Hoorah! We're twins, Annie (minus the Tostran in my case at the mo)!😊
I shall be restarted one pump tonight. I've been too fed up and angry the last few days with the sodding GP business. MIL and I are going to go and register with her old practice (she wants to go back there, liked the lady doctors).
It's a good idea to start low with the gel, as I've found to my cost before. The beauty of it is that you can micro adjust if you want to. If you get fed up with applying it, you can always swap back to the equivalent patch dose as you'll know exactly what you need! Depending on absorption, I've found the following: 1 pump - 25mcg to 37.5 (over time of course), 2 pumps tends to sit at around 50mcg and so on in increments equal to 25mcg per pump. Thighs are better for stability - arms seem to absorb and 'dump' the dose too quickly and messes with blood tests if you ever want to get your levels checked.
Hope we can get along ok with this, dear heart! I'm wishing you luck and hope you start to feel the benefits soon! I have noticed after trawling the threads that Tibolone seems to 'poop out' over time for some women. For me, it never really 'pooped in', except to do strange stuff (it seems to effect the BSO ladies particularly badly)!
Btw, where is dear Edelweiss? I hope she's ok, bless her! 

 xxxxx