Wee soul, Pepperminty! I'm sending you a
![hug :hug:](https://www.menopausematters.co.uk/forum/Smileys/extended/hug.gif)
Even with no ovaries, I can tell you that I get build up very quickly. Ive now identified that this is what happened to me on Estrogel, even though my level was only around 200. I felt AWFUL. I've only just identified this after chatting to a very knowledgeable lady at our Reproductive Health Clinic (also Menopause Clinic) the other day.
This is why I say that comparing 'levels' is pretty dangerous. Who knows what levels we had during our reproductive years, or what they were when we felt our best? Yes, I believe this is why Specialists are correct to go by symptoms alone!
What's even weirder is that some symptoms of too little are actually the same as too much. Crazy for us to figure out!
I now take my cue from the mantra on the Surgical Menopause Support blog and Google support group - 'go low and go slow'. Also, they wisely say that if you feel horrible and feel as if you must do something, ANYTHING then your best bet is to reduce your dosage rather than increase as it takes longer to clear an excess than increase a deficit.
I've just had to go back down to the teeny, tiny dose of 0.3mg Premarin after I got monster vertigo on the 'standard' 0.625mg dose. I was also starting to bloat madly too! Just goes to show that we are all very different and so are our hormonal needs.
Are you now cutting your dose down?