Endocrinology   

Would your considerations change for a man vs a woman?

Would you consider testosterone therapy if he is otherwise asymptomatic?

Additional risk factors could be family history of VTE or thrombophilia, such as antithrombin deficiency.

Is patch or gel HRT with ASA prophylaxis a reasonable option after counseling? Or do you add a prophylactic DOAC? 

No prior thrombosis; no family history of thrombosis. As per endocrine, the only useful therapy for the osteoporosis is estrogen. 

The patient has no personal history of VTE, but has positive family history of VTE.  Any prophylactic anticoagulation options? How would manage...

For pts w/ eGFR between 30-60

Recommendations in guidelines are discordant (ASCO vs NCCN vs UptoDate).