Thursday, November 23, 2017
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To get a more in-depth description of any terms in the Glossary, as well as a list of articles that relate to the term, just click on the term name in the list of terms below. You will be taken to a page that contains the terms, the longer description, and a list of the articles related to that topic.


The Troche  (pronounced trOh key) is a way to deliver custom made medication in small doses directly into the blood stream. 

It is used to treat symptoms of perimenopause or menopause.  Each is an individual combination of bio-identical hormones in small doses.  It is custom made according to what your needs are at that time. 

The Troche could be made up of various amounts of estrogen, testosterone and/or progesterone - whatever your particular body requires.  Each troche is made up on an individual basis and the whole process takes a few days.  It resembles a small lozenge designed to dissolve.  They can even be made in different flavors to disguise the taste.

Strictly speaking, a troche should be circular since the word derives from the Greek "trokhiskos" meaning "a little wheel."  Used as a prescription in bio-identicals, it is usually square.

Some experts have very serious concerns about using troche in this way:

  • some experts say that the troche will cause the hormone levels to rise too quickly and then fall to low levels too quickly – all within 4-5 hours

  • they should be taken at least twice a day (maybe even up to 4 times a day) to maintain proper hormone levels – and they cause a wide variation in hormone levels

  • concern that estrone is what the estrogens will be changed to before being absorbed – estrone can increase the risk of breast cancer if not balanced properly

  • the source that troches are made from are ingredients that seem to be questionable in the body – made from either polyethylene glycol (PEG) or gelatin – PEG causes toxic stress to the body – PEG is not something that you want in your body

  • when they are made to be sweet, it seems they are made with aspartame to take away the bitterness of the medication because you have to hold in your mouth – aspartame is a neurotoxin which can cause brain damage

If I was going to take any bio-identical hormones, I would have it made as a transdermal cream.

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