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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