Free ClinicalĀ Reference
Functional Hormone Interpretation for NPs: When the Labs Look Normal and She Still Feels Terrible
For the NP whose BHRT patient has adequate levels and is still symptomatic.
Hormone levels tell you what is present in the blood. They do not tell you how hormones are being used, converted, or cleared. A patient with optimal estradiol levels can still have estrogen dominance symptoms if progesterone is insufficient, SHBG is elevated, or clearance is impaired. This free one page reference covers functional hormone ranges versus conventional ranges, the most common BHRT non-response patterns and their upstream drivers, hormone metabolism and clearance including the estrobolome, and what to do when the labs look fine and she still feels terrible.
