You're very welcome. Kudos for your for taking charge of your own health, and doing all that you can to stay healthy.
I don't any of these would be a problem, either. Most creams are only absorbed in minute amounts systemically, so most creams in general don't interfere with other medications. And hormone replacement only helps maintain bone mass, in any event.
As far the herbs are concerned, it's impossible to say with any certainty if they would interfere (since there have been no studies done on the subject), but more likely than not they won't have any effect on the Forteo. The enzyme supplements should have no effect (protease, etc.).
So I think all of them shouldn't pose a problem, at all, and you should do just fine with them all together. Just make sure that your naturopath (and your physician) are aware of what you are taking. And always remain vigilant, on your own part, to see how you are feeling in response to these treatments. You might find that some of these herbals or enzymes might not sit well with you.
One thing that people commonly don't realize is that many herbals and supplements are, in effect, "medications"! That doesn't mean that they aren't safe (they might be, but we don't know because there haven't been clinical studies performed), it just means that we don't know always what their effects will be. But I am of the opinion, that since we don't know otherwise, if you prefer and if there is the possibility that they might help, then it's up to you. But just remain vigilant.
Let me know if you need anything else, and take care - Dr. Fay
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