Tests for hormone levels are very inaccurate and therefore not helpful. The hormone levels vary greatly not just day to day but even throughout the day.
HRT is best adjusted based on symptoms. We will be checking in with you periodically to see how your symptoms are responding and recommend dose adjustments based on that.
The body is more sensitive than any laboratory test. The actual lab value isn't really important, what is important is how the body is responding. We are not interested in making the labs look good, we are interested in relieving symptoms. Every one is different in what level of hormones they tolerate without symptoms. The body tells us there is a problem by creating symptoms, that is what we are trying to fix.
Your Winona physician determines the proper treatment and dosage after you complete the medical intake process.