Warwick, just another thing that might help dear heart! I've read research (which I'll post) that it is desirable to take thyroid meds and HRT at different times of the day if oral as they can affect the action of each other. I'm wondering if this might be an issue, and also that the flushes might also be somewhat thyroid related? I know you're balanced on your thyroid meds. as you told me before, so that's good but maybe this could be the missing part of the picture? If so, if you could just get your Tibolone dose to 7pm so that (as the research advised) you are taking the different preparations around 12 hours apart, this might make a big difference!
I'm thinking of changing my time too but want to hold fast just now until I'm completely sure there is no settling of the initial dose uptake. This is the problem for me at the moment (and also possibly you, too - as well as possibly the above). It might be easier for you too as cortisol levels are lowest in the evening and highest from 6 am to 9 am (this is what contributes to morning anxiety) so your dose will be well in your system by then. It has to be worth a try, right? I know it's going to be tough but if I change I'll just make the leap straight away and then I'm only making one change. It could take a while to settle again, but at least you'll only have to do it once and Annie and Suzanne have the best success taking their doses then.
Don't be put off just yet - we're here for you! xxxxx