Hormone, thyroid & supplement list with a printable wallet card

01Why one written list matters more with hormones and supplements

A complete, current list is the single most useful thing you can bring to a hormone, thyroid or integrative visit. Government patient guidance on taking several medicines says the same thing in plain terms: keep one list of everything you take — prescriptions, over-the-counter products, vitamins, herbs and other supplements — update it when anything changes, and bring it to every appointment and pharmacy visit.

Integrative gynecology makes that list harder to keep in your head than most. A typical regimen mixes products with very different rhythms:

• A transdermal estradiol patch changed on fixed days, once or twice a week depending on the brand.
• Progesterone taken every night, or only on certain days of the month.
• Local vaginal estrogen used daily at first and then often twice a week.
• Thyroid medicine taken on an empty stomach at a set time.
• Several supplements from a practitioner dispensary, a pharmacy and a grocery store, each with its own label.

When these sit in separate bottles and portals, the questions that matter get missed: whether a new supplement can change a lab result, whether two products should be taken at different times, or whether an ingredient conflicts with an allergy. Reconciliation — your clinician or pharmacist comparing what is prescribed with what you actually take — only works if the second half is written down.

This sheet is built for that conversation. Section A holds prescriptions with the schedule as you really follow it, Section B holds supplements with the dose from the Supplement Facts panel, and the flags box turns three well-known interactions into questions you can ask. If your visit is about menopause symptoms, bring it together with the menopause symptom scorecard: the scorecard shows what you feel, this list shows what you are already taking, and together they let a 60-minute consult start with decisions instead of history-taking.

Keep the paper copy with you and the last-updated date current. An old list can be more misleading than no list, because a reader trusts it.

02How to write hormone schedules a clinician can read at a glance

Write each hormone the way it appears on the pharmacy label, then write the schedule the way you actually use it. “Estradiol patch 0.05” tells a reader little; “Estradiol transdermal patch, 0.05 mg/24 hr, change Monday morning and Thursday evening” tells them the dose, the route and when your level is lowest.

Transdermal estradiol patch

Strength in mg per 24 hours, the brand if you know it, the change days, and where you place it. Some brands are changed twice a week and others once a week.

Estradiol gel or spray

Number of pumps or sprays, the site, and the time of day.

Progesterone

Continuous (for example 100 mg every night) or cyclic (for example 200 mg on 12 days of each month). Write which days. Oral micronized progesterone is usually taken at bedtime because it can cause drowsiness.

Vaginal estrogen

Cream, tablet, insert or ring, the amount, and the days — for example twice weekly at bedtime. Low-dose local vaginal estrogen has minimal absorption into the bloodstream, but it still belongs on the list.

Pellets

Hormone and dose per pellet, the clinic, and the date of the last insertion. Pellets are compounded and are not FDA-approved, and their dose cannot be adjusted once inserted, so the date matters.

Testosterone or DHEA

Product, strength and how much you apply. There is no FDA-approved testosterone product for women in the US, so these are often compounded or prescribed off-label; say which.

If you have a uterus and take estrogen, your clinician will want to see a progestogen on the list, because estrogen alone raises the risk of endometrial overgrowth. If it is missing, ask about it rather than adding anything yourself.

Record whether each product is FDA-approved or compounded; it affects dosing consistency and cost. The compounded vs FDA-approved BHRT comparison explains the difference, and the pellets vs estradiol patches comparison covers how the two deliver estradiol differently. To see what your current regimen costs over a year, run it through the BHRT treatment cost comparator.

03Thyroid medicine, minerals and the timing column

If you take levothyroxine or another thyroid hormone, the timing column is where most avoidable problems show up. Levothyroxine is labeled to be taken on an empty stomach, usually 30 to 60 minutes before breakfast, with water. Several common supplements can bind to it in the gut and reduce how much you absorb when they are taken close together:

• Iron, including iron in prenatal vitamins and multivitamins.
• Calcium, including calcium-based antacids.
• Magnesium, including magnesium-containing antacids and laxatives.
• Other products your pharmacist may mention, such as some fiber supplements and binding resins.

