Today, we received a prescription from a provider in Apple Valley —for an 8-year-old girl. The medication?Terbinafine 25 mg/mL liquid And just like many pediatric cases…It doesn’t exist commercially. No liquid.No easy option.No simple solution for a child. The...

Today, I received two prescriptions at the same time — for siblings.Both were for something most pharmacies don’t even carry… Leucovorin liquid (compounded). What stood out wasn’t just the medication —it was the trust behind it. The provider didn’t call around.Didn’t...

Today, something truly meaningful happened at the pharmacy. A woman walked in and asked, almost hesitantly:“Do you happen to have the estradiol patch?” I checked… and said,“Yes, we do.” Her entire face changed. Relief. She told me:“My CVS hasn’t had it for a month....

Today, a patient said something that stopped me in my tracks:“I don’t feel depressed… I just don’t feel like myself anymore.” That sentence usually points me in one direction.💊 DHEA. DHEA is an adrenal hormone — the parent hormone for estrogen and testosterone.When it...

Today, a woman told me:“My doctor gave me estrogen, but I feel puffy… emotional… off. Is this normal?” And the answer is:Sometimes, yes — when the type of estrogen isn’t balanced. Commercial estrogen products are mostly estradiol only.But your body actually uses two...

A woman came in today and said something I hear more than people realize:“I thought testosterone was only for men.” I smiled and explained:Testosterone is for women too — just in smaller amounts.And when it’s low, women can feel: Fatigue that coffee can’t fix Low mood...

A woman came into the pharmacy today with quiet frustration in her voice.She said:“I’ve been feeling burning and irritation every day. My doctor said it’s just aging… but I don’t accept that.” I looked at her and said gently:“It’s not just aging. It’s low estrogen....

Today, a patient walked in looking exhausted.She said quietly:“My doctor told me I have a fissure… the pain is unbelievable. They said you would make something called diltiazem cream?” When people talk about anal fissures, what they’re really talking about is pain,...

Today, a patient walked in looking uncomfortable — shifting from one foot to the other.He whispered quietly:“My doctor said I have an anal fissure… and prescribed a special nitroglycerin cream from you.” 💊 Anal fissures sound small, but the pain can be intense.That’s...

Today, I filled a prescription that reminded me how powerful compounding can be.A patient undergoing cancer treatment walked in, barely able to speak because of mouth pain. Her doctor had sent a prescription for Magic Mouthwash — a compounded combination we prepare...

Today, a woman called the pharmacy and whispered softly:“I heard you make something called Scream Cream… can you tell me more about it?” Her voice carried both curiosity and hesitation — the kind of call I get often. I smiled and said, “Of course. And you’re not...

A provider called me today about a patient struggling with autoimmune pain and fatigue.They asked:“Could Low Dose Naltrexone really help?” 💊 Yes — and here’s why:At very low doses, LDN works differently than regular naltrexone.It gently modulates the immune system,...

Today, a medspa provider called me:“My patients hate the pain during microneedling — do you have something stronger than over-the-counter numbing creams?” 💊 Absolutely. That’s where BLT cream comes in.A compounded blend of:✔️ Benzocaine✔️ Lidocaine✔️ Tetracaine...

Today, a patient asked me something that made me pause:“My doctor prescribed progesterone, but I couldn’t find the 25 mg dose anywhere. Is it even available?”  Here’s the truth:Commercial manufacturers don’t always make the right dose for every patient. That’s where...

This morning, a woman in her early 50s came in and said:“My doctor told me to take Vitamin D and K2 together. Why both?” Here’s the truth: Vitamin D helps your body absorb calcium. Vitamin K2 directs that calcium into your bones (instead of building up in your...

Today at the pharmacy, I spoke with a patient who’s been struggling with restless nights and daily fatigue.She told me:“I fall asleep fine, but I wake up exhausted — and my muscles feel tight all day.” I knew exactly where to begin.  Magnesium glycinate. ✔️ Gentle on...

We’ve officially hit a beautiful milestone in our HRT Testing journey at Doctor’s Choice Pharmacy. After weeks of prepping, printing, packaging, explaining, guiding, and sharing — the first group of women have completed their Symptom Checkers and received their...

This week, something special happened. We received our first patient referral from the new gynecology provider who recently joined our Hormone Testing Program. Her name is BB, a 58-year-old woman who came to the provider feeling completely wiped out. Her biggest...

This week was a big step forward for our Hormone Testing Program at Doctor’s Choice Pharmacy. Joseph and I had the chance to sit down with a new gynecology provider who just opened his office nearby. We introduced him to our HRT Testing Program — walking him through...

After receiving my saliva hormone test results (and yes — they were eye-opening! ), I didn’t want to just sit and wait. I’m doing what I can to support my body now — while preparing for my follow-up appointment with my provider in the next few days. Here’s What I’ve...

