Dr Megan PharmD

10/25/2026

Low vitamin D is easy to miss if you work indoors or nights. Learn the real symptoms, when testing makes sense, food sources, and how to supplement safely.

https://f.mtr.cool/yhu2sb0mcd

You leave for work before the sun is fully up. You spend most of the day indoors. By the time you finish work, the sun may already be going down. Or maybe it's winter, when the days are shorter and getting consistent sunlight feels nearly impossible. Most people don't think much about vitamin D unti...

10/24/2026

If your skincare routine is doing plenty of moisturizing but not much for the look of thinning, less-firm skin, this is one ingredient worth knowing about.

Meet copper peptides.

These small copper-binding peptides are being studied for their role in skin renewal and processes involved in collagen production. That's why you'll increasingly see them in skincare designed for smoother, firmer-looking skin.

But here's what often gets missed: not every peptide product is the same. The specific peptide, formulation, and how it's delivered to the skin all matter. That's part of why we compound ours here rather than pull it off a shelf.

And you don't need a prescription to ask us about it.

Topical Copper Peptide Cream is available at Wellness Compounding Pharmacy without a prescription.

Curious whether it belongs in your routine?
Comment "COPPER," and we'll send you the details.

10/22/2026

There are a lot of bottles on a supplement shelf. Choosing one is the harder part.

At Wellness Compounding Pharmacy of Cary, we look at the whole picture before you take anything home: what you're already taking, any duplicate ingredients, your medications, the dose, and why you're considering the supplement in the first place.

Here are a few things most people never get told:

Check for doubles. Vitamin D, zinc, iron, and B vitamins show up in multivitamins, immune blends, and sleep formulas. Three "different" bottles can quietly add up to far more than you meant to take.

Fat-soluble vitamins (A, D, E, K) can build up. More isn't always better, and extra isn't always flushed out.

Biotin can skew lab results. If you take it, tell your provider or lab before a blood draw. It can interfere with some tests, including thyroid labs.

Timing matters. Iron and calcium compete for absorption, and some supplements need to be spaced hours apart from thyroid medication. Ask before you stack them in one morning handful.

Start one thing at a time. Add a single new supplement, give it a couple of weeks, and you'll actually know whether it's helping.

Bring the bottles, not a list. Serving size, "amount per serving," and the "other ingredients" line tell a pharmacist more than a name written on a notepad.

Sometimes the conversation matters just as much as the bottle.

Taking more than one supplement or medication?
Bring your bottles in or email us, and we'll review them together.

10/20/2026

Vitamin D can be low without making a lot of noise. ☀️

You may feel completely fine, and getting some sunlight doesn’t necessarily mean you’re getting enough. This can be especially worth thinking about if you spend most of your day indoors, work night shifts, or have other factors that can affect vitamin D levels.

But there’s another side to the conversation: more vitamin D isn’t automatically better.

Vitamin D can show up in more places than you realize, including multivitamins, calcium supplements, immune-support products, and cod liver oil. When several products are taken together, those amounts can add up.

And cod liver oil deserves a closer look too. It can provide vitamin D, but it may also contain vitamin A and omega-3 fatty acids. That’s why we recommend looking at the whole supplement routine, not just one bottle at a time.

Swipe through for a quick guide on:
☀️ Who may be more likely to run low
🧪 When vitamin D testing may be considered
💊 Daily intake vs. the upper limit
🐟 What to know about cod liver oil
🏷️ Why checking all your supplement labels matters

Not sure what you’re actually getting from your supplements?
Email us a photo of your supplement, and our pharmacy team can help you take a closer look.

📌 Save this for the next time you’re reviewing your supplements.

Educational only. Talk with your healthcare provider before starting, stopping, or changing supplements.

10/18/2026

That menopause question you keep Googling? Ask it here instead. 👇

Perimenopause and menopause can bring a lot of questions, especially when symptoms, periods, or hormone therapy start changing.

