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

=== Assistant: Got it — 2 mg tablets. ===
Got it — 2 mg tablets.

Here is the safest, least-activating way to use them right now, given your insomnia and high T.

==== What to do with a 2 mg estradiol tablet ====

===== ✅ Cut the tablet in half =====
* Use a pill cutter if possible
* Each half ≈ 1 mg

===== How to take it =====
* Swallow the 1 mg half whole
* With water
* Same time every day (morning or early afternoon is best for sleep)

❌ Do not let it dissolve under the tongue
❌ Do not split routes
❌ Do not take the other half later in the day

Consistency > speed.

==== Why 1 mg oral is appropriate right now ====
* Produces a slow, smooth estrogen curve
* Avoids sharp CNS peaks
* Low hepatic burden at this dose
* Helps counter T-driven hyperarousal

Per Endocrine Society data, 1 mg oral is a conservative restart dose.

==== What to expect (important so you don’t panic) ====

First 3–5 days
* Possibly subtle warmth
* Mild GI changes
* No immediate sedation

Days 5–10
* Nervous system starts calming
* Sleep pressure improves
* Less internal agitation

Estradiol is not a sleeping pill — improvement is gradual.

==== What not to change for 7–10 days ====
* Route
* Dose
* Timing
* Add-on supplements

Your body needs signal stability.

==== Magnesium & tea ====
* Magnesium glycinate 200–400 mg nightly → okay
* Peppermint tea → okay

Avoid stacking anything else.

==== Red flags (rare, but be clear) ====

Seek care if you develop:
* Yellow eyes/skin
* Severe RUQ pain
* Black tarry stools with weakness

These are unlikely, but that’s the safety list.

===== Bottom line =====
* Cut 2 mg → 1 mg oral swallowed
* Once daily
* Hold steady ≥7–10 days

You are doing the right thing by slowing this down.

If you want, I can help you decide:
* Best time of day to take it for sleep
* When (not how) to increase later
* Whether patches or injections make sense after stabilization