As I continue working through the 40+ personalized reports fr As I go deeper into building our HRT Testing Program at Doctor’s Choice Pharmacy, I’ve also been feeding my mind and soul with books that are changing the way I think about health, stress, and how we carry...

As I continue working through the 40+ personalized reports from the amazing women who completed our HRT Symptom Checklist, I’m constantly amazed by what I’m learning. Each story is unique, but some patterns are so clear — and this one in particular left me stunned....

 I officially took the first saliva test in our new Doctor’s Choice Pharmacy HRT Testing Program — and yes, I was Patient #1 . After weeks of learning, helping other women, analyzing symptoms, and preparing for the launch… it was my turn. I wanted to share every...

As I keep building our HRT Testing Program here at Doctor’s Choice Pharmacy, I decided to take a closer look at something that’s already part of our daily work… our current patients who are using compounded hormone prescriptions. I started pulling records and reaching...

s I continue this exciting journey of launching our HRT Testing Program at Doctor’s Choice Pharmacy, I wanted to share a real example of one of the customized reports I’ve been sending to women who completed our symptom checklist.  Sample Symptom Analysis...

This week has been so rewarding — I’ve been sending out customized HRT symptom reports to the 40+ incredible women who completed our checklist! Each report includes: ✅ My analysis based on their symptom patterns✅ Suggested hormone tests to confirm imbalances✅...

After collecting symptom checklists from over 40 women (and counting!), I created a custom Excel sheet to organize and analyze every detail — based on everything I’ve been learning in my HRT training course. Now, instead of just reading answers, I can actually see...

I shared our brand-new HRT Symptom Checklist Form in one of my favorite local moms’ groups… and WOW — the response blew me away! Over 40 amazing women took the first step in exploring their hormone health by completing our symptom checklist. 💪📝 Many of them shared...

I’m so excited to share the next step in our HRT Testing Program at Doctor’s Choice Pharmacy — our online Symptom Checklist Form is now live! 🎉 This form is designed to help you (and me!) better understand what our bodies are telling us. Whether it’s low energy, brain...

I’m so excited to share that our brand-new Hormone Replacement Therapy (HRT) Testing Program web page is officially up and running! 🎉 After starting this journey with my own saliva test and pouring my heart into designing this program, I’ve created a page that...

One of my passions—besides helping patients—is building websites! As I get ready to launch our HRT Testing Program, I’m diving into creating the perfect landing pages to make it easy for you to learn, get started, and feel supported on your hormone health journey....

As I turn 44, I’m feeling the impact of life’s changes: lower energy, constant fatigue, and that sense that I’m not quite myself anymore. I know I’m not alone—and that’s why I’m taking this opportunity to launch something transformative at Doctor’s Choice Pharmacy:...

I finally received the results from my first saliva hormone test, and honestly… it was a moment of clarity and confirmation. After months of unexplained fatigue, mood swings, migraines, and feeling like I wasn’t “myself,” these results helped connect the dots. Let me...

This morning, a new patient, Michael, came into Doctor’s Choice Pharmacy looking a bit puzzled. He was holding a lab report. “Rania,” he said, “My doctor said my TSH is a little high, but my T3 and T4 are normal. I don’t really understand what all these letters mean....

This morning, I had a patient come in, Sarah, who was holding a printout from a wellness website. She looked tired and a little confused. “Rania,” she asked, “I’ve been feeling exhausted all the time, even after sleeping. This article talks about ‘adrenal fatigue’ –...

This morning, a frazzled-looking young professional rushed into Doctor’s Choice Pharmacy, practically sighing as she reached the counter. “Rania,” she said, her voice tight, “I feel constantly on edge. My heart races, I can’t sleep, and I’m snapping at everyone. My...

This afternoon, a gentleman named David, a long-time customer at Doctor’s Choice Pharmacy, approached the counter looking a little down. “Rania,” he started, lowering his voice slightly, “I’ve been reading about this ‘male menopause’… andropause, they call it. It...

This morning, a patient named Maria, who recently went through menopause, came into Doctor’s Choice Pharmacy looking for a multi-vitamin. As we chatted, she mentioned feeling a persistent fatigue, lower libido, and a general lack of motivation that she hadn’t...

This morning, a dear patient, Sarah, who’s in her late 40s, came into Doctor’s Choice Pharmacy looking a bit tired. “Rania,” she sighed, “I feel like my body is playing tricks on me. Hot flashes, night sweats, my moods are all over the place, and my periods are so...

This afternoon, a young woman came into Doctor’s Choice Pharmacy looking a bit confused. She was holding a basal body temperature chart. “Rania,” she asked, “I’ve been tracking my temperature, and I see this slight rise. My friend said it means I’ve ovulated, but I...

Today at Doctor’s Choice Pharmacy, a patient stopped by holding a wellness article. She looked puzzled. “Rania, it says pregnenolone is the ‘Mother of All Hormones.’ What does that even mean?” I smiled. “Great question! Pregnenolone is often called the ‘Mother of All...