Want a more useful answer? Include:
✓ Where you are in the transition: Still having periods? Becoming irregular? No period for 12 months?
✓ What changed first: Hot flashes, sleep, mood, vaginal dryness, brain fog, bleeding changes?
✓ When it started: A symptom timeline can be more helpful than saying “I’ve felt off for a while.”
✓ What you’re currently using: If your question is about HRT, tell us the form, such as a patch, gel, cream, or oral medication. Different forms aren’t used exactly the same way.

✓ What you actually want to know: “Is this common?” “When should I call my health care provider?” “How is this medication used?” Specific questions are easier to answer clearly.

Drop ONE menopause or hormone therapy question below. 👇 We’ll choose a few to answer in an upcoming post. Save this so you can come back for the answers. 💚

Please don’t share private medical information in the comments. Answers are for general education and don’t replace individualized medical care.

10/17/2026

Using estradiol cream? The small details matter more than you might think. 👀

Your prescription tells you how much to use, but good technique matters too.

A few practical tips worth saving:
✓ Check the strength every time you refill. Compounded prescriptions can be customized, so don’t assume a new container is identical to an old one.
✓ Measure, don’t eyeball. Use the pump, syringe, or applicator provided by your pharmacy so you’re following the prescribed amount.
✓ Follow your label for the application site and schedule. Where and how often you apply estradiol can depend on the specific formulation.
✓ Think about skin-to-skin contact afterward. Wash your hands after applying and follow your product’s instructions for drying and covering the application area, especially around children, partners, and pets. Transfer to others is a recognized concern with topical estradiol.
✓ Ask before adding lotion or jumping in the shower. How long you should wait can depend on the product.
✓ Missed a dose? Don’t automatically double it. Check your pharmacy label or call your pharmacist for instructions.

Save this before your next dose. 📌 And if you’re looking at your estradiol cream thinking, “Am I actually using this correctly?” call Wellness Compounding Pharmacy at (919) 694-5357. We’ll walk you through it. 💚

10/16/2026

10/14/2026

Starting estrogen? Save this before you need it. 📌

Breast tenderness, mild headaches, nausea, and some other side effects can happen when starting hormone therapy. But knowing what to watch, what to track, and when to call your health care provider matters just as much.

A few practical tips we give patients:
- Track the timing. Write down when you started or changed your dose and when symptoms appeared.
- Track bleeding, not just “yes or no.” Note the date, amount, and how long it lasts. Unexpected or concerning bleeding deserves a conversation with your provider.
- Don’t adjust your dose on your own. A side effect doesn’t automatically mean estrogen is wrong for you. Your prescriber may need to review the dose, formulation, or another possible cause.
- Know the urgent signs. Chest pain, sudden shortness of breath, one-sided leg pain/swelling, or sudden changes in speech, strength, or vision need prompt medical attention.

Save this for your next follow-up, and if you’re unsure about a symptom or how to use your medication, talk with your pharmacist or prescriber. 💚

10/13/2026

Who is filling your prescription? Most people never find out.

I'm Dr. Megan, and this is Dr. Janice. We're both compounding pharmacists, and we're right here in Cary when you have a question.

I'll tell you why this matters. A pharmacist who knows your name can catch things a rushed counter will miss. Like a supplement that doubles up with your medication, or a dose that doesn't fit how you actually feel.

Here's what I'd ask any pharmacist, anywhere in the Triangle:

"Is there anything in my list that doesn't mix?" Include vitamins, supplements, and anything over the counter.

"When should I take this?" Time of day, with food or without, and how far apart from your other meds.

"What should I watch for?" Side effects worth a call versus ones that usually fade.

"Can this be made differently?" Compounding can change the strength, the form, or leave out an ingredient you react to. Your prescriber decides if it fits you.

"Who do I contact if I have a question next week?" You should leave with a real answer to this one.

You should always be able to reach the person who filled your prescription.

Questions about your medication? Contact us or stop by and say hi. We'd love to meet you.

10/09/2026

Find us at Fill Your Cup Friday this week! 😊

Stop by our table with your questions about hormones, supplements, or medications.

Friday, October 16
12:00 PM to 5:00 PM
Cloer Family Vineyard, Apex, NC

Tickets are limited. Get yours!