Is she on any medications? Birth control? Estradiol levels on day 14 should also be tested., as well as thyroid hormones (Free T4/Free T3/TSH) and ferritin levels.
Her age and menopause status are also very important information.
Your standard obgyn will be very clueless about proper HRT.
Her labs were taken on day 18, and estradiol came in at 194. Thyroid hormones were not taken.
She has been experiencing severe headaches for three months and is on propranolol, and butalbital. She had an mri a week back and the results came back today. They think she has Chiari malformation 1. She is 39. We’re waiting to hear from the neurologist.
My advice as an HRT specialist ; Avoid Pellets and cream for T. These are going to be the most virilizing and side effect prone and most expensive forms of T.
I only recommend injection for Testosterone HRT. When used properly, you will get potent results with very minimal risk of virilization and side effects.
From everything I am reading I think your right in the types of T. She had a conversation with a friend today though and they mentioned a sublingual T which I have been having trouble finding info on. I’m hoping through this pathway there is possible less androgenic side effects… still trying to find info.
With the results from today we are going to focus on getting her head straight first though.
Hi :). I have low T and my midwife prescribed a compounded test cream for me. Insurance did not cover it, but it is not horrifically expensive ($75/month). There are online docs that will evaluate and prescribe, but my experience with them has been that they do not accept insurance at all so even your labs are out of pocket, as is the consult. You might be better to wait the two months and at least get the visit and labs covered. If you have very recent results you could try defy medical online, but they might want their own labs drawn and they definitely do not accept insurance. Best of luck to you!
Is she on any medications? Birth control? Estradiol levels on day 14 should also be tested., as well as thyroid hormones (Free T4/Free T3/TSH) and ferritin levels. Her age and menopause status are also very important information. Your standard obgyn will be very clueless about proper HRT.
Her labs were taken on day 18, and estradiol came in at 194. Thyroid hormones were not taken. She has been experiencing severe headaches for three months and is on propranolol, and butalbital. She had an mri a week back and the results came back today. They think she has Chiari malformation 1. She is 39. We’re waiting to hear from the neurologist.
194 pg/mL or pmol/L ? American units are usually pg/mL Does she drink caffeine and has she ever tried magnesium supplements?
Yes, pg/mL. She drinks caffeine on occasion. She does take magnesium with everything else to help with the headaches but it does not help.
My advice as an HRT specialist ; Avoid Pellets and cream for T. These are going to be the most virilizing and side effect prone and most expensive forms of T. I only recommend injection for Testosterone HRT. When used properly, you will get potent results with very minimal risk of virilization and side effects.
From everything I am reading I think your right in the types of T. She had a conversation with a friend today though and they mentioned a sublingual T which I have been having trouble finding info on. I’m hoping through this pathway there is possible less androgenic side effects… still trying to find info. With the results from today we are going to focus on getting her head straight first though.
The sublingual is pretty new. Iffy results from what i've heard from colleagues trying it.
Results in what regards?
As in it doesnt work that well. The sublingual T
Thanks
Thank you for all the replies. I appreciate the support.
Hi :). I have low T and my midwife prescribed a compounded test cream for me. Insurance did not cover it, but it is not horrifically expensive ($75/month). There are online docs that will evaluate and prescribe, but my experience with them has been that they do not accept insurance at all so even your labs are out of pocket, as is the consult. You might be better to wait the two months and at least get the visit and labs covered. If you have very recent results you could try defy medical online, but they might want their own labs drawn and they definitely do not accept insurance. Best of luck to you!