Menopausal with weight gain despite a low carb high fat diet and bioindentical hormones
(Knoxville, Tn, USA)
I am 48 years old and on bio-identiacal hormones for 3 years. My symptoms came on very quickly with constant unbearable hot flashes, vaginal thinness , insomnia and irritability. I was started on Testosterone and Biest with progesterone. I've never felt like the dose is right. With exception of the testosterone which is compounded.
Currently these are my latest labs. Serum results for all of these. Estradiol is 564.0 PG/ml, Progesterone is 6.8 ng/ml, tsh is 1.8 uIU/ml, free t4 is 0.90 ng/ml and free t3 is 3.6 pg/ml.
I have been using Biest 50/50 mix with progesterone 4mg/50mg but only taking 3 clicks which would be 1.5mg of Estriol and 1.5mg of Estradiol and 37.5mg of progesterone. I take these vaginally.
My symptoms are tired, achey, irritable, weight gain, not sleeping well although I am sleeping.
My vitamin D level is high normal at a level of 80. I do still take vitamin every day at 5000iu daily. I take vitamin b12 5000 every day and folic acid 1 mg every day. I take DIM-plus 2 every day.
I realize I am Estrogen Dominant. I am not willing to do with out the Biest. Without it I have intolerable hot flashes. I tried to do without it for a month and it was miserable.
I have asked the doctor for a new rx at a lower dose. Biest 80/20 mix with progesterone taken vaginally at 2.5mg/25mg. tHis would provide 2mg of Estriol and o.5mg of Estradiol and 25 mg of progesterone. I have another proscription of Progesterone of 200mg per ml to use vaginally as needed that I can supplement with at bedtime.
What would you recommend? I would prefer to do this slowly and continue the Bi-est. If I am too uncomfortable then I know I won't continue. I become miserably nauseated when my estradiol level is low. Taking Phenergan like skittles. They make me horribly tired and I don't want that to happen. I would rather have my leg broken than become nauseated again.