Hormones act at the tissue level long before they appear in the bloodstream.
Blood testing reflects what’s circulating —
not what’s already bound, absorbed, or active inside cells.
When clinicians rely only on blood values:
• Early hormonal effects are missed
• Doses are unnecessarily escalated
• Estrogen dominance develops
• Weight gain follows
By the time blood levels rise, the damage is already done.
Symptoms, timing, and physiology matter more than numbers alone.
Hormone therapy should respect how hormones move, not just how they measure.
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