HRT and Weight Gain | Ask Dr. Susan - LIVE
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- Опубліковано 15 жов 2024
- Some HRT patients notice weight gain after they start their treatment, but is it due to the hormones or something else? Today I’m sitting down with Amy to answer one of the most common questions that I get asked about HRT. Watch to learn more.
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I'm so grateful to find this video! I was told that there was no weight gain associated with progesterone and estradiol patches. Since I started in June, my face always looks bloated, and I've put on weight. :(
This has been a very interesting and helpful video for me. I started hrt in september 2022, and within 2 weeks i saw and felt that i was fatter than before, a good dress size. The gp had just given me a standard dose, she hadnt listened to my symptoms because she kept asking if my hot flushes had improved, but i had never had hot flushes, and i had told her that. Everyone and my research, said it was because i wasnt doing anything, no exercise, eating worse - but i hadnt changed my lifestyle at all except for taking hrt. I have been put on estrogen gel 2 pumps at night, and i have a merena coil for the progesterone. If i've understood this right, i think i'll trial less estrogen. This is the first video i've seen where someone has acknowledged that we might put weight on due to hrt, instead of just blaming us. Thank you.
Thank you! I have gained over 20 pounds in just a few months and I live a healthy lifestyle since starting HRT
I had lost 63 lbs i strted the hrt both estro and prog and gained almost 16lbs in 2 months. I went from having no appetite and losing weight to hungry all rhe time and bloated. Im quitting it its winter here in canada so it helps alone w hot flashes. I strted to sew if helped my leg pain constant joint pain to i cant move it pains so much but it hasby helped. Im pissed off was hoping for the miracle lol it did help e alot of the craziness and sleep etc. But i cant afford the weight gain and water retention.
Thank you for acknowledging the weight gain! I keep hearing that hrt isn't the cause! No other explanation if it happens right after starting treatment.
These comments are scaring me. I'm waiting for my hormone cream to be delivered, but now I'm not sure i want to use it
I've lost 16 lbs recently and I sure don't want to gain it back.
I'm JUST putting it together that my bio identical oral progesterone had caused weight gain. I've been on it since Fall 2022 and cycle off every month. I've been off for almost a week now as it's the regular schedule to do so...but I'm thinking of not starting again and see what happens. Haven't weighed myself in months but I'm pretty sure I am up 30lbs. Usually sit around 130s without trying. Now up in the 160s but I need to weigh myself. I can't believe it took me this long to realize the weight is from this. I'm taking 200mg of oral progesterone. I'm hoping I can shed this and then maybe start a lower dose of a topical cream. Hope this helps you. Start low and slow for sure but pay attention maybe weigh yourself before you start record all symptoms etc and then keep track once you begin it.
This helped me tremendously! This was my story. I swole terribly and I was hungry all day and night. So I gained from overeating.
On HRT for 2 months now: I gained 4 lbs and my weight was stable for the past 30 years, I also exercise almost every day. Estrogen triggered the uncontrollable cravings I had when I was in my 20s and 30s. I am now hungry late at night, which hasn’t happened in decades. I am on a low dose - 0.0375 patch. I also did not have any bothersome menopausal symptoms, I just got on HRT after reading about the long term benefits for preventing disease. I am starting to think it’s not for me.
I'm contemplating HRT and your comment is concerning as you mention exercising consistently. Is it strenuous weight lifting?
@@ComplexityUnveiled I am an athlete. My body fat has been 12-15% for years. 6 weeks HRT and I am up 5 lbs and keep gaining despite eating extremely clean, all measurred and portioned, and exercizing 2 hours a day. HRT makes you retain water and makes the scale go way up.
@@sunnievictoria9917 Oh, that doesn't sound very good. Thank you for sharing.
Thank you! Ive lifted decades and since trying to stick it out with hrt, the bloat and weight gain is unaccecptable. I have zero energy or motivation, im depressed and all i want is to lay around and eat. Ive been very active. I HATE HRT. It has done me no favors, in fact its harmed me. I didnt even get into the bleeding, and now spotting. @@sunnievictoria9917
Same. So miserable on HRT’s. I’m 60. I’ve changed doses and brands so many times, with no improvement. Just wanted to protect bones.
