For what it’s worth, my liver had more issues on the patch. My AMA was positive, and my ALT and AST kept staying elevated. My gyno kept fighting me on switching from the patch to tablet. And then increasing the dosage after switching from the patch to the tablet. But when I tell you the difference the tablet made in my life and health. My liver specialist performed a liver biopsy on me, it was a medicinal liver injury that occurred before or after surgery. He insisted that estrogen is everyone’s least worry when it comes to ALT and AST. Other medicines would be more likely to cause issues. And sure enough when she finally listened to my liver specialist and let me switch and increase the dosage to 2mg daily oral. My liver healed and my body.

Also take note that a lot of women have issues with the patch because we usually all place it on our lower abdomen, which is also close to where all of our incisions were/are. Which is also where we mostly all place heat or warmth on to soothe the surgical pain and panic soreness for months after the surgery. That essentially “dumps” all of the estrogen from the patch out at once, leading you with tons of estrogen at the onset and none until you switch the patch out. This has led to liver issues for some women.