Dosage/absorbtion between hemihydrate and valerate?
Long story short, my wife (mtf) was in America with me and was transitioning with Folx. Unfortunately our case for her citizenship got denied, she is originally from Vietnam and was forced to go back. She was unable to continue with Folx outside of America. She has since found medication, both estradiol and spiro, from small pharmacies. However, she was unable to find estradiol hemihydrate, only valerate. And the brand she got specifies to take orally, she used to take her old medication sublingually. Her levels were good at 6mg a day, and we wondering if with valerate she should increase/decrease dosage and whether or not to go oral or sublingual.
Additionally the options in Vietnam for HRT seem to be abysmal, atleast in the north. She has called every place online to no avail. Are there other options you would recommend? Any help would be greatly appreciated.