Dr. Jen Gunter

Oh, I think just people coming in and having an estrogen level done and it's lower than they'd expect.

And so they're told they should be on higher hormones.

And one thing that we're seeing now is people saying, well, you need to be on this higher level to protect your bones.

That's not true.

We actually have data from a 25 microgram patch, a half a milligram of oral estradiol, which is about the equivalent, are protecting against osteoporosis.

We have the studies, we don't need to do it.

So there is no estrogen level that people need to be on to protect their bones.

And, you know, this is one of those things, I guess it's really fortunate when you've been around forever, like I have, is that, you know, this is all based on some data from the 19, I believe the 1990s, where people thought that maybe your estradiol level needed to be 60 to protect your bones or maybe need to be 40 or this or that.

And now we have better data.

So we don't need to go back and quote those old studies.

Now we know whatever one you want to be on, you know, take it.

That's great.

That's your symptoms.

And people say, well, what if I'm a poor absorber with transdermal?

Well, we don't even have a definition for what that is.

So I don't really know what that means.

I would say that if you're on an appropriate dose for your symptoms and your symptoms that are reasonably expected to be treated by menopausal hormone therapy aren't better,

then why would you check your levels and push a mechanism of delivery that's not working well for you?

Why don't you just switch to oral?

Why don't you just switch?