shape
carat
color
clarity

BHRT

missy

Super_Ideal_Rock
Premium
Joined
Jun 8, 2008
Messages
46,368
Hi Missy:

Ooo this is probably not going to be easy or even simple. with Compounded, like with anything thats handmade. they can be off by a certain % each time its made. Even though they use a recipe its just the way it goes.

With non compounded you should be able to get a minimal expected dose, but you're right, it will be pricey. . the issue is that with creams and gels, they are depending on how much you put on and where, if you're putting them on under clothing, is it rubbing off on the clothes, etc.... I could never get where I wanted to on the cremes and moved to tablets. While everyone will not do well on them, I personally feel if you do not have markers for getting blood clots, then you'll be fine with a tablet. Remember its not a one size fits all.

The breakthrough bleeding is

If you go with an injection for T, cyprionate is what I know thats available in the US and what I use. I think there's various kinds I just don't know which ones. And I had an issue with T creme. (maybe the base). 10ml /week is low but might be a good starting point to work from. Also If your T was at zero, and now at .22, then you're moving the needle but you're going to have to use more, point blank. is it converting enough with a creme? sounds like possibly not! Some women also take DHEA (I take 50ml daily) but also depends on how sensitive you are to it and it can convert to T for many women (not a lot but some)

I personally won't do high T for me small amounts are best anyway considering my medical history.

On my last test, my T was low but also, my Vit D was low (lower than it should be!!) And Serum Ferritin is high (like really high) so I got something going on but who knows what....

Thanks @Arcadian yeah nothing is simple. Just another puzzle to try to figure out without harming myself in the process. I am also converting the Estradiol to way too much Estrone so just another complication. I cannot do DIM because my estradiol isn't high enough but oooh that Estrone.

I agree with you that I do not want to do much T...just enough to get me to a decent bone healthy range. Nothing crazy. As for oral E I cannot do it as I have a mutation that makes me prone to blood clotting. Or else yes I would definitely try that route. So for me it's gels or creams or injections which I would consider for E as I have read it is a very stable way to go.

I just hope the breakthrough bleeding stops...it's been over 6 weeks and we don't have any answers yet. I might have to endure an invasive biopsy but not rushing into it just yet. Hoping the change to Estrogel will stop it. Just waiting on the pharmacy as they don't have it in stock and had to order it. I cannot imagine trying to get three bottles of this a month but if it works it will be worth the expense and energy. But if it works is a big if.

Why aren't you doing E injections if you don't mind me asking since you are already doing T injections...just trying to evaluate all my options and I want to know the good, the bad and the ugly. :/

As for you...If your serum ferritin is high you probably know that indicates inflammation. Do you know your iron profile? If your ferritin is higher than your total iron definitely inflammation. I find Astaxanthin helpful for bringing down inflammation. 12 mg a day.

As for D I like mine around 60 but there are so many different schools of thought. I was taking D before it was popular to take it back in the early 2000s. I take it with a high fat meal and it gets absorbed pretty well so far. You probably know this already I am sure but D3 and take it with a high fat meal. General rule of thumb for every 1000 of D3 you add you increase your blood levels by about 10 ng/ml. Approximate rule of thumb and of course test and retest to make sure you aren't going too high. I take 5000 D3 daily to maintain 60 ng/ml.

Thanks again for your help Arcadian. Good luck to you on your hormone (and beyond) journey.
 

Arcadian

Ideal_Rock
Premium
Joined
Sep 17, 2008
Messages
8,044
of course and same to you. I AM inflamed unfortunately, I can feel it and that comes from the still undiagnosed autoimmune issue that I have. its bad when you actually FEEL the inflammation. I will look into the supplement, thank you very much!!

My GP of course saw these tests and we had a teledoc call on it this afternoon. She's wanting me to take high dose D3...like I don't do that already...lol And my numbers should be higher but they're well under 30. Thats on 1400UI a day! After discussion today I've been moved to 25,000UI a day and will retest after 6 weeks. Aside from a few weird numbers like with ferritin, D is the one that sticks out the most.

