These are the
AIFM instructions for use:
1. Exfoliate any site before use. You can use an exfoliating scrub, a brush, or loofah.
2. Sites used should be exfoliated at least 3 times a week.
3. apply to clean skin, you can clean skin with witch hazel (recommended)- this is great for the skin and has natural antiseptic and anti-inflammatory activity.
4. ROTATE SITES: DO NOT use the same site every day. With normal dosing (1-2) pumps use at least 2 sites with each site getting a “day of rest” between use. If using 4 pumps per day use at least 3 sites. Lack of rotation as well as not exfoliating/applying to clean skin can lead to irritation and in some cases rash.
5. shake well before use.
Sites that can be used:
1. inner forearms
2. Wrists
3. Shins- above sock line
4. top of feet (only at night before bed)- no socks
5. outer upper abs (riblets)
6. upper thighs
7. hips (near ab insertion- vascular)
8. triceps
some people have also had success with low dose application to nipples, for those with gynecomastia or pseudogynecomastia (puffy nipples)
DOSING:
Most people only need 1-2 pumps per day. Others using certain aromatizing compounds (advanced HRT) may need up to 4 pumps per day. Though generally most people, even on advanced HRT, need only 2 pumps per day.
Higher dosing:
More is NOT better, use what you need. Using more when you don’t need it can suppress estrogen too much which can cause the opposite effects of what you want like reduced libido and dry joints. If you experience dry joints or suppressed libido take a day or two off, to allow estrogen levels to rise a little, and then start gain with a reduced dosage.
Dosing schedule:
before bed (or after evening shower) and after morning shower. If dosing only 1 pump per day you can use either- though before bed is probably preferred.
If you get a RASH:
Clean site with witch hazel and apply hydrocortisone or other topical corticosteroid (this can be done up to 3 times a day). You may have to stop using
AIFM at this point, particularly if changing site still results in rash, you should stop for at least 2 weeks from cessation of any irritation. If rash does not clear up with 5-7 days or is severe then contact your physician to get a stronger topical corticosteroid, locoid and diprisone/diprolene are very effective.