I just talked to my new provider about my weight gain, and she said. Well, it sounds like you were better off without HRT. Maybe you shouldn't be taking hormones if you felt better before taking them. I went from 115 lbs to 153 in a year and a half ! My sleeping is still 4 hours or less. I'm lethargic in the mornings and have a difficult time with a fogy brain. Then I hit a wall about 10 am and feel like I need a nap but can't take one. I had a complete hysterectomy at age 27, I haven't used HRT for decadeuntilll nearly 2 years ago. I just moved out of State and had to find a new provider.
Did you loose the weight after going off of hrt and how long did it take to get the weight off?
Did the caller ever update on what happened? I also am struggling with weight gain from being on progesterone and testosterone
I went into early menopause back in my 30’s. I am 50 now and didn’t have any symptoms of menopause. I didn’t start hormones until 2 years ago to prevent bone loss. But I also gained close to 20 pounds. I am the heaviest I have been since I had my youngest child. Mood swings and intermittent spotting is the worst. It’s miserable to be in this situation. I think I was better off the HRT.
I realize this is from a year ago but did you ever do a Q and A on different delivery methods and weight gain? Been on creams for 15 years… switched to the Doti patch and gained 4 lbs.
This was extremely helpful. What is the amount needed to protect the heart.
Thank you for your video. It is very interesting.
I have a question I started on estradiol 50 after 3mths it was increased to 75 and after a couple of 2weeks, My stomach was bloated l look 3-4 months pregnant because of bloating. Please advise!
Wish you had a response to this as this is my issue!
This is exactly what I needed! I recently had the pellet inserted, and in 4 weeks gained 10lbs! I thought since I feel so much better I would just have to suck it up! Now I know to tell them to reduce the estrogen, should I have the testosterone reduced as well?
I feel you sister I gained 25 Ibs🙄😕
@@sagebellic5466 too. I’ve gained 25 lbs which is crazy for me. I’m curious though, I am taking estrogen and progesterone separately in pill form. I had no idea you could take testosterone with it (which sounds like it would help muscles). I’m curious if you’ve come across a solution for the unusual weight gain yet. Thank you 🩷😂
Ive been on HRT for now almost a year i can honestly say i almost gave up on HRT. I felt so much better and slept well but when it came to taking progesterone i felt like a much younger woman and got terrible cravings. To give some perspective i train in the gym 5 x a week lifting weights and did have a healthy BMI, although on the higher side because of my muscle mass. I'm so glad i persisted! I'm loosing the weight now. The cravings are under control. Perhaps my progesterone was to high but i left it as it was. I'm really just sharing this in hope that someone who sees this might just hang in there. I had put on 20 pounds but I've lost 8 so far......it gets better.
Hi, I just started 3 days ago with E, P and T. I have noticed an immediate weight gain. My stomach is extremely bloated. I decided go had creams so I could stop them immediately if anything was going wrong. Right now I’m on a really low dose to ease myself into it. I feel much much better but now how do I stop this bloat? Thanks!
did it go away?
I gained too. It does even out. I am on my fourth treatment in November. They determined I had too much estrogen. They kept me on the same testosterone. I am a little irritable and have headaches. I want to share this video with my provider/nurse pracitioner. Thoughts?
Glad to hear the weight evened out! And yes please share with anyone you think can benefit 💞 Thanks for watching!
@@drsusanI just had them increase my estrogen because I was having a hard time with insomnia but I have at least 3 pound of water retention. Will this level out?
I have been on hrt for 4 years. My level of testosterone is just under 200 now and when I started it was 20. I feel amazing and have since starting. I’m plant based vegan and eat no sweets for 2.5 years. When starting my vegan lifestyle I lost 18 lbs. slowly I have almost gained it all back. Without really changing anything. I feel like hrt has cause me to develop pcos as well. Could this be true? I can not loose a lb no matter what I do. So frustrating but yet I feel amazing and the past years on hrt my marriage and sex life is amazing. I don’t wanna change that either. Idk what to do
I was taking bio-t pellets for 4 years..I stopped bio-t because I put on 12 pounds! It was definitely the pellets! I am also vegan (and postmenopause, and hypothyroid). I stopped all the hormones and really focused on eating..lots of variety, high protein..and lots of physical activity. I am back to feeling better in ALL areas..The fact that you are vegan, you shouldn't be gaining weight.. watch Dr.Bernard's youtube video on food and hormones.. I'd go find a pcp who also is a vegan..have them run blood panels and have a good talk about results and create a plan from there. all the best
200 test level will cause PCOS and virilization symptoms. That ia transistion territory levels. Back off the test.