I take oral E because its easier for me to control (not to mention its also really cheap!) My past cancers were estrogen driven, so using oral route helps me to know what I'm getting and how much. I wish I was more confident about the injection because it would be easy enough to do. My T amount is pretty small so we worry less about that than E. In general on high enough dose of T, it can convert to E. My dose isn't really high enough for that.
 

oakleaf79

Rough_Rock
Joined
Dec 1, 2013
Messages
81
Hey Missy, you should be able to get 1 bottle of the Estrogel with your insurance each month, this coupon will help bring the cost down. https://estrogelsavings.com/.
You will need to use the GoodRx coupon for the other 2 fills. Your insurance likely won’t pay for that high of a dose because the medication was not approved by the FDA at that dose, and using that much per month is considered off label use.
 

missy

Super_Ideal_Rock
Premium
Joined
Jun 8, 2008
Messages
46,368
Hey Missy, you should be able to get 1 bottle of the Estrogel with your insurance each month, this coupon will help bring the cost down. https://estrogelsavings.com/.
You will need to use the GoodRx coupon for the other 2 fills. Your insurance likely won’t pay for that high of a dose because the medication was not approved by the FDA at that dose, and using that much per month is considered off label use.

Thank you so much for chiming in @oakleaf79. I did use a savings card. I always search for a savings card for all my meds that are not covered or that have a high copay. There are many helpful savings cards out there.


The first savings card I used for Estrogel was no longer active but the next day I found another one and the pharmacist credited me the difference. Every little bit helps for sure. Just crazy that the dose approved by the FDA is super low.

In Canada and Europe their Estrogel is double the size and a one month supply is 64 pumps whereas in the USA the bottle is 30 pumps for a one month supply. In fact one of my Canadian friends said that any number of bottles is covered per month. They don't question it and they give her as many as she needs and also before her month is up they will refill it again.

I also use Good RX for the meds where my insurance denies coverage but Good RX will only cover one bottle so if I wanted three pumps monthly (3 bottles) it would be something like $450 per month just for my Estrogel. Ouch. If that were the only med I was paying out of pocket for it would be fine but since I am on other (more expensive) meds not covered I might just try 2 bottles a month and see how I do. Right now I am still waiting for my second bottle of Estrogel from the pharmacy where I used the Good RX card so I haven't even started the Estrogel yet. I am still using my compounded Estradiol creams. If it continues to be difficult to get even just 2 bottles of Estrogel a month I might have to rethink my strategy. I went to a few pharmacies yesterday and none of them carry Estrogel. Right now I am relying on my local pharmacy for one bottle and Walgreens for the other.

There is a huge difference in healthcare for men vs women when it comes to the sex hormones and sex in general in the USA and it is as I see it incredibly discriminatory.

I will get off my soapbox now but did want to share my thoughts about that. Viagra is covered with all health insurance plans I am familiar with but appropriate doses of hormones to give women their lives back not covered. Not to mention how difficult it is to find local options for women's sex hormone meds. Something is quite wrong here. IMO.

1237393zp18x6fdqm.gif


Anyway thank you and I hope if anyone is silently following along that the info shared in this thread is helpful. One of the reasons I am sharing this publicly is if it can help anyone else. I know this is a big problem for many women. As we get older it is a fact that our hormones decrease down to almost zero especially Estradiol and we need Estradiol for heart, brain and bone health and just to feel good and well. And progesterone and testosterone too.
 
Be a part of the community It's free, join today!
    Father's Day Jewelry: 2021
    Father's Day Jewelry: 2021
    Diamond Prices - June 2021
    Diamond Prices - June 2021
    Guess What: Dispersion and Fire Aren't the Same Thing
    Guess What: Dispersion and Fire Aren't the Same Thing

Need expert help finding that diamonds?

Holloway Cut Advisor



Diamond Eye Candy

Click to view full-size image.
Top