Hormone replacement therapy
How hard is it to switch from compounding to FDA-approved bioidentical HRT (bHRT)?
Q: I’ve been using compounded bioidentical HRT, but because I don’t live close to any compounding pharmacies, I find that they’re expensive and not very convenient to obtain. It would be much simpler if I could use one of the FDA-approved bHRT products, but can I make this change safely?
A: When converting from compound products to FDA-approved products, you can usually just switch over without difficulty. For example, you would stop using your compounded products and the next day start an estradiol product, such as a patch or gels, along with a separate dose of progesterone (Prometrium) if you still have your uterus. If you had a hysterectomy, consider low-dose progesterone cream or a botanical product containing chasteberry to complement the estradiol.
Initially, try not to worry about any other hormones that have been used for a while. Of course, any such transition will be helped if you support yourself nutritionally, especially if there is a change in potency. Remember, this switch is your choice and desire to simplify, so you have to try it to see how it goes, and with good nutrition and lifestyle, sometimes the basic estradiol and progesterone combination is enough. You can certainly consider our Herbal Equilibrium to complement your use of bHRT, and our nutritional support.
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Our Personal Program is a great place to start
The Personal Program promotes natural hormonal balance with nutritional supplements, our exclusive endocrine support formula, dietary and lifestyle guidance, and optional phone consultations with our Nurse–Educators. It is a convenient, at-home version of what we recommend to all our patients at the clinic.
If you have questions, don't hesitate to call us toll-free at 1-800-798-7902. We're here to listen and help.
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Related to this article:
References & further reading for FAQ’s about HRT
Original Publication Date: 03/02/2009
Last Modified: 08/17/2009
Principal Author: Marcy Holmes, NP, Certified Menopause Clinician