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New to troches

by Karla
(MS)

I am 52 and have slowly progressed to menapause over the past two years. My Dr put me on troches. The hot flashes and night sweats have gone away but I am so anxious to the point of panic and irritable and my breasts are very painful. I called the compounding pharmacy where I get my troches and they couldn't really tell me what was in them! I am really confused. I do have a follow up appointment with my Dr in a few weeks. BTW I have had a partial hysterectomy years ago. Still have my ovaries. I have so many questions but really wanted some advice on what I really should ask him about my HRT.
Thanks so much!

Comments for New to troches

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May 05, 2016
adding to my post "New to troches"
by: Karla

I didn't know how to edit the above post I wrote so I'm adding a post. I just talked with the pharmacy's compounder. He told me what ingredients were in my troches :

testosterone: 0.5 mg
estrogen: estradiol 20%
estriol 80%
I still have my ovaries after a partial hysterectomy. I was wondering if that is why I was not given progesterone. I will have to ask my Dr. about that at my next appointment in three weeks.

To sum up my above post, I just wanted to know which questions I should be asking my Dr. I also was told that troches bypass the gut and absorb into the bloodstream better than pills. Ugh, I'm really confused!

Thanks all for reading. I really appreciate it.

May 05, 2016
New to Troches
by: Joy

Hi Karla

Troches are not very effective as 50% of the progesterone is destroyed by the gut and liver. I can't believe that the pharmacy couldn't tell you what is in them, says a lot doesn't it? Please consider changing to a cream. Do you know what your Vitamin D3 level is? A deficiency reduces the benefits of progesterone, did you pharmacy tell you that?

Please read these pages:

How to use Progesterone Cream
Estrogen Dominance
Menopause
Vitamin D3
Delivery Method
HRT

May 06, 2016
Vitamin D levels
by: Karla

Yes. My vitamin D was so low a few years ago the dr told me if I were a child he would diagnose me with ricketts. I had to take extremely high doses for several months just to get to a safe level. This Dr retired. I don't think my GP is running the correct test. He says it's normal. I take it everyday but don't really know how much to take. Not sure what specific blood test to ask for. Do you know? Seems like Dr's don't know too much about what prevention but just treating symptoms. It's the same with my thyroid. I'm currently taking synththroid but don't think it's helping either. Very frustrating!

Thanks for the reply. Will look into the links.

May 08, 2016
Vitamin D3 Levels
by: Joy

Hi Karla

Wow that is scary. Rickets is a great concern, even today. I would never accept the words 'normal' or 'fine' when doctors say that, what does that mean exactly? The Vitamin D3 page given to you explains what test to ask for and how much vitamin D3 is needed daily. It's not that doctors do not know, it's a case of them not wanting to advice on nutrition because they want us all to take drugs, no money for them when they suggest nutrition is there? All very sad.

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