Excellent choice coming off Premarin, dreadful stuff and no women needs to take extra. All drug based HRT's have a potential to cause harm - see here.
Hot flushes are relatively easy to sort out provided your use the correct amount of progesterone and your Vitamin D level is up where it should be. A deficiency reduces the benefits of progesterone, it is vital.
I see you live in Cape Town, so do I. Perhaps you would like to contact me via my website and I can help you further with this.
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Although this web site is not intended to be prescriptive, it is intended, and hoped, that it will induce in you a sufficient level of scepticism about some health care practices to impel you to seek out medical advice that is not captive to purely commercial interests, or blinded by academic and institutional hubris. You are encouraged to refer any health problem to a health care practitioner and, in reference to any information contained in this web site, preferably one with specific knowledge of progesterone therapy.