75%
fewer hot flashes,
or better
Ease hot flashes
Protect bone density
The dose is individual — your provider titrates it to your symptoms and your labs, and reviews it with you each quarter.
SKU vb0129
*Products are dispensed from our exclusive pharmacy partners, which may vary based on availability, location, and specific product requirements.
Estrogen (Bi-Est) troches
Estrogen therapy in postmenopausal women can be beneficial by alleviating hot flashes and night sweats, improving vaginal dryness and urinary symptoms, preserving bone density to reduce osteoporosis risk, supporting cardiovascular health when started early, and enhancing mood, sleep quality, and overall quality of life.
- Reduce hot flashes and night sweats
- Improved mood and confidence
- Improved bone density
- Receive your medication in as little as 7 days**
from
$95
/mo.*
*with membership, consult and provider approval
PROVIDER-SUPPORTED PROGRAMS
MEDICATION SHIPPED DISCREETLY TO YOUR DOOR
1:1 PROVIDER-LED CARE, EVERY QUARTER
ALL NECESSARY SUPPLIES ALWAYS FREE
BEST MEDICATION PRICES
WHAT IS INSIDE
Two estrogens, one troche.
2
ACTIVE INGREDIENTS
1 troche
dissolved daily
Compounded and dispensed by a US FDA-inspected pharmacy partner. Your provider sets the dose.
Bi-Est pairs estriol with estradiol — the gentler and the stronger of the two estrogens your body makes. The troche dissolves between cheek and gum, so the dose is absorbed through the mucosa.
ESTRIOL
gentler
The weaker estrogen — carries much of the relief for vaginal and urinary symptoms.
ESTRADIOL
stronger
The estrogen that falls at menopause — the one that acts on hot flashes, bone and mood.
How it works
Why a troche, not a tablet
Swallow a hormone and the liver sees it first. A troche dissolves in the mouth and reaches the bloodstream directly.
Swallow a hormone and the liver sees it first. A troche dissolves between cheek and gum, so estrogen reaches the bloodstream through the mucosa instead.
- 01
Between cheek and gum
One troche, once a day. It dissolves in place rather than being swallowed.
One troche a day, dissolved in place rather than swallowed.
- 02
Through the mucosa
The dose is absorbed straight into the bloodstream, bypassing the liver’s first pass.
Absorbed straight into the bloodstream, bypassing the liver.
- 03
Receptors respond
Estrogen receptors in the hypothalamus, bone and genitourinary tissue get the signal again.
Receptors in the brain, bone and genitourinary tissue get the signal again.
Doctors say
“For moderate to severe hot flashes and night sweats, estrogen therapy is the most effective option — often reducing their frequency and severity by 75% or more — while also restoring genitourinary health and preserving bone density. Non-hormonal alternatives offer only modest reductions.”
“For moderate to severe hot flashes, estrogen therapy is the most effective option — often cutting frequency and severity by 75% or more — while also protecting bone density.”
YOUR PROTOCOL
Your day on Estrogen (Bi-Est) Troches.
One troche a day, dissolved between cheek and gum. Your provider sets the strength individually and reviews it with you.
A TYPICAL WEEK
1 troche- MON — dose day
- TUE — dose day
- WED — dose day
- THU
- FRI
- SAT
- SUN
Days shown are an example. Bi-Est troches are taken once daily; your provider sets the strength.
- APPLICATION
- Troche
- DOSE
- Individual
- REFILL
- Every 30 days
Shipped to your door
Every 30 days, discreetly packaged. No insurance, no pharmacy queue.
Your core treatment is included.
The $129/month membership covers the provider, the plan, the coaching, the supplies and one core treatment of your choice.
ONE MONTHLY PRICE
Start your transformation.
Keep the results.
Your membership covers the clinical care and the supplies. The only thing you pay for separately is the medication itself.
- Expert provider consultation
- Ongoing check-ins & support
- Nutritional guidance & coaching
- Wholesale pricing on 100+ medications
- Zero-cost injection supplies
- Nutrition & Fitness app
- 1:1 provider meetings every 90 days
- Choose one included treatment*
*You choose one included treatment — your provider approves.