@@redonionsyummy so no hrt?! Im also hypo and i feel the estradiol is blocking my thyroid hormones from working, and causing immense weight gain. Ive worked out decades and icant move off the sofa on iud and estradiol. Im also severely depressed.
If you have a hypothyroid, it will be very hard to lose weight and you will have weight gain. You need to get the thyroid under control and they have medicine for that.
great content! I have the same problem with the weight gain !! what is the lowest dose of estridial and progesterone ? what's the ratio?
I did a video recently where I talk about optimal hormone levels: ua-cam.com/video/VL6-hAGxPhk/v-deo.html
I gain weight rapidly within days of oestrogen like massive swelling all over body due to histamine issues. I need very high dose of progesterone to inhibit the histamine
@7 minutes..Lower dose, because the "stacking effect" over time. Exactly what happened to me. My T levels over the last few years were way too high..360 at 6wks bloodwork following my last pellets this past March 2024 decided to take a break. Dropped 8 pounds at month 5 effortlessly. Will see how I feel in 6 months. 👌
I just had 1 testosterone pellet and have not slept in two days since.
Thank you for all your amazing help. Do you recommend compounded HRT versus pharmaceutical bio- identical to prevent the major three diseases? I appreciate so much your answer.
I take estradiol/testosterone cream one click 3x a week, and 100mg Prometrium 6 days a week. I never had weight issues until I went on this. No weight gain during perimenopause. Not until postmenopause. I’ve gain 25 pounds and eating healthier now than I did in my 50’s. I exercise too. I’m thinking about going off because my dr can’t seem to get it right.
I’ve felt better mentally on estrogen patch but the weight gain and my huge stomach is awful. I am already considered obese so had no room to gain more. I’m so sad that I’m going to have to stop taking it. I have no choice. Maybe once I lose the weight I will get back on it but I need to lose 80 pounds. Yikes.
Are you taking progesterone too?
@@realalifarhatnope.
@@realalifarhatcan P reduce the bloat? Or cause it?
@@Aki-wq6xh cause
Me too.The hunger is so overwhelming! I dont know how to fight it. had no hunger before hrt
I had a hysterectomy in 2013 but for years I continued with hot flashes but was never given hrt. Ten years on last week I saw my g p . I had lost weight due to diet and felt better but I had depression brain fog etc. was given oestrogel two pumps and I weighed myself today and I’ve put sendin pounds on overnight. I’m gutted I’m feeling so much better mentally but now I’ve gained weight should I go down to one pump daily or will my weight continue to rise I’m so disappointed
I just started using the estrogen patch 8 days ago. I have no uterus. On 0.25 strength. I have worked out 5 days a week since my twenties. I am 51. Never had weight issue. Noticed weight jumped 5 lbs, and i feel hungry all day and night. I never feel like that. Is this normal, will this pass.
How are you doing? I have temporary weight gain too? Hoping it will pass!
@@stephaniesteed7653 I feel better mood wise, and hot flashes gone. My appetite is normal now. My weight is definitely up by about 8 lbs. I have read that this could just be part of menopause, and not from hormones. I just continue to watch my diet and exercise . I definitely do feel better, so I will stay on patch. Hope things go well for you too! 😊
@@jh9912 the scales lie. I weighed myself today and the three pound I thought I gained I lost today. It must have been water retention from my pellet insertion. Weird thing is I still feel bloated though I weigh less. On my positive note my skin looks amazing. Estrogen matters.
@@jh9912 46, 130 lbs my whole life. Got a hysterectomy, kept my eggs was put on estrogen patch because my symptoms are terrible at .037 immediately gained 10 lbs within 2 weeks. Still had symptoms upped it to .05 symptoms somewhat better but at .075 they're gone. Weight never ever came off. For a fitness person this is weird so to prove everyone wrong I went on an extreme keto diet.. 9 days only lost 1/2 lb it's 100% hormonal I even fasted for up to 2 days with no weight loss. Don't let anyone gaslight you medicine is basically a guessing game with little science.
