159. Pellet Hormone Therapy: How Dosing Goes Wrong and How to Avoid It

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159. Pellet Hormone Therapy: How Dosing Goes Wrong and How to Avoid It

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Once a pellet goes in, it stays in. That's what makes the dose decision different from every other kind of hormone therapy. I'm not here to sell you on pellets. They aren't right for everyone, and the loudest criticism of them is fair. You can peel off a patch, but you can't take back an insertion. What that really means is that dosing has to be right the first time, and this week I'm giving you the three pearls I use to get there. We'll cover why starting low beats starting bold, the three levels that need testing before anyone puts a pellet in you, and what your hormone curve actually does over the weeks following an insertion. I'll also tell you what I was doing wrong in my first years of doing this, and why I threw out the dosing calculator my own brand provides. In this episode you'll learn… Why pellet therapy cannot be reversed once the insertion is done. Why underdosing is always safer than overdosing pellet therapy. What too much estradiol feels like after years without it. Which patient concerns should immediately signal a lower starting dose. Why a patch prescription does not equal optimized hormones. Which three hormone levels need testing before every insertion. What stacking is and how repeated insertions create it. Why skipping blood work to save money eventually backfires. When pellet hormone levels peak after an insertion. Why the same pellet dose produces blood levels over 40% apart between women. Why copying another woman's successful dose is a mistake. When to test after a first insertion or a dose change. What a booster pellet is and when it makes sense. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

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