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Cynthia:
By all means work with your physician. Discuss any phyto-estrogen you are curious about. Three months is still quite early to observe much chemical change on ERT or any other regime.
You must be knowledgeable about phyto-e. It is not a matter of going to a herbal store and buying a bag or two of whatever you think you want. Phyto-e chemistry can react to your prescription in ways that you may not expect and may either heighten, diminish, or merely be a waste of money but cause medical complications years from now.
Yes, better to focus your energy to quit smoking and boozing. You'll be far healthier all around dumping those two vices first, then you can discus other medical options. If you lose your health and your liver, you may not get a chance at further opportunities.
Some surgeons will refuse to operate on a patient who smokes or consumes excessive alcohol.
You will read on threads here that many people receive a standard 'cocktail' of any variations of estrogen, progesterone, finasteride, and spironolactone. Those seem to be the tried and true medicines; check with your endo for what will work best with you. Frequent blood draws will document your progress.
Take care and stay healthy.
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