Hi. I feel I can only really give from my own experience and, although everyone may not agree, I feel that because we are postmenopausal and therefore far less likely to fluctuate, bloods are the fastest route to at least getting the dose nearer to right. Then, if absorption proves to be an issue even at what is thought to be the right dosage, the delivery method can be considered. After nearly a year of "trial and error", bloods being taken regularly has resolved more in the last three months than all the previous nine. So, I hear you about things sounding "problematic", but I personally feel that dithering about is not only time-consuming, but psychologically harder. I can't recommend dosage or delivery method. We are all so unique, but having an idea of levels has surely to be a strong indicator, especially postmenopausally, of where to start? Also, you will most likely not be offered testosterone which many of us need until at least three months. Hope this helps you a little! 😊