Editing Openai/6957e12e-1688-8008-b9b0-ff87c1b2d7bb (section)

=== Assistant: Good question — and this is where precision matters. ===
Good question — and this is where precision matters.

===== No. Right now you should ''not'' split the same dose between sublingual and oral. =====
Doing half sublingual + half oral is more destabilizing, not gentler, in your current state.

Let me explain exactly why.

==== Each route has different pharmacokinetics: ====

===== - Rapid absorption =====
* Sharp E2 peak (within ~30–60 min)
* Short half-life
* Strong CNS signaling

===== - Slow absorption =====
* Lower peak E2
* Higher E1 formation
* Smoother curve

If you split:
* You get a fast spike + a slow tail
* The brain experiences two signals, not one
* In a sensitized nervous system, this can: - Worsen anxiety - Trigger insomnia - Increase “wired but tired” feelings

Endocrinology guidance favors one route at a time when stabilizing.

==== Given: ====
* T ~1000
* Severe insomnia
* Recent HRT stop/start
* Autonomic hyperarousal

Your system needs:
* Predictability
* Single daily curve
* No peaks

Mixing routes defeats that.

==== If the tablet is scored: ====
* 0.5 mg oral swallowed once daily (cut tablet, swallow whole with water)

That’s dose reduction — not route splitting.

==== Only after: ====
* Sleep stabilizes
* Anxiety settles
* You’ve been on a steady dose ≥2 weeks

Even then, it’s usually better to switch routes, not combine them.

==== - Splitting dose = okay ====
* Splitting route = destabilizing right now

Right now your goal is calm, boring hormones.

If you want, tell me:
* What tablet strength you have (1 mg? 2 mg?)
* Whether it’s scored

I’ll help you choose the least activating way to take it tonight or tomorrow.