During the 3rd consultation, if you have received patient’s 24 hour urine hormone test results and the estrogen quotient (E3/[E2 + E1]) is between 2 & 4:

During the 3rd consultation, if you have received patient’s 24 hour urine hormone test results and the estrogen quotient (E3/[E2 + E1]) is greater than 4:

During the 3rd consultation, if you have received patient’s 24 hour urine hormone test results and the estrogen quotient (E3/[E2 + E1]) is less than 2:

During the 3rd consultation, if you have received patient’s 24 hour urine hormone test results and symptoms persist and/or estrogens are not within optimal target values:

Your 55 y.o. patient has arrived to her 3rd consultation feeling better than she has in a long time, but is still having occasional nocturnal hot flashes with racing mind, and diminished energy. She is being treated with Bi-Est 33 mg/ml 80:20, 2 drops in the morning, 3 drops in the evening, which was calculated and prescribed at her 2nd visit. Her 24 hour urine hormone estrogen test results include E2 4.3 mcg/24 h, E1 8.1 mcg/24 h, E3 64 mcg/24h. The optimal treatment dosage range for Bi-Est is:

Same patient as above: 55 y.o. feeling better than she has in a long time, but she is still having occasional nocturnal hot flashes with racing mind, and diminished energy. She is being treated with Bi-Est 33 mg/ml 80:20, 2 drops in the morning, 3 drops in the evening, which was calculated and prescribed at her 2nd visit. Her 24 hour urine hormone estrogen test results include E2 4.3 mcg/24 h, E1 8.1 mcg/24 h, E3 64 mcg/24h. The optimal test result range for TPE’s is:

Same patient as above: 55 y.o. feeling better than she has in a long time, but still having occasional nocturnal hot flashes with racing mind, and diminished energy. She is being treated with Bi-Est 33 mg/ml 80:20, 2 drops in the morning, 3 drops in the evening, which was calculated and prescribed at her 2nd visit. Her 24 hour urine hormone estrogen test results include E2 4.3 mcg/24 h, E1 8.1 mcg/24 h, E3 64 mcg/24h. Her Estrogen Quotient (EQ) is:

The optimal range for EQ is:

Same patient as above: 55 y.o. feeling better than she has in a long time, but she is still having occasional nocturnal hot flashes with racing mind, and diminished energy. She is being treated with Bi-Est 33 mg/ml 80:20, 2 drops in the morning, 3 drops in the evening, which was calculated and prescribed at her 2nd visit. Her 24 hour urine hormone estrogen test results include E2 4.3 mcg/24 h, E1 8.1 mcg/24 h, E3 64 mcg/24h. Your recommendation would be:

Same patient as above: 55 y.o. feeling better than she has in a long time, but she is still having occasional nocturnal hot flashes with racing mind, and diminished energy. She is being treated with Bi-Est 33 mg/ml 80:20, 2 drops in the morning, 3 drops in the evening, which was calculated and prescribed at her 2nd visit. Her 24 hour urine hormone estrogen test results include E2 4.3 mcg/24 h, E1 8.1 mcg/24 h, E3 64 mcg/24h. Using the Bi-Est Ratio Calculator: