First Prescription Q33

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Question 1 of 8

1. Question
The most common first prescription for your new patient will usually include:
- 1) Bi-Est 30 mg/ml (80:20) 8.5 ml (one month Rx) or 17 ml (two months' Rx), 1 to 3 gtts b.i.d.
- 2) Progesterone 200 mg/ml 8.5 ml (one month Rx) or 17 ml (two months' Rx), 1 to 6 gtts h.s.
- 3) Testosterone 5 mg/ml 5 ml (one month Rx) or 10 ml (two months' Rx), 1 to 3 gtts q.d.
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Question 2 of 8

2. Question
Your patient will receive one of four “Initial Dosing Procedure Cards,” based upon:
- 1) How long she has been in perimenopause or menopause.
- 2) Her level of sensitivity/hypersensitivity to medication dosages and/or environmental exposures.
- 3) Her estimated level of estrogen when she was younger: "lean" or "rich."
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Question 3 of 8

3. Question
Your patient will receive the “Most Common Starting Rx Card”:
- 1) If she is not particularly sensitive to medication dosages, or most anything else.
- 2) If she is in perimenopause or early menopausal, and thus her receptor sites are "awake."
- 3) With instructions not to exceed 3 drops of Bi-Est b.i.d. or 6 drops of progesterone h.s.
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Question 4 of 8

4. Question
Your patient will receive the “Lighter Starting Rx Card”:
- 1) If she is not particularly sensitive to medication dosages, or most anything else.
- 2) If she is beginning treatment after a significant time in menopause with no treatment, thus having the likelihood of dormant receptor sites.
- 3) With instructions to increase her dosages according to the symptoms presented on the "Finding Your Optimal Dose" card, alleviating her symptoms while falling shy of or back down from symptoms of excess.
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Question 5 of 8

5. Question
Your patient will receive the “Enhanced Starting Rx Card”:
- 1) If she is having heavy and/or more frequent periods during perimenopause.
- 2) If she is newly menopausal and was accustomed to rich levels of estrogen when she was younger.
- 3) With instructions not to exceed 3 drops of Bi-Est b.i.d. or 6 drops of progesterone h.s.
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Question 6 of 8

6. Question
The Menopause Method “Initial Dosing Instruction Cards,” include:
- 1) Separating the top portion of the card at the perforation and giving that portion to your front desk, so they have the necessary information to call or fax in an Rx.
- 2) Handing the bottom portion of the card to your patient.
- 3) Instructing your patient to gradually increase her dose according to the instructions on the card, paying attention to alleviating their symptoms of insufficiency while falling shy of or backing down from symptoms of excess.
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Question 7 of 8

7. Question
Other instructions regarding dose determination include:
- 1) Refer to the laminated "Symptom Card," which specifies the symptoms of insufficiency and excess for estrogen, progesterone, and testosterone.
- 2) View the two online videos, "Getting Your Hormone Dosages Right" and "Hormone Application," which you have embedded in your website or through a link to the videos you provide to your patient.
- 3) If your patient feels that she will need more time to determine her dosage, instruct her to call in for a refill (if she has only 8.5 ml of hormones) at least one week before the end of the month.
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Question 8 of 8

8. Question
Other instructions for your patient regarding dose determination include:
- 1) Do not exceed the dosages indicated on the "Patient Dose Determination Card" you were given without consulting with the office.
- 2) Call the office at any time if questions arise. It's usually easier to tweak a program as soon as questions emerge.
- 3) Be patient because you are a patient, and the very best wishes to you.
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Menopause Mastery

First Prescription Q33

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