Verbatim response from Claude
BHRT vs Traditional HRT: What to Ask For
Quick Distinction
- Traditional HRT: FDA-approved, standardized doses, extensively studied (e.g., Premarin, Estrace, Prometrium)
- BHRT (Bioidentical): Hormones chemically identical to human hormones — some are FDA-approved, some are custom compounded
The Honest Truth
Many FDA-approved HRTs ARE bioidentical, so the distinction is often marketing-driven.
Recommended Brands/Options
FDA-Approved Bioidentical Options (best of both worlds):
- Estrace (estradiol pills)
- Vivelle-Dot (estradiol patch) — widely recommended
- Prometrium (natural progesterone)
- Bijuva (combo pill)
Where to get them: Your OB/GYN or primary care doctor
Custom Compounded BHRT
- Available through compounding pharmacies like Belmar Pharmacy or Women's International Pharmacy
- Requires a prescribing doctor, often through practices like Midi Health (telehealth, women-focused) or Alloy Women's Health
My Recommendation
Start with FDA-approved bioidentical options — better safety data, insurance coverage, and consistent dosing. Ask your doctor specifically for "bioidentical, FDA-approved estradiol and progesterone."
Midi Health is particularly good for having this conversation if your current doctor dismisses your concerns.