American College of Obstetricians and Gynecologists New Posisition Statement on Bioidenticals
In the ACOG position paper they remind patients and their gynos to treat these medicines like any other hormone prescription in terms of monitoring and safety. They also conclude that testing of levels: urinary, salivary, or blood for management of the individualized dosing is not proven effective either. In conclusion, they support conventional therapy over compounded bioidentical therapy. For women who are not relieved by their hormone therapy, it is a good idea to gab with your gyno about alternatives, including these alternatives.