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b'Michelle\\u2019s Questions:\\xa0I am 52 years old going through menopause since 48. I had a hysterectomy at age of 36 and kept my ovaries for the hormones. My ovaries are nonfunctional now. I was on Premarin, but when I sought out a specialist for hormone therapy, I was prescribed: Estradiol 0.5\\xa0Estriol one milligram, which is technically Bios.\\xa0It\\u2019s the combination of estriol and Estradiol. Estradiol was 0.5 milligrams, Estriol is one milligram. And I am also taking a hundred milligrams of Progesterone. \\nI take this at night. I\\u2019ve had a weight gain of 40 lbs and suffer from anxiety at night since starting menopause. I was prescribed Propranolol, which is technically a blood pressure medication, but it does help with reducing anxiety. But she has prescribed the propranolol for this and it seems to take the edge off. I have poor sleep as well, where I used to sleep very well. \\nWhat am I missing? Am I on the right track? I feel deconditioned fatigue and brain fog to mention a few. I feel poorly when I used to be a happy, healthy person. Please help with recommendations. Would testosterone help? My levels were not terrible enough to prescribe.\\nAnswer:\\xa0\\nIn this episode, we discuss a question we received from Michelle that was started on Premarin but then transitioned to 1.5 mg of Biest cream. Of course, we are not fans of Premarin and would never prescribe this for our patients. However, we do prescribe Biest all of the time. There is very little similarity between Premarin and Biest. When transitioning from a tablet form of estrogen like Premarin to a transdermal cream, the dosing of the Biest needs to be definitely increased. For most women, our starting Biest dose is typically 3 mg to 5 mg.\\nFull Transcript PYHP 073\\xa0\\nDownload Transcription PYHP 073\\xa0\\nDr. Maki: Hello everyone. Thank you for joining us for another episode of the progression health podcast. I\\u2019m Dr. Maki.\\nDr. Davidson: And I\\u2019m Dr. Davidson.\\nDr. Maki: So just as a warning before we get jumping into the episode, we are in our home office recording this. Our dog is with us as well. He\\u2019s always with us. We can\\u2019t really go anywhere without him, but he\\u2019s laying on the floor with a bone. So, if you hear any strange noises or any banging around, he\\u2019s just either repositioning or trying to find another bone. We can\\u2019t really go anywhere without him. And he\\u2019s happy as long as we\\u2019re close by.\\nDr. Davidson: In some ways. He\\u2019s kind of our first dog, \\u2019cause our other one was a poodle, which they always say once you have a poodle, all the other ones are just dogs. So, he was completely different from this one. He follows us everywhere so if you hear him chewing, he\\u2019s chewing on a bone. Thank goodness he doesn\\u2019t chew on other things. It\\u2019s just his bones.\\nDr. Maki: No shoes, no clothes, no furniture. Just bones. So, we\\u2019re good, we\\u2019re lucky about that. All right, so, now this episode and the next few, we know enough to'