Treatment and Conversion Guidelines
Combinations of these hormones are also available, and in any desired ratios, strengths or dosage forms.
(Legend: SL-sublingual, SR-sustained release, PF-preservative free)
Men
- Androstenedione
SL Troches 10 - 100 mg - Arginine SR Caps
- Chrysin Cream (aromatase inhibitor) 25-50 mg
- DHEA
SR Caps 5 - 25 mg - DHEA SL Rapid Dissolve Tablets 5 - 25 mg
- DHEA Cream 0.125 - 12.5 mg / mL
- Testosterone
Cream 5 - 100 mg / mL - Testosterone PF H20 Gel 5 - 100 mg / mL
- Testosterone Implantable Pellets 50-100 mg
- Testosterone SL Troches 2 - 20 mg
- Testosterone Cypionate PF 100-200 mg / mL (Injectable)
- Testosterone Enanthate PF 100-200 mg / mL (Injectable)
Women
- BIEST (E3:E2) Cream 0.0625 - 1.25 mg / mL
- BIEST (E3:E2) SR Caps 0.3 - 2.5 mg
- DHEA Cream 0.125 - 12.5 mg / mL
- DHEA SR Caps 5 - 25 mg
- DHEA SL Tablets 5 - 25 mg
- Estradiol Cream 0.05 - 0.1 mg / mL
- Estradiol SR Caps 0.25 - 1 mg
- Estradiol SL Drops 0.1 mg / mL
- Estradiol Implantable Pellets 25 mg
- Estriol Cream 0.1 - 3 mg / mL
- Estriol SR Caps 1 -3 mg
- Estriol 1 / Testosterone 0.25 mg / gram Vaginal Cream
- Progesterone
Cream 10 - 50 mg / mL - Progesterone SR Caps 50 - 300 mg
- Progesterone Suppositories 25-100 mg
- Progesterone SL Troches 10 - 50 mg
- Testosterone Topical Cream 0.25 - 1 mg / mL
- Testosterone SR Caps 1 - 5 mg
- Testosterone 2% Ointment - prn for Libido
- Testosterone SL Troches 0.25 - 2 mg
- Testosterone Implantable Pellets 50 - 75 mg
- TRIEST (E3:E2:E1) Cream 0.0625 - 1.25 mg / mL
- TRIEST (E3:E2:E1) SR Caps 0.625 mg - 2.5 mg
Conversion Guidelines
It is highly recommended that a patient be slowly weaned off of any synthetic HRT, then tested for baseline levels before converting to Bio-Identical HRT. However, Franck’s Pharmacy realizes that this protocol is not always possible in various situations, and for this reason we would welcome you to call one of our knowledgeable pharmacists to discuss how you may wish to proceed with managing a conversion and new options for bio-identical therapy.
We suggest that men and women be placed on the lowest effective dose to manage symptoms and achieve balance, while monitoring with regular salivary or serum assays and consultations with the patient to determine resolve of symptoms.
| Synthetic Commercial Product | BHRT Conversion |
|---|---|
| Conjugated Equine Estrogen | Estradiol / BIEST Or TRIEST |
| Conjugated Equine Estrogen | Micronized Progesterone |
| Methyltestosterone | Micronized Testosterone |
| CEE W/ Medroxyprogesterone | Estradiol / BIEST Or TRIEST + Progesterone |
| Esterified Estrogen + Methyltestosterone | Estradiol / BIEST Or TRIEST + Methyltestosterone |