The levothyroxine prescribing information asks for a gap of several hours between it and products such as calcium, iron and antacids. The sheet flags any thyroid medicine listed alongside iron, calcium or magnesium, and the flag says one thing: separate the timing as your clinician or pharmacist advises. It does not suggest a new schedule, because the right spacing depends on the exact products and on how your thyroid levels have responded.

Hormone therapy and thyroid treatment also affect each other. Oral estrogen raises the protein that carries thyroid hormone in the blood, so people who start or change oral estrogen sometimes need their thyroid levels rechecked; transdermal estrogen has less of this effect. That is one more reason the same clinician — or two clinicians reading the same list — should see both Section A entries together.

For people with Hashimoto’s thyroiditis, supplements such as selenium, vitamin D or iron are common additions, and each belongs in Section B with its exact dose. Our thyroid-ovarian axis guide explains how thyroid function interacts with cycles, perimenopause and fertility, and which tests clinicians usually track. Write your thyroid medicine time as a clock time, not “morning”, so a reader can see the gap to your other products at a glance.

04Biotin, cycle days and other lab-draw notes

Biotin (vitamin B7) is the supplement most likely to distort a hormone or thyroid result without anyone noticing. Many laboratory tests use a biotin-based method, and high amounts of biotin in the blood can push results the wrong way — for thyroid tests, a TSH that reads falsely low and free T4 or T3 that read falsely high, which can look like an overactive thyroid. The FDA has warned about this interference, including for troponin, a heart test used in emergencies.

The adequate daily intake of biotin for adults is about 30 micrograms, but B-complex, prenatal and hair, skin & nail products often contain 1,000 to 10,000 micrograms. That is why Section B has a Contains biotin? box and why the sheet flags any biotin product. The flag asks you to discuss pausing it before thyroid or hormone blood tests: lab guidance on whether and how long to pause varies with the dose and the test, so ask your clinician or the lab rather than guessing.

Use the lab-draw box for the other details that change how a result is read:

• Cycle day. Baseline FSH and estradiol are usually drawn early in the cycle (around days 2 to 5); a luteal progesterone check is usually timed about a week after ovulation.
• Time since your last hormone dose. An estradiol level on a patch depends on how many days since the last change; write it on the lab slip.
• Fasting. Only some panels need it; write what you were told.
• Anything you were asked to pause, in your clinician’s words.

If your clinician orders a broad hormone or functional panel, the hormone & lab panel builder shows which tests usually go through insurance and which are cash-pay, and the functional lab billing guide explains how lab orders placed through an ordering platform are billed. A repeat draw because biotin skewed the first one is a cost you can avoid with one line on this sheet.

05Allergies, hidden ingredients and the wallet card

Write allergies with the reaction, and include foods and ingredients, not only drugs. Hormone products contain inactive ingredients that matter to some people. The best-known example in gynecology: Prometrium and many generic oral micronized progesterone capsules contain peanut oil, and the FDA-approved label lists it. If your allergy box mentions peanut and Section A lists oral micronized progesterone, the sheet shows an allergy alert asking you to tell your prescriber and pharmacist before your next fill, so they can review the product with you. Other things worth writing down: latex (some applicators and devices), adhesive reactions to patches, and alcohol-based gels if they irritate your skin.

The wallet card on page 2 carries the facts an emergency team, anesthesiologist or imaging center needs when you cannot hand them a full sheet: your name, date of birth, allergies, conditions, emergency contact and every current hormone and prescription with its route and schedule. Supplements are listed by name, with biotin marked, because biotin can affect emergency blood tests too.

1. Fill the patient box and allergies, then add each prescription from its pharmacy label and each supplement from its Supplement Facts panel.
2. Read the flags. Each one is a question to raise, not an instruction.
3. Print both pages, cut the card along the dashed line and fold it in half; a clear card sleeve keeps it readable.
4. Review it with your clinician or pharmacist and write the date in the review record. Reprint whenever a dose, product or schedule changes.

Prefer to write by hand? Click Clear All Fields and print: Section A and Section B print as blank rows and the wallet card prints blank. If you take several hormones and supplements and want one clinician to look at the whole regimen, the consult form below can match you with an integrative gynecologist.

This page is educational and is not individual medical advice; never start, stop or change a medicine or supplement without talking to your clinician or pharmacist.