Estradiol monotherapy. Started HRT 3 months ago with 2mg Estradiol oral tablets. Have a doctor appointment in a few days and wanted to ask to double my oral prescription, split up 4mg into 4 doses sublingual every day. Not sure if my Estrogen levels are too high and my doctor will deny my request.
- Pre-HRT Estrogen (TOTAL IA): 181 pg/mL
- Pre-HRT Testosterone (Total IA): 246 ng/dL
- Levels this week Estrogen Total IA: 438 pg/mL
- Levels this week Testosterone Total IA 115 ng/dL
From what I understand I feel like I’m definitely not achieving Testosterone suppression. https://transfemscience.org/ recommends T levels around 10 ng/dL. But having E levels of 400 pg/mL is the right range for E.
Can I convince my doctor to double my dose if my E is already at >400 pg/mL?
Edit 01: I did not take my daily dose until after my blood was drawn. Blood draw was already 24+ hours since last oral dose.
Edit02: Thank you all for your responses. My doctor approved the prescription doubling. My idiot brain realized after the fact that I didn’t even need the doubling in the first place (I guess I get to stockpile now). I intended to follow the 0.5mg four times a day protocol shown here https://pubmed.ncbi.nlm.nih.gov/38130980/ . Really could have just cut my 2mg pills into four pieces.
Not doing monotherapy, but my doctor wants me to lower my dose because my level is over 300 5 days after injection. How long did you pause treatment before your blood work? Not sure what the equivalent for sublingual is given how spikey it tends to be.
Also, are oral prescriptions over 6mg/day common? I thought at that point, usually people are expected to try a different route.
I have an 8mg oral prescription lol
…But that’s because I’m stockpiling it
Gotta love doctors trying to help people out like that. My doctor tried to request that I get 3 months supply of oil instead of 1-month-at-a-time for the first time this last appointment, and I suspect it was because politics rather than convenience (unfortunately insurance said no). At least injectables are easy to stockpile if you are willing to use the vial for more than 4 doses
