It may be that you are not absorbing the oestrogen very well from whichever delivery method you are on. I did not absorb enough from 3 pumps of Oestrogel, achieving less than 100 pmol/l. I have switched to Sandrena to see if I do any better on that, but don't yet have results of latest bloods. I'm aiming for at least 200 pmol to help prevent osteoporosis.
JP x