I had poor apetite before hrt. As soon as i put the estrogen Doti patch on my stomach started girgling so much and Im hungry all the time. Somebody told me its the progesterone pill, but i know exactly the moment the hunger switched.
I just started trt 6 weeks ago , 1.5ml injection a week. I am not losing a thing . I’ve gained 5 lbs . I went down on my estradiol patch lowest patch. 100 mg progesterone daily . My total t level at 6 weeks was 299 . Free t is 6 . Why am I not losing weight?
my Tot T is 223ish, i thought this was high, i get injs every 2wks, was takn 2mg of est pill, prog 75. idk i gained more belly fat, idk if its cuz i take 2mg now of est or T is too high. doc said levels r fine. do u have vaginal enlargement from T? also my doc doest want me takn prog, he said it cuz cancer...so confusinh
@deborahc7113
Watch ALL Dr Susan's video information is Key 😮
Wow your testosterone dosing is huge 1.5
Dr Susan has video on correct dosing
Does the estrogen need to be lowered OR the testosterone needs to be higher in order to balance it?
Really frustating Im on ovestin (pellets 1 a week) and gaining weight at a frantic pace.
I feel amazing! can not cope with out it. But after finally stopping yoyo weight issues with keto and IF (fasting) since hrt I am doing everything perfectly, am in ketosis , feel amazing but am gaining. I would like to hope that it will settle down and stop or at minimum loose it all when I stop hrt. Always something holding me back from getting my weight under control. Drives me nuts.
Thank you for this info. The staking effect sounds about right.
I might cut my pellet in half and see how that goes for a few weeks and if better will talk to my gyno about lowering it 🙂
THANK YOU
Most women don't have enough estrogen in menopause. Compounded doesn't work. Estradiol is what your body makes when it has estrogen. And it was my thoughts and research, that not enough of this, is what causes weight gain. Especially when our Estradiol is basically at 0 in menopause
YES it does. Compounded worked for me and many others.
@@sunnievictoria9917 There are numerous observational and uncontrolled studies evaluating the effect of compounded bioidentical menopausal hormone therapy, with overall poor study quality and minimal symptom relief.
I gained 10lbs after being put on estradiol and progesterone and even after stopping I cannot lose the weight now so frustrated.
Me to I was fit happy with my weight I went on the estrogen and testosterone shots low dose. 5 weeks later and iv gained 7-8 pounds I’m so pissed. I’m off the shots now and hoping I lose. My doctor had no answers 😡
Hi, im the same so pissed that I’ve suddenly bloated up and weight gain after 6 weeks on HRT. I feel revolting! Did you continue or get off it? And did the weight drop off?
I just wanted to post an update here I’ve been on HRT now 4 months and I feel amazing! My body is slim not much bloating the only thing I notice is I get moody and down on the progesterone cycle at times - don’t give up!
@@lanac1636. So you initially put on weight? How much? You’ve lost it now after 4 months?
@@lanac1636 progesterone cycle? Please elaborate. Are you menopausal or are you still having a period? Are you cycling the prog? If youre cycling the e and p, thats diff that nonstop exposure to both. I believe this is the answer to the weight gain issue with hrt. Normally we are not exposed to both e and p at steady doses. They should make a menopause pill that bio identical but cycles the two, id rather have a period than this tiny spotting constantly. And get a break. I truly dont think hrt is healthy or good for me and maybe no one. Ive had NOTHING but problems woth it.
@@JubeeBijou it was mostly bloating - having said that im struggling with the progesterone part of my cycle I get very depressed on it. Cyclical im peri menopause still get period
What would cause new onset glucose intolerance when starting BHRT: 2.5 bi-est (every day) and 200 prometrium (12 days per month)? I wear a continuous glucose monitor (Libre) and ever since starting BHRT, 2 months now, my fasting will not come down. My A1C went from 5.5 to 5.9. Too much estrogen or too much progesterone? Is bi-est not strong enough to counter progesterone? Could either or both increase cortisol?
so how to lover her dosage ? remove the pallet? how? please explain when pallets need to be removed.. thank you 😊
It will be lowered on the next insertion
My insurance will most likely not pay for the pellets would you recommend a patch?
Is the weight gain from muscle building naturally ?
i gained weight on oral estradiol n testosterine injections, now i went back to compound cream estradoil/testosterone. can it be the deliver system?
