Alloy Women's Health

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.

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Managing Hot Flashes & Sleep Issues at 47 You're likely in perimenopause, and there are several good options: Medical Treatments (Most Effective) Hormone Therapy (HRT/MHT) Vivelle-Dot or Climara (estrogen patches) – well-studied, highly effective Bijuva – combined estrogen/progesterone oral pill Talk to your OB/GYN or a menopause specialist (find one at menopause.org) Non-Hormonal Prescriptions Veozah (fezolinetant) – newer FDA-approved drug specifically for hot flashes Brisdelle (paroxetine) – low-dose antidepressant approved for hot flashes Telehealth Options Midi Health – specializes in perimenopause/menopause care Alloy Women's Health – online menopause prescriptions Evernow – similar menopause-focused platform Sleep Support Magnesium Glycinate (brands: Thorne or Pure Encapsulations) – helps sleep quality Oura Ring – tracks sleep to identify patterns Lifestyle Cognitive Behavioral Therapy for Insomnia (CBT-I) via app Sleepio Cooling mattress pads like Eight Sleep ⚕️ Please consult a doctor – especially to determine if HRT is appropriate for you personally.

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