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.

Excessive Progesterone Dosages: receptor sites. Unusual Symptoms

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!