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Try increasing by a small amount - say half an extra pump per day for the next couple of weeks to see if this helps. It can only be approximate but I never used a full 2 pumps per day, I used one full pump plus about a half - you can always drop back to one if need be. The ability to adjust the dosage is one of the advantages of Oestrogel - just don't chop and change how much you use or you will never know what is actually the right amount. DG x