Just a thought, since you’ve only started to get symptoms of low E recently and you no longer get suppressed on 1 cerazette and get low E symptoms on 2. Would 2 cerazette and then adding back in some E again be an option? I know you’ve tried this before, but things have shifted now for you with your hormone levels it seems, so might be worth a new try? I’m hesitant to suggest it, because you are feeling so poorly right now, but if you are considering trying things again, maybe this should be in the option list?
If you do go this route, I highly recommend trying lenzetto for E, because I find that is most stable delivery for me. Surprisingly enough (because up until I listened to the podcast from this week, I just thought it was just me and my skin) it was mentioned in the podcast that lenzetto has the E level curve with the least spikes and lows from all delivery routes. (I’m very sensitive to fluctuations myself and even with the gel I seem to get them a bit too much, so I might ask to go back on lenzetto + 1 pump of gel if I keep feeling these fluctuations. They might just be my own fluctuations, because I switched progestins).