Are there any side effects? What do I do if I experience any of these?

Possible side-effects include

1. Breast Tenderness – If you initially develop too much breast tenderness, you may use Evening Primrose Oil (500mg by mouth twice/day) to reduce it. If it is extreme, you may require prescription Arimidex (1mg/day) for up to 10-14 days.
2. Spotting or bleeding – Spotting or bleeding can occur if you are not getting adequate amounts of Progesterone. If you are taking progesterone appropriately, other factors may be at fault such as endometrial polyps, uterine fibroids, endometrial hyperplasia or cancer.
3. Fluid retention – estrogen can cause fluid retention, in the first few weeks following your pellet insertion. To reduce this, drink lots of water, take cider vinegar capsules and prescription Spironolactone if necessary.
4. Mood Swings – For mood or irritability, try S-adenosylmethyl E (1 capsule twice/day), St John’s Wart (300mg 3x/day), or Vitamin B6 (100mg twice/day)
5. Acne – Cleocin T solution, Differen gel, or spironolactone
6. Bruising or pain – Arnica Montana gel can be applied topically 3x/day to affected area, or you can try Traumel tablets or gel, apply ice, anti-histamines, or ibuprofen only after the first 24 hours.