Estriol / Estradiol [80/20] (Bi-Est) Cream

Anhydrous base

Mechanism of Action

Bio-Identical Hormone Replacement Therapy (BHRT)


Bi-Est is a combination of two endogenous estrogens—estradiol (E2) and estriol (E3)—typically provided in a 80/20 ratio to mimic physiological hormone balance.

  1. Estradiol (E2): The most potent endogenous estrogen. It binds with high affinity to estrogen receptors (ERα and ERβ)
  2. Estriol (E3): A weaker estrogen that binds preferentially to ERβ.


This formulation utilizes specialized transdermal bases from PCCA.

Clinical Advantages

  • Customizable Ratios: Allows for precise dosage adjustments based on individual serum or saliva hormone testing.
  • Bioidentical Profile: Uses hormones that are molecularly identical to those produced naturally by the human body.

Want to learn more about Estriol / Estradiol [80/20] (Bi-Est) Cream

Are you a healthcare provider or patient in Chino, Chino Hills, Ontario, Eastvale, Rancho Cucamonga, or Upland? Mixwell Pharmacy provides specialized pharmaceutical support throughout San Bernardino, Los Angeles, and Orange Counties. Contact our Chino laboratory to learn how we facilitate customized Estriol / Estradiol [80/20] (Bi-Est) Creamfor practitioners across Southern California.

(909) 378-7301