I had a hysterectomy 7years ago and went on bioidentical hormones.  My doctor tried two cream formulations but my body would not absorb any of the hormones.  I now have a new doctor (moved) and she wants me to try another transdermal form; I realize this is the best way to avoid a pass through the liver, but I dont think I have any choice but to take a pill!  Would it help if I took HRT in pill form with food or with teaspoon of coconut oil, to avoid a first pass through the liver?
Hi, If they patch your new doctor has advised, is not effective You can try - - A combined oral HRT for 3 months.  A pellet therapy for hormone replacement.  - Phytoestrogens - the hormone in natural form. A regular consumption of Soy, wild Yam, Valerian root, Black Cohosh. Or Dong quit.  -Change in lifestyle with including Balanced diet, include the natural hormone providers in diet.  Regular exercises, a walk for45 minutes daily. Yoga & meditation for mental peace.  Thank you.