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Sex Hormone Effects on Body Fluid Regulation
In young women, estradiol and progesterone primarily control reproduction, but they also affect fluid regulation. Estradiol lowers the operating point for osmoregulation of arginine vasopressin and thirst and increases plasma volume. Although total body ...
www.ncbi.nlm.nih.gov
Just to rebut the ridiculous statement that is exclusively sodium responsible for estrogen induced water retention that's getting regurgitated recently.
For the original question, IMO the best way to manage estrogen on trt is a combination of dose and dosing frequency. If you need another drug to manage your estrogen your dose is either too high, too infrequent, or both.