BHRT vs Traditional HRT: A Quick Guide Understanding the Difference Traditional HRT uses synthetic hormones (like Premarin, Provera) that are standardized and FDA-approved. BHRT (Bio-identical HRT) uses hormones chemically identical to what your body produces - available in both FDA-approved and custom-compounded forms. My Recommendation: Start with FDA-Approved BHRT These give you the "bio-identical" benefit with proven safety data: Estradiol patches: Vivelle-Dot, Climara, Minivera Estradiol gel: Divigel, Estrogel Progesterone: Prometrium (body-identical, oral) Testosterone: Bijuva (combined option) Where to Go Menopause Society-certified physicians (find one at menopause.org) Midi Health (telehealth, very hormone-literate providers) Gennev (telehealth, menopause specialists) Winona (telehealth, focuses on bio-identical options) Be Cautious About Custom-compounded BHRT from compounding pharmacies - less regulated, inconsistent dosing, though sometimes appropriate for specific needs. Bottom line: Ask specifically for FDA-approved bio-identical hormones and seek a menopause specialist, not just a general practitioner. The difference in expertise is significant.
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