Hrt Question?

[Guest Emily_MI]

I have heard different oponions about this but does it matter when you take your HRT Pills if you keep them under your tongue and have it disolve that way, or just swallow them? which is more effective (if any?), I know it is a lot easier on your liver if you keep it under your tongue and just goes right into you blood stream but I am just curious about this? Thanks

~Hugs~

-Emily

[Guest Blindheart]

hmm, i have wondered about this too. i did the under the tounge thing for awhile because i had read it was better, but i dont think i was ever doing it right. some days it was dissolved in 5 min, other days it took almost 30min. i finally just got lazy and just started taking like normal. I personally cant say i have noticed a change either way

[Guest Robin Winter]

I can't believe it would make a difference when it comes to your liver, or in any other way for that matter. The liver filters your blood, not your stomach contents, so it's going to pass through there no matter how you take it.

[Guest Lacey Lynne]

Girl, it makes a tremendous and profound difference!

Without going into the detailed technical mish-mash of it all, suffice it to say that the sublingual modality of deliver of hormone replacement therapy (under your tongue) is the only way to go. There IS one way that is technically better: Intramuscular injection (getting a shot). Some people elect to go this route. One T-girl friend of mine is age 29, began HRT only 2 weeks to the day before I did, went full-time within 2 months thereafter and will have her SRS/GRS by Dr. Marci Bowers in about 7 weeks from today ... no joke. She elected to go with shots. She's had marvelous results.

Mind you, she is young, she is pretty and she is blessed. It's called good genetics. The sublingual modality will ultimately give you the same results as the shots, but it will take longer to do so.

For what it's worth, the doctor who oversees my HRT is herself a transsexual woman who transitioned in her mid-40s. She is the one who invented the under-the-tongue protocol for MTFs to take their HRT. Yeah, my HRT doctor is out for the money, but she's very smart and runs a great clinic:

http://www.nwpc.com/biopages/biobecker.html

Yep. She's the boss. She founded the practice in 1981. She's a hoot. I've yet to present to her en femme. I'm scheduled to see her again in June. Just wait! I ain't bustin' my butt at L.A. Fitness just for giggles and grins, honey:

Yeah, legs are my best feature. Can't WAIT to strut my stuff!

Under the tongue, honey. Only way to go. Good luck!

Lacey

[Guest Elizabeth K]

Personally, sub-lingual (under the tongue) but because it tastes good and makes me feel special!

Lizzy

[Guest Donna Jean]

.

The most important advantage of sub lingual medication is that it goes directly to the blood and does not pass via liver where it undergoes extensive metabolism as nitrates... this is well known in medicine as first pass effect...

But, what ever you do...use the delivery method advised by your doctor....

They may want you to swallow, or put it under your tongue....or rub it on your forehead.

Follow their orders!

Huyggs

Donna Jean

[JenniferB]

I like to take mine sub lingual. I really enjoy the sweet taste. Plus now that I'm over a month on hormones, I start to feel the estrogen immediately after taking it, even before it's dissolved. I find it is a wonderful feeling and look forward to it every time.

Jenny

[Guest Orva26]

I can't believe it would make a difference when it comes to your liver, or in any other way for that matter. The liver filters your blood, not your stomach contents, so it's going to pass through there no matter how you take it.

Hmmm... that would make sense but I think under the tongue works better because of rates. Basically a slowly dissolving dose goes into the blood stream slowly and the rate it gets to the liver is slower. But if you swallow the pills then it gets to the stomach all at once and is worked on and absorbed all at once, giving the liver much more to handle in a burst.

What I'm curious of now is how the trans-dermal patches stack up?

[Guest Lacey Lynne]

I like to take mine sub lingual. I really enjoy the sweet taste. Plus now that I'm over a month on hormones, I start to feel the estrogen immediately after taking it, even before it's dissolved. I find it is a wonderful feeling and look forward to it every time.

Jenny

Jenny, I SOOO agree with you, hon! Dang, taking my HRT is the highlight of my day ... and has been for a year and two months now! Like, when I started it I saw my gender therapist about a month later and asked her, "Hon, are you SURE this s--t is LEGAL, man?!?" Like, I got SOOO high ... and it's freakin' LEAGAL! Wahoo!

Having (foolishly) imbibed in the Rite of Tetrahydrocannabinol daily for about 5 years and worshipped at the Altar of Lysergic Acid Diethylamide Tartrate 25 only once (wow!) back in The Day (3.5+ decades ago), I can unabashedly and unreservedly tell you that THIS is better ... it's legal ... and it's healthy.

The psychedelics left us with delusions. HRT leaves us with RESULTS!!!

Oh, what a feeling!

Peace Out Lacey

[Guest Lacey Lynne]

Hmmm... that would make sense but I think under the tongue works better because of rates. Basically a slowly dissolving dose goes into the blood stream slowly and the rate it gets to the liver is slower. But if you swallow the pills then it gets to the stomach all at once and is worked on and absorbed all at once, giving the liver much more to handle in a burst.

What I'm curious of now is how the trans-dermal patches stack up?

Transdermal patches stack up very well! Some are better than others. Do your homework. Worth going that way if you want to. My for-now wife used them for years with excellent results. I know T-girls who have used them with very good results. A reasonable choice, for sure. Good luck, hon!

Lacey

[Guest Robin Winter]

Hmmm... that would make sense but I think under the tongue works better because of rates. Basically a slowly dissolving dose goes into the blood stream slowly and the rate it gets to the liver is slower. But if you swallow the pills then it gets to the stomach all at once and is worked on and absorbed all at once, giving the liver much more to handle in a burst.

What I'm curious of now is how the trans-dermal patches stack up?

I'm not saying I'm right, I really don't know, but I can't see how the difference of a few minutes would have any significant effect.

[Guest Robin Winter]

Ok, I looked it up, and apparently there is a significant difference between swallowing and dissolving under the tongue. Donna Jeans explanation covers most of the details

I know what I'm gonna be doing

Thanks for the info ladies.

[Guest Donna Jean]

I'm not saying I'm right, I really don't know, but I can't see how the difference of a few minutes would have any significant effect.

.

Honey.......

When the Estrogen is swallowed, lots of it is lost to the digestive juices....

So, a full dose doesn't really happen......

LOL...personally, I want every last drop!

Huggs

Donna Jean

[Guest Robin Winter]

.

Honey.......

When the Estrogen is swallowed, lots of it is lost to the digestive juices....

So, a full dose doesn't really happen......

LOL...personally, I want every last drop!

Huggs

Donna Jean

Yeah, I added a reply after that one saying that I looked it up and commended your most accurate explanation

[Guest Jinny M]

Hi ,, I just saw my Doctor for HRT on 3/16/11 my very 1st visit,YAY !!! She gave me a physical and my scripts , however she didn't tell me about keeping them under my tounge. So I started to take Estradoil and Spiro by swallowing them . However after reading this post I'll take them under my tounge.

Do you take both the Estradoil and Spiro under the tounge or just the Estradoil ??

This morning I did both under the tounge ,one at a time . The Estradoil was sweet and disolved fast ,, the spiro not fast at all and not as good tasting either , it did kinda have a minty flavor , but definatly not as good as the E...

Thanks Jinny

[Guest Elizabeth K]

Just the estradoil. And that is optional. Its sweet and by putting it under the tongue it dissolves and mostly goes directly into your blood stream.

Lizzy

[Guest Jinny M]

Thank You Lizzy.

I was hoping that The Estradoil was the only one. The Spiro was ALOT tougher to take that way , YUCKY !!!

Thanks Again.

Jinny