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Osteoporosis

Estrogen therapy has its place

Estrogen therapy has its place

I was interested to read Drs. Vinay Prasad and Adam Cifu's commentary, "When doctors rely on promise instead of proof" (Aug. 20). While I agree with their observation that many remedies, medical and surgical, which seem intuitively useful (and thus enthusiastically employed) prove invalid when subjected to rigorous analysis — thus resulting in a medical reversal — I take issue with their blanket statement regarding estrogen replacement therapy "which was ultimately shown to be ineffective and dangerous." As a matter of fact, ERT is neither ineffective nor dangerous. Its use carries very distinct risks and benefits, as do so many things with which we...

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