Estradot bioidentical hormone therapy VS Compounded BHRT

Could you tell me more about pallets vs cream? My gyn said to use patches or gel, while she uses gel herself. Would pallets deliver hormone more consistently or more conveniently or both? Are pallets compounded? If they are, then are they FDA approved?

Also I was told by my gyn that there is no need for blood work for testing hormones b/c at my age 61, hormone levels are next to none. Dose wise she is flexible, whatever is need for bone health and up to my endo and me. How do you determine a good dose for bone purpose?

Testosterone is not mentioned at all by my gyn. She mentioned I need micronized progesterone with estradiol patches. Does testosterone serve for bone health here, or is it for other body function(s)?

Thank you very much!

Could you tell me more about pallets vs cream? My gyn said to use patches or gel, while she uses gel herself. Would pallets deliver hormone more consistently or more conveniently or both? Are pallets compounded? If they are, then are they FDA approved?

Also I was told by my gyn that there is no need for blood work for testing hormones b/c at my age 61, hormone levels are next to none. Dose wise she is flexible, whatever is need for bone health and up to my endo and me. How do you determine a good dose for bone purpose?

Testosterone is not mentioned at all by my gyn. She mentioned I need micronized progesterone with estradiol patches. Does testosterone serve for bone health here, or is it for other body function(s)?

Thank you very much!

Ur very welcome. If possible, do some research to help with your decision. Many doctors are still of the belief that older women should not take HRTs. But many doctors are not well educated or up to date on the positive effect they have on women.

Best of luck to you! Your Cardiologist sounds like he is wonderful! Keep us posted!

Best of luck to you! Your Cardiologist sounds like he is wonderful! Keep us posted!

Thank u. He’s a bit quirky but very personable…and very thorough. He doesn’t rush me in and out, spends time wanting to know what my concerns are, then runs bloods.

The general recommendation is for estradiol delivered through a transdermal patch along with oral micronized progesterone. The conventional estradiol patches that you can get with prescription through your regular pharmacy are bioidentical. You can also get the oral progesterone there but since it has peanut oil and artificial colorings, I prefer to get that through a compounding pharmacy. It is not necessary to get your estradiol through a compounding pharmacy and it is less expensive through a conventional pharmacy. I would recommend looking up Dr Felice Gersh. She has been prescribing HRT for decades and really knows her stuff. She does not recommend pellets. Over the years, she has seen levels that climbed way too high with pellets and it is more difficult to control since it's inserted into your body. Much easier to manage levels with a transdermal patch and safer too. The lowest dose of transdermal patch estrogen is .025 and at that level, there have been positive bone effects demonstrated. Many integrative practitioners will prescribe in the .025-.05 range taking into account your comfort level and risk factors.

Does Dr. Gersh have you have a blood draw for testing levels of estradiol and progesterone after you have been on BHRT? Does she have a recommendation as to what blood levels of these hormones should be for efficacy in building bone?

The general recommendation is for estradiol delivered through a transdermal patch along with oral micronized progesterone. The conventional estradiol patches that you can get with prescription through your regular pharmacy are bioidentical. You can also get the oral progesterone there but since it has peanut oil and artificial colorings, I prefer to get that through a compounding pharmacy. It is not necessary to get your estradiol through a compounding pharmacy and it is less expensive through a conventional pharmacy. I would recommend looking up Dr Felice Gersh. She has been prescribing HRT for decades and really knows her stuff. She does not recommend pellets. Over the years, she has seen levels that climbed way too high with pellets and it is more difficult to control since it's inserted into your body. Much easier to manage levels with a transdermal patch and safer too. The lowest dose of transdermal patch estrogen is .025 and at that level, there have been positive bone effects demonstrated. Many integrative practitioners will prescribe in the .025-.05 range taking into account your comfort level and risk factors.