The importance of Estriol (E3) and an introduction to receptor sites.

Prescribing Bi-est: Understanding the E3/E2 ratio. “mgeeq”: the oh-so-important math on potencies and ratios.

Calculating Bi-est potency

All about bases

Individualization. Dose Determination by titration. Receptor site sensitivity and dormancy.

Aiming for optimum: balancing drops, concentrations and ratios.

Window of Opportunity: Cardiovascular Risk Considerations

Treat early on!

The effect on Thyroid, Bone, Sleep and Brain

Breast Cancer risk, SHBG issues.

Progesterone Poignancies. Transdermal dosage limits. Dermal Fatigue. TVUS.

Common Starting Dosages

Writing Your First Prescription. Four Distinct Dosing Schedules in the Dose Determination Process.

Topical hormone application: the how and the when for Bi-est and progesterone.

Topical hormone application: Absorption, dermal fatigue, transmucosal and transmission

Some important factors

Optimal dose ranges

Variations in Total Potent Estrogens

Supra-physiologic dosages… watch out!