Talk to your doc!: Please, DO NOT INCREASE YOUR HORMONES WITHOUT DISCUSSING WITH YOUR DOCTOR, who should be a gynecologist expert in hormone replacement. You don't say why you're on the muscle relaxer and Tramadol, but they could be contributing to your fatigue and brain fog. And I'm not sure why you are thinking that the Vivelle (estradiol) would be the answer to those particular symptoms. See a psychiatrist for an evaluation.
Answered 5/9/2014
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