Hi PurpleTabbyCat
Sorry didn't see this post before I wrote the following. So many posts these days
http://www.menopausematters.co.uk/forum/index.php/topic,25271.0.htmlMain point was "The Elleste Duet 1mg + Elleste Solo 1mg is the same as Elleste Duet 2mg over the month but just allows us to spread out the Estrogen a bit."
There was an article on people going "private" that gave me this idea - however I'm sure there must be other on the forum are already trying this?
Ahead of any adjustment with your doc.
You could also try delaying when you take your Elleste tablet - it might offset the time when estrogen is running out for you. If you took your tablet 12hrs later than normal then if your running out of estrogen then you'd see the sweats move to the day - and your nighttime would improve. That would give you part of the answer.
CLIMAGEST 1mg is another option to look at since the Elleste is working for you most of the day
before you increase to medium option.
It uses
Estradiol valerate - which takes longer to absorb into the body than Estradiol ; a quote I found "compared to estradiol itself, estradiol valerate is absorbed more slowly and possesses a longer duration"
The CLIMAGEST has the same Norethisterone as Elleste so no new side effects there.
The CLIMAGEST 1mg might give your body a chance to use estrogen more slowly over the course of the day. Doing this first might save you having to go to a higher medium dose too soon.
Hope this helps give you a few options to try
![Kiss :-*](https://www.menopausematters.co.uk/forum/Smileys/extended/kiss.gif)