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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · 7d

6. Filter your water
7. Keep shoes at the door
8. Add plants for cleaner air
9. Wash bedding weekly
10. Dim screens and lights before bed

Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · 7d

1. Open windows for fresh air
2. Swap plastic for glass
3. Use essential oils instead of synthetic scents
4. Run an air purifier
5. Clean with vinegar and baking soda

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · 7d

Your home can heal you or drain you.
Here are 10 simple clean home habits that actually make a difference.

Small shifts make a big impact. Start where you are.

#CleanLiving #IntegrativeHealth #NaturopathicWellness #HealthyHabits #HolisticHome #LowToxLiving #WellnessTips #HealthOptimization

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 26

Did you know 👀 you can make eye drops from a patient’s own blood serum?

These are called autologous serum tears. At Harbor Health and Apothecary in Washington, we compound them to provide the same natural healing factors found in real tears. A game changer for stubborn dry eye cases.

Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

The progesterone paradox: If adding progesterone makes anxiety worse, consider the delivery method. Oral progesterone metabolizes to allopregnanolone (calming). Topical bypasses this conversion. Different routes = different effects on mood. 8/8

Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

Lab timing for compounded hormones: Topical hormones peak 2-6 hours after application. For meaningful levels, draw labs 4-6 hours post-application, not at trough. Timing can mean the difference between "therapeutic" and "subtherapeutic" results. 7/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

Cream application sites matter: Inner arms and thighs have thinner skin = better absorption. Avoid areas with hair (testosterone especially). Rotating sites prevents skin irritation and maintains consistent absorption patterns. 6/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

Testosterone dosing for women: Think physiologic, not pharmacologic. Women produce 0.1-0.4mg daily naturally. Starting doses of 0.5-1mg topical daily often work better than the 2-5mg many providers prescribe. Less is frequently more. 5/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

The "estrogen dominance" puzzle: Patient feels worse adding progesterone? Check the ratio. Sometimes it's not too little progesterone - it's too much estrogen relative to progesterone. Reducing estrogen can be more effective than increasing progesterone. 4/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

Absorption reality check: Oral progesterone has 10-20% bioavailability due to first-pass metabolism. If your patient needs 200mg oral to feel balanced, they might only need 30-50mg as a topical cream. Consider delivery method, not just dose. 3/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

Timing matters more than you think: Progesterone taken in the morning can cause daytime drowsiness. Evening dosing uses that sedative effect as a feature, not a bug. Simple scheduling change = better compliance and sleep quality. 2/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 25

🧵 HRT prescribing tips from the compounding trenches: After formulating thousands of hormone prescriptions, here are the clinical pearls that make the difference between success and frustration... 1/8

#HRT #Menopause #WomensHealth #ClinicalPearls #HormoneTips

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

Questions about T4/T3 ratios, desiccated alternatives, or patient selection? This is where functional medicine meets pharmaceutical precision. We serve WA, OR, ID, MT, and AZ. 8/8

Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

Patient counseling tip: Compounded thyroid meds need consistent timing and empty stomach, just like commercial versions. The difference is we can adjust ratios and eliminate problematic excipients. 7/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

Why this matters for women: Hormonal fluctuations (pregnancy, menopause, PCOS) affect thyroid function differently than textbook cases. One-size-fits-all doesn't work when hormones are constantly shifting. 6/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

Patient counseling tip: Compounded thyroid meds need consistent timing and empty stomach, just like commercial versions. The difference is we can adjust ratios and eliminate problematic excipients. 7/8

Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

Real case scenario: 35-year-old mom, optimal labs but crushing fatigue. Turns out she wasn't converting T4 to active T3 efficiently. Custom 4:1 T4/T3 ratio = energy restored, brain fog lifted. 5/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

The compounding advantage: We can create:
• Dye-free, preservative-free formulations
• Custom T4/T3 ratios based on individual conversion
• Alternative delivery methods (sublingual, topical)
• Precise micro-dosing for sensitive patients
• Lactose-free options for intolerant patients 4/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

When to consider compounded thyroid options:
• Persistent symptoms on standard levo despite optimal TSH
• Sensitivity to fillers/dyes in commercial brands
• Need for T4/T3 combination therapy
• Unusual dosing requirements (pediatric, elderly, absorption issues)
• Allergy to synthetic ingredients 3/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

The reality: Your patient says "I'm still tired, my hair is falling out, and I feel awful" despite TSH being "normal." Sound familiar? Sometimes it's not the dose - it's the delivery method or formulation. 2/8

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 21

🧵 Women's health providers: 1 in 8 women will develop thyroid problems, but what happens when standard levothyroxine isn't enough? Let me break down when compounding becomes the game-changer... 1/8

#WomensHealth #ThyroidHealth #HormonalHealth #FunctionalMedicine #CompoundingPharmacy

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 20

Vets in WA, OR, ID, MT, AZ: We handle the complex formulation science. You focus on the diagnosis and treatment plan. Better compliance = better outcomes = happier families. 7/7

Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 20

For pet parents: Ask your vet about compounding when:
• Your pet consistently refuses medications
• You're breaking pills into tiny pieces for small pets
• Commercial flavoring still doesn't work
• Your pet has multiple meds that could be combined 6/7

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 20

Real success story: 12-year-old cat with heart disease. Owner struggled for months with pills. We created a transdermal gel applied to the ear. Same medication, absorbed through skin. Cat doesn't even know she's getting treated. Heart condition now managed. 5/7

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Olga Afichuk | Compounding Pharmacy Growth | Provider Support @olgarx.bsky.social · Aug 20

The compounding difference: We don't just "flavor" existing meds. We completely reformulate for your pet's species, size, and preferences. Chicken flavor for cats who actually want fish. Liquid versions that taste like treats. 4/7

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