The wise patient gets expert guidance & precision dosing for her personal HRT prescription.

In the fourteen hundreds, Paracelsus stated that the difference between a cure & a poison lay with the dosage. Let's add to this idea of precise dosage the determination of an ideal route of administration, as well as the best pattern of delivery, whether smooth or erratic & the rate of hormonal flow running through one's system. Flow-through depends not only on what is entering at the front end, but the rate of elimination at the back end, whether fast or slow & whether stable or variable. There is a wide range, stretching from slow to fast for the excretion rate of the estrogens in women, one that is greatly influenced by the use of other medications including psychiatric drugs, hence the need for expert guidance, & the need to avoid standardization. Remember however that arrogance does not translate into expertise. The true expert keeps an open mind & never stops learning. ("Always keep a beginners mind". Shunryu Suzuki).