HRT

[agent_dani]

Pulling together a history of HRT in preparation for switching doctors. Posting it here should it be useful to anyone else.

Note: with the exception of the October 21, 2011, lab, all labs were one week before the appointment where the dose change listed in the next column was made. October 21 was the appointment following the October 12 labs and my endo didn't trust the result of that lab (she has since declared that both the October 12 and October 21 E labs had to be defective in light of the Feburary 2012 result.)

Total

Date	Lab result(s)	Dose change	Total dose
October 2009	unknown*	+0.05 mg/day Vivelle-Dot	0.05mg/day Vivelle-Dot (Initial HRT dose)
Jan/Feb 2010	unknown*	+0.025 mg/day Vivelle-Dot	0.075mg/day Vivelle-Dot
July 2010	unknown*	+0.025 mg/day Vivelle-Dot +200mg/day Spironolactone	0.10mg/day Vivelle-Dot 200mg/day Spironolactone
October 2010	unknown*	+0.025 mg/day Vivelle-Dot	0.125mg/day Vivelle-Dot 200mg/day Spironolactone
March 2011	E 65pg/mL T 12ng/dL	+0.075 mg/day Vivelle-Dot	0.20mg/day Vivelle-Dot 200mg/day Spironolactone
July 2011	E 109pg/mL	+2mg/day oral Estradiol	0.20mg/day Vivelle-Dot 2mg/day oral Estradiol 200mg/day Spironolactone
October 12 2011	E 76pg/mL T 37ng/dL	n/a	0.20mg/day Vivelle-Dot 2mg/day oral Estradiol 200mg/day Spironolactone
October 21 2011	E 186pg/mL	n/a	0.20mg/day Vivelle-Dot 2mg/day oral Estradiol 200mg/day Spironolactone
February 2012	E 357pg/mL T 37ng/dL	-0.20 mg/day Vivelle-Dot	2mg/day oral Estradiol 200mg/day Spironolactone
March 2012	E 49pg/mL	+1mg oral Estradiol	3mg/day oral Estradiol 200mg/day Spironolactone
April 2012	E 55pg/mL	+1mg oral Estradiol	4mg/day oral Estradiol 200mg/day Spironolactone

* T and E were tested, but the doctor did not share those results with me. My information about my actual levels begins with my final appointment with my first endocrinologist.