Hi there! I'd love to chat more via my UA-cam series, "Ask Dr. Susan." Please submit your question for a chance to be featured: www.drsusan.com/ask
I am currently on transdermal oestrogen with micronised progesterone tablets. I have also tried combination oral tablets. I have put on weight with both. I am 1.5 x dress size as a result. When I went throug
When I went through puberty I also stacked on weight - about 3 stone. I must be very sensitive to hormones. I am also taking testosterone. Is it the oestrogen or the progesterone that causes weight gain?
all three cause weight gain @@diane9418
Do you prefer one technique better than others? I always used cream now trying trockie
I'm going from pellet to troche due to traveling and medication availability. Troches are a pain vs the pellets; time constraints add 45 minutes to the start of my day. Waiting for it to dissolve and then waiting a other 20-30 minutes before eating anything. Just a pain in comparison.
Finally, thank you!!
We dont have pellets or tailor made bhrt in my country. How to reduce estradiol dosage with patches ??
I gain 25 pounds supper frustrated 😩 .
Same! This is really frustrating I must ask did your weight even out?
Super frustrating! Especially seeing everything I read says HRT doesn’t cause weight gain.
I started 3 weeks ago, compound E,P, and T. I can fast for 16 hours because I have no appetite. I read that you can gain weight so I eat less and work out more with weights.
It sucks same for me, and the readings say it won’t cause weight gain, not so for me. Maybe it has to do with blood type, or body shape. I’m an hour glass😊
@@sc6045Same here I have put on about 2 stone since I went on hrt 8 years ago, no diet works or fasting doesn't either.
Do I need testosterone added to my hrt of estradiol and progesterone?
I myself gained weight . I just stopped taking the testatone. .
May I ask what pellets are? Do you mean the utrogestan? Or do you mean patches?
They inject pellets into your backside
My progesterone is 32.3, my estradiol is 78.6 and my testosterone is 22. I feel great, but I have the problem that I have gained 10 pounds especially in my belly, that I have never had before. I just switched the estradiol pills to patches 0.05. I have heard that the fat belly means that my estradiol is low, so I am not sure what to do. I have heard that my P is high compared with my E, even though I am sleeping so well. I have tried to increase my testosterone but when I do that, I noticed I lose more hair.
i only feel a little better,BUT AFTER 3 MOS IVE GAINED WEIGHT AND I WORKOUT MY STIOMACH HAS become so big that I'm GOING OFF THESE PILLS ! AND WILL NOT BUY EVER AGAIN ..I WAS SUPPOSED TO LOSE WEIGHT IVE WAITED IT OUT 3MOS LIKETHEY SAID ,,,,,IM NOT SEEING THE BENEFITS ONLY GETTING UP IN THE MORNING WITH NO ACHE OTHER THAN THAT IM STILL TIRED WITH NO ENERGY SO IVE WAISTED 3MOS OF MONEY IM STARTING TO THINK THIS IS A PIOZYSCAM,,,,I WENT THE DRS AND THEY TOLD ME I WILL NOT LOSE ON BIOIDENTICAL HOJRMONES PERIOD! WHEN I GO TO THE HORMONE DR THEY SAY I WILL ITS 3MOS IM DONE HOW CAN THIS BE AS MUCH AS I WORKOUT BUT MORE TIRED FROM THIS BULLSHIT,,,,IF I AM BEING LIED TO,,,THEN IM GLAD I FOUND HOW BOUT IF I GOT A BLOOD CLOT AND DIED!!!!!!!!!!!AT65,,IM SO THIS DIDNT WORK AT ALL HOPE THIS WEIGHT COMES OFF THIS WAS A RIP OFF AND ILL BE CALLING FOREVER YOUNG MONDAY MORNING! FONE
Agree! Agree! Agree! Bene looking for someone else who felt this way. Its been an absolute fn nightmare. Ive gained like 63 pounds! Im hypothyrod and have addisons, the sex hormones have thrown my body way out of whack. I have zero energy to even gotothe gym and when i o i feel like im going to oass out from the iud. I HATE hormones
Libido is at zero, what can I do? Taking estradiol and Progesteron pill.
How's ur testosterone? That's what helped my libido
Testosterone cream might work but it takes a while...don't do pellets, listen to Kelly Casperson "you are not broken podcast" great info about Testosterone. Good luck!
