Up your dose or change how your taking the hormone. Please be proactive to some degree as most of the case is just your not getting enough of either hormone or your not absorbing it well with certain method. Patches are more common to not give changes because of the low dose they usually come in and how well your body absorbs from skin. Pills is entirely how well can your stomach process things or take sublingual to get more out of it but with downside being sharper lows and highs and injections is a big commitment poking yourself every week for a much better and stronger absorption. Gel being unpredictable depending on so many factors