7 HRT Clinical Pearls
Every Provider Should Know

📋 What's Inside

• 1 Why breakthrough bleeding ≠ dose too high (and what it actually means)
• 2 The SHBG trap that makes labs look "normal" while patients feel awful
• 3 When testosterone aromatization is your ally vs. your enemy
• 4 Why progesterone timing must match your estrogen delivery method
• 5 How to stop chasing lab numbers and treat what matters
• 6 The pellet insertion timeline conversation that cuts callbacks in half
• 7 Why annual labs aren't enough — and the exact schedule you need
• + Bonus: HRT Lab Monitoring Quick Reference Table