Note For First Time Users
of
Bioidentical Hormone Gels

Step 1:
Apply Triest Gel 0.25g (Pea size) once in the morning after Bath for a few days. If Energy levels do not go up noticeably, you can try increasing the quantity of application in the morning or try a second application in the afternoon. Do not apply in the evening or night or it may disturb your sleep pattern. Apply to a new location each day.

Step 2:
After about 3 to 5 days (or on the same day if required) of applying the Triest Gel, and determining the correct dose, you can start applying (but not before the 12th day of your 28 day cycle), the Progest Gel 0.25g (Pea size) at night one hour before bedtime. You should experience a deeper and more refreshing sleep when you get up next morning. If you continue to feel sleepy even during the day, then it means that you need to reduce the dose of Progest Gel you are applying. Normally the first application of the Triest Gel in the morning should make you wide awake, alert and energetic. If you feel sleepy the next day after applying the Progest Gel at night, you can also try increasing the amount of Triest Gel that you apply in the morning.

Do this for another 3 to 5 days till you have found the right combination of the Gel and their quantities and timings of application. Apply to a new location each day.

Note:
For Menstruation women the Progest Gel should only be applied from the 12th to the 27th day of a normal 28 day cycle, i.e. right before ovulation and till the onset of your periods.

Step 3:
Thereafter you can introduce the DHEA Gel 0.25g (Pea size) by applying it in the late afternoon or early evening. This should raise your Testosterone and other Hormone levels and consequently your libido. Your interest in sex should perk up. If you were applying Triest a second time in the afternoon, you can replace that application with the DHEA Gel and / or increase the amount of Triest Gel in the morning.

Step 4:
(Do this only if your Estradiol levels are really low)
You can try to replace the first or second application of the Triest Gel by the Biest Gel as it has a higher percentage (double) of Estradiol Hormone in it.

What if I am already on Hormone Replacement Therapy.
If you presently use oral drugs like Premarin, Provera, Prempro, Estrace, etc. or HRT Patches, then you can begin with the Steps given above for Bioidentical Hormones by reducing your drug dose by half or cutting your Patch into two and using only half the Patch at a time. In the 2nd and 3rd month you can very gradually start tapering off your dependence on drugs / Patches and see how you feel. If you experience a sense of well being, you can consider totally discontinuing the use of drugs / Patches sometime during the 3rd month.

How long does it take to show full effect?
Hormones are stored in the fat of the body. With continued use, hormone levels in the fat, reach an equilibrium, such that, at each successive dose of Bioidentical Hormones results in an increased blood level and stronger physiological effect. Thus it is normal that Bioidentical Hormones may require two to three months of use before the maximum benefits are experienced.

In any case, one of the best methods of judging if your Hormone levels are normalized or not, is to watch your emotions. If your mood swings, panic weeping, depression, anger / irritability, hot flashes and other symptoms of Hormone Imbalance are reduced or eliminated means that you are now at the right dose. So listen to your body.

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