worst test was 363, which is higher than any cismale could ever expect.
so, this idea that i'm losing bone density due to falling estrogen levels is...i'm not actually there yet. i'm probably not even close.
in fact, with calcium serum levels and serum estradiol levels as high as they are, i should probably be gaining bone density - if moderately.
if i was losing bone density right now, my alp would be high, and it wasn't.
it's probably from smoking and malnutrition, and it's probably longstanding.
i still need to address it aggressively, though - including total cold turkey until i get it back over -1.