Medications are sold separately. Labs required, not included in membership.
WHAT YOU GETOTHER CLINICSVita Bella
One core treatment*Choose one — your provider approves it.
- Testosterone
- Enclomiphene
- B-12
OTHER CLINICS$149–$199 / mo on top of the membership$149–$199 / mo extra
VITA BELLAIncluded with your plan
1:1 provider visits
OTHER CLINICSBilled per visit
VITA BELLA
Every 90 days
Every 90 daysProvider messaging between visits
OTHER CLINICSRarely offered
VITA BELLAIncluded
IncludedNew medication/changes
OTHER CLINICSNew appointment each time
VITA BELLAMessage your provider (non controlled)
Message your provider (non controlled)One core treatment*
OTHER CLINICSPharmacy retail price
VITA BELLAIncluded
IncludedInjection supplies
OTHER CLINICSCharged separately
VITA BELLAZero cost - Included
Zero cost - IncludedNutrition guidance & coaching
OTHER CLINICSSeparate provider
VITA BELLAIncluded with Vita Bella App
Included with Vita Bella AppMedication pricing
OTHER CLINICSHigh Retail
VITA BELLADiscounted on 100+ meds
Discounted on 100+ medsEssential labs
OTHER CLINICSBilled by the lab - $1,000+
VITA BELLAFrom $89, member pricing
From $89, member pricingMember app
OTHER CLINICSNone
VITA BELLAIncluded - Fitness, tracking, and nutrition guidance
Included - Fitness, tracking, and nutrition guidance*Choose one included treatment and your provider approves it — Testosterone Cypionate, Enclomiphene or B-12. Any other medication is sold separately at member pricing. **Essential Labs start at $89, are not included in the membership and are priced per state; larger panels cost extra.
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Photos and words shared by Vita Bella patients. Individual results vary.
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Verified PatientWorks well alongside
Your provider will tell you what can safely be stacked with Estrogen (Bi-Est) troches.
FREE*HORMONE THERAPY
Clomiphene
from $50.00/mo.
Clomiphene offers a simple, oral solution to boost both testosterone and sperm production, potentially enhancing fertility in men.
FREE*HORMONE THERAPY
Enclomiphene
from $60.00/mo.
An oral capsule taken daily to maintain fertility and boost testosterone levels naturally - Not hormone replacement but nudging your body to create more testosterone and sperm.
HORMONE THERAPY
Estrogen cream
Price on consult
Estrogen therapy in postmenopausal women can be beneficial by alleviating hot flashes and night sweats, improving vaginal dryness and urinary symptoms, preserving bone density to reduce osteoporosis risk, supporting cardiovascular health when started early, and enhancing mood, sleep quality, and overall quality of life.
HORMONE THERAPY
Estrogen Patches
from $89.00/mo.
Estrogen therapy in postmenopausal women can be beneficial by alleviating hot flashes and night sweats, improving vaginal dryness and urinary symptoms, preserving bone density to reduce osteoporosis risk, supporting cardiovascular health when started early, and enhancing mood, sleep quality, and overall quality of life.
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or call (480) 602-0444
*Disclaimer: “TRT or B12 Included In Program — No Additional Charge!” requires provider approval before starting treatment. Labs are required to verify eligibility and are not included in the membership. Program includes Testosterone Cypionate up to 200mg per week AND anastrozole either as a Cyp/Anastrozole blend or as anastrozole as an adjunct therapy up to 10 capsules per month. Program also includes Enclomiphene (up to 50mg daily), Clomiphene (up to 50mg daily), or B12 (up to 1000mcg weekly) as an alternative to testosterone therapy. Program does not include Testosterone AND Enclomiphene, Clomiphene, or B12 together if prescribed in conjunction. Program does not include testosterone blends such as testosterone cypionate/enanthate/propionate, testosterone creams, or gonadotropins such as HCG or gonadorelin. Program does not include any other medication. This program is subject to change at any time.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate.
