The Importance of Hormone Absorption
July 27, 2020
When it comes to administering hormone replacement therapies, I always want to make sure that the hormone is both bio-identical and safe. But there’s a third important factor to consider: How well does it absorb into the body?
Creams and gels feature variable absorption rates, and patients experience a seesaw effect in hormone levels throughout the day, with levels in the normal therapeutic range only about 30 percent of the time. Sublinguals absorb better than creams but still have that same seesaw effect, and with patches, many women absorb most of the milligrams in the first 24 hours and don’t get enough on the remaining days.
Pellets, however, successfully meet all of my criteria. Both bio-identical and safe, pellets—inserted under the skin in subcutaneous fat—provide an even rate of absorption. What’s more, the hormone levels remain steady in that normal therapeutic range for 3 to 4 months until the next insertion.
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