Try dhea sublingual . I use biosome by metagenics, this is what my naturopath put me on. 10 mg 2 squirts in morning under tongue. I got on it to help with the weight I gained on hrt and it gave me my libido back which shocked me. I’m 59 and I mean absolutely no libido for 10 yrs. I also started cycling my progesterone to see if that will help with weight. Starting testosterone this week. I will take hot flashes over weight gain any day. I do all the things with diet, weight lifting, fasting, walking 10k etc. gone up a whole size and it’s really depressing me. 😢
This video helped alot! Thank you 😀
I'm so glad! You're welcome!
Do you have a discussion of stage 4 endometriosis leading to total complete hysterectomy at 50 and HOW soon after can you start on HRT? 🤔 🤔 🤔 🤔 🤔 🤔 Because, guess what endometriosis can come back! 😮😮😮😮 And then LOSE 20kgs! Can BHRT help?
Oest feeds Endo...maybe ask about progesterone only
Bhrt is absolutely responsible for weight gain. Just horrible!
Yes! Please lets get ghe Truth out there. This is my personal experience not some hrt scammer trying to get our money with their online lie articles
Did she ever call back tho
I gained weight starting testosterone, but all of my clothes fit the same. So I know its not fat. Im going to tell them to go lower.
Could it be that estrogen effects the thyroid. When I fast and eat low fat and cut out alcohol my symptoms of weight gain got better before I took HRT. I have put on weight with HRT but I think its because I stopped what I did before. The progesterone has been amazing but the estrogen alone was making my skin and hair dry and possibly might have contributed to weight gain. I only use a small dose of estrogen and progesterone as i just coming out of perimenpause having two periods in a year. Since taking the hrt for 5 months I have had no period which has been great for my bipolar because I had horrible PMS with memory loss and depression
What if you gained weight on the testosterone cream ?
water weight or muscle.
@@sunnievictoria9917 fat
Is it the estrogen or the progesterone that causes extreme bloating. It is so severe my kidneys hurt and can barely sit down with huge belly. I have changed dose and types so many times. .5 weekly patch and 100 micronized bio progesterone.Miserable and can’t stand it anymore.
Progesterone will bloat you. I don’t know about estrogen
No
Isn’t it the progesterone or testosterone that causes weight gain? Never the estradiol ?
Good question. I started first with Estradiol cream (vaginal) and didn’t have to use progesterone. I immediately started gaining weight and even though they claim such delivery system doesn’t cause systemic effects, my boobs got bigger, so it actually does. I believe it’s the estrogen.
No. Estrogen IS the fat hormone, it grows things including fat.
It is. definitely the E@@ivalani
@@sunnievictoria9917 Certainly not in my experience. I packed on weight with progesterone.
Its ALL of them.
I don’t know what they mean about pellets !
Pellets of exactly what ?
Be specific !
These are compounded (mixed) estradiol and testosterone plus progesterone if needed). They are custom made and inserted surgically in the buttocks for slow release over 3-4 (or so) months. They are not FDA approved and if you got the wrong dose, you’re stuck until they wear off.
Pellets, size of rice, put under the skin at your back at upper waist area, they r estrogen and testosterone and you take a progesterone capsule once a day. I stopped the pellets because I was paying about $725Can for 3-4 mths.
hi Medam
I am hasan i ask you information weight gain men.?
Nutrition and exercise are also factors...
❤
Right. But I weigh everything I eat, exercize 2 hours a day and have 15% body fat and I gained 5 lbs in 6 weeks. THE ONLY thing that has changed is the addition of HRT.
They dont matter, when you have added estrogen prigesterone and testosterone on board, its like fighting a losing battle. No amount of dieting or exercise is gonna drop the weight, maybe thats why the diabetes drugs are so popular now? My pellet doc tried to give me metformin, which caused me disgusting diarehea.
Carnivore
i gained weight on oral estradiol n testosterine injections, now i went back to compound cream estradoil/testosterone. can it be the deliver system?
That is a GREAT question!! Please submit it to www.drsusan.com/ask and I'd love to potentially discuss it in my next UA-cam video. Thanks for watching!
I would never swallow estrogen.
@@totallychillgirl8072 same! Transdermal only!!!