What forms of bioidentical hormone replacement therapy are available?
There are basically 4 forms: a) Capsules: it is the most convenient form of treatment for the patient; however, some hormones may be rendered useless by the action of gut and liver enzymes as they pass through and/or may become quickly protein bound and unable to be released at the target site. This form should be used for those hormones who will not suffer this effect. b) Transdermal creams: a great, non-invasive way to administer BHRT hormones into the body. Most are absorbed quickly onto the surface of red blood cells and liberated within one or two seconds where they attach to target cells (breast, uterus etc.) c) Troches and sub-lingual drops: these are slowly dissolved in the mouth and directly absorbed into the bloodstream, as there are many blood capillaries and veins close the surface of the mouth. d) Vaginal creams: convenient for women who dislike the taste of troches Surely, many of your questions have been answered. And surely, there are some that remain unanswered. So, be