Acne or oiliness on bioidentical therapy suggests excess androgens or conversion; lowering dose, switching route

https://www.scribd.com/document/1001283501/BHRT-and-Bone-Health-Protecting-Density-After-Menopause-134330

Acne or oiliness on bioidentical therapy suggests excess androgens or conversion; lowering dose, switching route, or adding lifestyle support can reduce side effects while maintaining benefits.