Hi, Tinkerbelljj!
It's good to catch up with you again.
I'm sure one of the more knowledgeable ladies will be along shortly to help, but I just wanted to say that I pretty much give up monitoring levels aside from checking to see if the HRT is being absorbed properly. To me, it's all about how I feel (this is a moot point in my case anyway now as I'm on Premarin, and it can't be measured anyway)!
Am I right though that you are in peri? 4 pumps sounds like an awful lot to be using if so! Most ladies seem to even out on about 2 on average. My Menopause Consultant pretty much limits to 4 pumps (at a stretch 5) in ladies who are in surgical menopause (no ovaries)!
Your symptoms sounds like excess to me. As I recall, did you start medication for mood too? If so, are you still taking it? If your hormones are still fluctuating, it will be hard to feel balanced at this time on HRT in any case until your own hormones level out.
Hope otherwise you are doing not too badly! xx