08/05/2026
My patient started feeling better on HRT and then asked, “Could I feel even BETTER with MORE hormones?”
The nuance of HRT prescribing: when we give 100 women the exact same hormone patch dose, and you’ll get a variety of blood levels of estrogen. The differences in how we absorb and metabolize hormones, partly due to genetics, and also due to cofactors and absorption varieties. So finding your “right dose” can be a process.
I start low and go slow, because I want my patients to feel good, and not start with too much too soon. It can take some months to know how your body really responds to a dose, which is why I use small, incremental increases with regular check-ins to land on what’s actually right for YOU.
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