Check the information pack contained within the package. It should say that each pump is 0.75mg of estradiol per pump. Two pumps per day is only 1.50mg of estrogen.

I am not an expert and nor do I give expert advice, but it is my understanding that 1.5mg per day is not enough to overcome a need for an AA. I used 4 pumps a day for over a year and I didn't feel that it was an adequate amount.

I used to use Red Reishi as an AA and it did okay. Once I switched to a proper pharmaceutical grade AA, and an increase in E2, did I start to notice increased feminization.