Today at Doctor’s Choice Pharmacy, a patient came in holding a prescription for bioidentical hormone replacement therapy (BHRT). She looked concerned and asked, “Rania, my doctor mentioned balancing estrogen and progesterone — why is that so important?” I smiled....

Today at Doctor’s Choice Pharmacy, a patient came in holding a printout of her latest lab results. “Rania, my doctor says my cortisol levels are too high, and I’m not sure what that means,” she said, sounding concerned. I smiled, knowing how important this hormone is...

Today at Doctor’s Choice Pharmacy, I spoke with a new patient who had just heard about Low-Dose Naltrexone (LDN) through a support group for autoimmune conditions. “Is this something you offer?” she asked hopefully. “Yes, we compound LDN regularly,” I replied. “It’s...

Today at Doctor’s Choice Pharmacy, I spoke with a concerned pet owner, Ms. J, about her cat Whiskers. Whiskers had recently been diagnosed with hyperthyroidism and was prescribed methimazole tablets. However, like many cats, Whiskers was proving to be a very finicky...

Today at Doctor’s Choice Pharmacy, a provider called with a special request.“Rania, do you guys compound gabapentin cream for nerve pain? I have a patient with post-herpetic neuralgia who can’t tolerate the pills.” I smiled. “Yes, we do! Gabapentin is traditionally...

Today at Doctor’s Choice Pharmacy, a patient came in with a prescription for compounded tretinoin gel. She looked a bit uncertain and asked, “Rania, I’ve used tretinoin before, but only in cream form. Why did my dermatologist switch me to a compounded gel this time?”...

Today at Doctor’s Choice Pharmacy, a provider called with a unique request.“Rania, do you guys compound ketamine troches for chronic pain or treatment-resistant depression?” I smiled. “Yes, we do! Ketamine has become a promising option for both chronic pain management...

Today at Doctor’s Choice Pharmacy, a concerned mother called about a new prescription for her toddler. “Hi Rania, my son’s doctor just switched him to compounded ranitidine syrup for acid reflux. Why not just use the over-the-counter version?” I reassured her, “That’s...

Today at Doctor’s Choice Pharmacy, a young woman came in to pick up a prescription for compounded acyclovir lip balm. She looked a bit uncertain and asked,“Rania, I’ve always used those little tubes from the drugstore for cold sores. What’s different about this one?”...

Today at Doctor’s Choice Pharmacy, a patient came in with a prescription for compounded baclofen cream. She looked a bit confused and asked,“Rania, I’ve only ever heard of baclofen as a muscle relaxant in pill form. Why would my doctor prescribe it as a cream?” I...

Today at Doctor’s Choice Pharmacy, a patient called after picking up a new prescription.“Hi Rania, my dermatologist just switched me to compounded ivermectin cream for my rosacea. I thought ivermectin was just for parasites—why would it help my skin?” I smiled....

Today at Doctor’s Choice Pharmacy, a young woman came in to pick up a prescription for compounded niacinamide gel. She looked a bit hesitant and asked, “Rania, I’ve heard of niacinamide in over-the-counter serums, but why is this one compounded?” I smiled. “That’s a...

Today at Doctor’s Choice Pharmacy, I received a call from a patient who had just picked up her prescription.“Rania, my doctor put me on low-dose naltrexone (LDN) for my autoimmune condition. I thought naltrexone was for addiction treatment—why this?” I smiled. “That’s...

Today at Doctor’s Choice Pharmacy, I had a chat with a dermatologist who called to ask,“Rania, do you guys compound tranexamic acid cream for hyperpigmentation? I have a patient with melasma who hasn’t responded well to other treatments.” I smiled. “Yes, we do. In...

Today at Doctor’s Choice Pharmacy, I received a prescription for a compounded ketoconazole shampoo. A patient called shortly after and asked,“Rania, my doctor prescribed this for my scalp psoriasis, but isn’t ketoconazole usually for fungus?” I explained, “You’re...

Today at Doctor’s Choice Pharmacy, I received a call from a pediatric pulmonologist.“Rania, I have a young patient with pulmonary hypertension, and the tablets are too difficult for the family to manage. Can we switch him to a tadalafil oral suspension instead?” I...

Today at Doctor’s Choice Pharmacy, a patient called with a very specific question. “Hi Rania, my provider just prescribed me oxytocin nasal spray for emotional support. I’ve never heard of using oxytocin this way—is that normal?” I smiled. “It’s actually becoming more...

Today at Doctor’s Choice Pharmacy, a patient called in with a question about a new prescription she just picked up.“Hi Rania, my dermatologist prescribed compounded metronidazole gel for my rosacea, but I’m used to using the store-bought cream. Why the switch?” I...

Today at Doctor’s Choice Pharmacy, we received a prescription from a dermatology office for a custom cream containing Nystatin, Hydrocortisone, and Lidocaine. A few hours later, the patient called, sounding curious:“Hi Rania, I just got a message that my cream is...