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Is everyone convinced that HRT is such a bad thing? Admittedly the short-term prothrombotic effect in patients with CHD is adverse, but the curves in HERS do tend to converge after a few years. Gallstones are a nuisance. The million women study was not randomised and I'd be surprised if HRT can cause cancer so quickly (i.e. was it there before in a denser breast). The lipid results are still appealing, and the QALY score for some (non-CHD) patients might be quite good. Are the alternatives for osteoporosis as palatable and effective? Or are we now against HRT? Andrew -----Original Message----- From: Mainwaring-Burton Richard (RGZ) [mailto:[log in to unmask]] Sent: 04 December 2003 11:17 To: [log in to unmask] Subject: Re: CMO Advice on HRT in the over 50s with osteoporosis It is a bit like the reccomendation "Employ a teenager NOW while he still knows everything" with best wishes Richard Richard Mainwaring-Burton Consultant Biochemist Queen Mary's Hospital Sidcup, Kent DA14 6LT 020-8308-3084 -----Original Message----- From: ablumsohn [mailto:[log in to unmask]] Sent: 04 December 2003 08:27 To: [log in to unmask] Subject: Re: CMO Advice on HRT in the over 50s with osteoporosis As they say: "Use a new drug while it's still effective" Aubrey GMA> This document became available at 15:00 GMA> today relating to the use of HRT in women over 50 GMA> years old. GMA> Malcolm Gray ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ This message and any attachments to it is intended only for the individual or company to which it is addressed and may contain information which is privileged, confidential or prohibited from disclosure or unauthorised use. If the recipient of this transmission is not the intended recipient, or the employee or agent responsible for delivering such materials to the intended recipient, you are hereby notified that any use, any form of reproduction, dissemination, copying, disclosure, modification, distribution and/or publication of this e-mail message or its attachments other than by its intended recipient is strictly prohibited by the sender. If you have received it in error, please notify us immediately using the address [log in to unmask] and destroy the message and all copies in your possession ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/