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<h1>Hormone Levels</h1>
<p>On Fedi I talk quite a bit about struggling to dial in my hormone
levels. Part of that involves getting tested and such. So this page is
going to be where I catalog everything so its easier for me to share more
clearly whats going on.</p>
<h2>The Problem</h2>
<p>I switched to injections from pills to injections in April of 2023.
After a few weeks of injections I start to notice that over the weekend I
am just wrecked. My emotions are all off, I feel like I did pre-HRT and I
start getting depressed. This has been happening every weekend since
starting injections.</p>
<h2>My dosages</h2>
<p>I currently (as of August 04, 2023) on 0.15mL of 20mg/mL Estradiol
Valerate injecting weekly on Monday mornings.</p>
<p>My original dosage was 0.1mL of 40mg/mL of EV.</p>
<h2>The trials</h2>
<p>So my doctor tested my levels on a Thursday a week after my initial
message (due to my own error missing a call to get the next day locked
in). Since I wouldn’t be testing for a week she asked me to do 0.15mL of
the 40mg. I tested. And then tested again 1 week later. Both results were
in the mid 900s pg/mL which is insanely high. I was averaging in the high
200-300 range on pills.</p>
<p>So she had me immediately return to 0.1mL and then actually dropped me
to 0.75mL of the 40mg and prescribed 20mg EV so I could take 0.15mL of
that instead.</p>
<p>Thus began a 6 week waiting period while I adjusted to the lesser
dosage. And the feelings only got worse.</p>
<h2>Where I am now</h2>
<p>I got my bloodwork done on the afternoon of Friday August 4th to
conclude the 6 week trial and am awaiting results.</p>
<p><strong>Update</strong>: The results came back as 253pg/mL. Awaiting
call from provider.</p>
<p><strong>Update</strong>: On August 9th I followed up with my doctor
about the levels and she recommended moving to a .1mL of the 20mg EV
(down from .15mL of the 20mg EV) and inject every 5 days.</p>
<p>So I am going to follow-up again in 3 weeks and report how I feel.</p>
<h2>What Fedi has helped with</h2>
<p>Some possible things to note are:</p>
<ol>
<li>What day are you testing? Ideally I should’ve been testing the day
before or morning of.</li>
<li>I am doing weekly dosages. Some girls do every 5 days.</li>
<li>I am generally stressed and anxious. But I can feel the hormonal
difference on the weekends. Especially on Sat/Sun.</li>
<li>I could switch to Friday injections since rarely do you test the
day after. So that would allow for any day at the latter half of my
injection cycle.</li>
</ol>
<p>But I suspect there is the possibility I am feeling the dip and not
the actual level itself. So I feel amazing on the peak but the end of the
cycle ramp down is so sever I just get depressed from it. In which case
increasing frequency or other medical intervention (maybe
anti-depressants) could combat this.</p>
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