Thanks for giving me some food for thought Wrensong.
I was splitting the gel dosage 2 lots in the am and 2, pm, but only in the last couple of days have decided to try 4 pumps in the morning, as I wondered if the sweats at night maybe messing with absorption. I will see how I fare and then ask for another blood test.
Interesting thought on maybe not requiring so much down to age, I always assumed we needed more estrogen if symptoms were not calming down. I also have Osteopenia to add to the mix, so I am going to have a chat with the meno specialist about it all.
My CRP levels were 8.9, which came up as out of range in the nhs app results, all in red lettering which looks alarming even if it isnt. I asked my GP and she said thats not high and not to worry, but ive heard its a good indicator of things are changing. I am relieved to be going to a different hospital and starting afresh with another Rheumatologist early June. Another doctor referred me inhouse from his department, Dermatology. I have issues with a rash and other autoimmune things so theres something happening for sure.
Hadnt thought about diet, will check this for low blood sugar
and also, will bear in mind the Estradot.
Re your sleep issue, I had mentioned it on another thread, but the renowned neuroscientist Andrew Huberman has a podcast and Youtube channel, theres an excellent episode on sleep and he recommends various things to assist with sleep problems. I learned the difference of various magnesiums for certain benefits, very interesting. I know how desperate sleep deprivation is, I also use the Calm app, it helps as well.