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addresses signs of aging

M4 Face Cream

$49.99 per month
(Sold in a 3-month supply)

$10 off per month with purchase of Tretinoin Face Cream

A fragrance-free restorative estriol face cream that’s clinically proven to address signs of aging like decreased collagen production, decreased elasticity, and dryness.

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    Unlimited messaging with a menopause-trained doctor

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Get $10 off per month with Tretinoin Face Cream

Save when you purchase M4 Face Cream and Tretinoin Face Cream together. Learn more

M4 is clinically proven to be safe and effective

In an independent clinical study, statistically significant improvements seen in M4 Cream compared to placebo in 12 weeks include:

arrow up88%
improvement in elasticity
arrow up70%
improvement in hydration
arrow up68%
improvement in overall skin health
arrow up57%
improvement in skin texture

M4 can be used with or without MHT because it does not impact blood estrogen levels.

Read the full clinical study

Learn more about M4

What is it: M4 is a clinically proven, fragrance-free, prescription, estrogen-based face cream we created specifically for perimenopausal and menopausal women. The active ingredient is topical estriol, which improves collagen production and helps to address signs of aging.

Full list of ingredients: estriol, aloe barbadensis leaf juice , C 12 - 14 isoparaffin, caprylic/capric triglyceride, deionized water, laureth-7, phenoxyethanol, polyacrylamide, tocopheryl acetate, and triethylene glycol.

Who is it for: For any woman looking to reverse the effects of estrogen deficiency in the skin due to menopause or perimenopause (loss of collagen, decreased elasticity and moisture).

What am I getting: 3-month supply of M4 (one 45ml bottle).

How to get it: Prescription required. A menopause-trained doctor will review your medical history to determine if this is the right treatment for you.

Add it to Your Routine!
We recommend using M4 daily as part of your morning or nighttime routine. After serums (if using), apply a pump to your face and neck. Follow it up with any additional moisturizers or retinols (if using). If it's daytime, don't forget SPF!
Let M4 Work its Magic
Topical estriol has been shown to address signs of aging like loss of collagen, decreased elasticity and moisture.
See Results in as Little as 12 Weeks!
While results timelines vary, most people see significant improvements in their skin within three months.

M4 + Tretinoin Cream = the perfect combo for radiant skin

As your body stops producing estrogen, your skin loses its collagen. You also might experience decreased elasticity and moisture, fine lines, and wrinkles.

Use M4 to increase collagen, hydration, firmness, and radiance. Tretinoin will swoop in to increase cell turnover and give your skin a more youthful look & feel.

We love 'em on their own, but they're better together. Get $30 off when you buy Tretinoin Face Cream with M4.

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Did you know?

Up to 30% of dermal collagen is lost during the first five years of menopause, and it decreases by an extra 2.1% every year after.

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What is Estriol?

Estriol is one of three forms of estrogen our bodies naturally produce...until menopause. Once we hit menopause, we lose up to 30% of our dermal collagen in the first five years alone! And it only goes down from there. The solution to losing estrogen is replenishing it, and that's where estriol comes in.

The research shows that topical estriol can help maintain skin health. Topical estriol doesn't go into your bloodstream, so it is safe for everyone to use. You also won't experience hormonal side effects from M4.

Read the studyarrow right

How it works

1.

Take our skin assessment

It should only take about a minute!

2.

Select your treatments

Choose the treatments you'd like to request from the doctor.

3.

Doctor review

A doctor will review and write your prescriptions.

4.

Treatments delivered to your door

We'll ship everything right to you!

Frequently asked questions

  • How do I know if M4 is right for me?+
    Most women can safely use M4. Before we prescribe M4, you’ll fill out a quick assessment, and a doctor will review it to make sure it’s right for you.
  • Can I use M4 with other forms of hormone treatment?+
    Yes. You can use M4 safely with MHT and vaginal estrogen, since it is not systemic and therefore not absorbed by your bloodstream.
  • What is tretinoin and why is it prescribed?+
    Tretinoin is Vitamin A-derived skincare. It can be used to treat acne, fine wrinkles, dark spots, and rough skin. It works by speeding up cell turnover.
  • Do I need progesterone?+
    Because M4 is not systemic MHT, you do not need to take progesterone while using it. If you’re already taking progesterone, it’s totally fine to use them together!
  • Is M4 eligible for HSA or FSA reimbursement?+
    Yes! Medications prescribed by a licensed provider are eligible to be paid for or reimbursed by your HSA or FSA. Your invoice is available to download and include when you submit to your plan for reimbursement. If you require more information, please contact us at support@myalloy.com and we will assist you. Note: The IRS defines which medical expenses are eligible under an HSA or FSA and the products carried on Alloy are in compliance with these requirements. However, these plans can vary and some may not allow all eligible HSA or FSA expenses. It's important to always check with your benefits administrator to determine which expenses are eligible before you shop.
  • Where is Alloy available?+
    At this time, Alloy is available in all 50 U.S. states, plus Washington, D.C. If you live outside the U.S., you are still welcome in the Alloy community! You can sign up for our newsletter, follow us on social media @myalloy, access our blog, and enjoy our webinars as well as other free resources, regardless of where you live.

What Alloy customers are saying

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“I am amazed at the difference in my face and neck from just two weeks of using M4. My fine lines have almost disappeared and my skin is definitely more supple. The product layers perfectly with my serums and tretinoin and I love that it’s fragrance free.”

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Michelle on Trustpilot
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“The Estriol face cream is magic. Skin looks plumper. Less dry. Also love the ease and efficiency of obtaining care from the staff and doctors using online questionnaires and prescriptions.”

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KimTX on Trustpilot
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“I really love the face cream a lot! I have used an estrogen facial moisturizer from other providers before but this one from myalloy is the best. They all have the estrodial but myalloy has a beautiful formulation . The texture is excellent with absolutely no weird sticky or tackiness....it absorbed beautifully and wears under makeup and sunscreen very well. It 100 helps with maintaining moisture, suppleness and plumpness in the skin. My skin barrier is healthy and with that comes a glow to the skin. It is a very elegant formulation that is affordable. Thank you so much!”

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Kim on Trustpilot
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The online app is excellent- user friendly, clear and efficient. I received responses from the doctor within an hour of me sending messages. As healthcare provider myself, I was so impressed with the entire experience. I purchased the M4 face cream- saw results within a week. Again. so impressed. And grateful that there is a site out there to help us navigate the waters of peri-menopause/menopause in a way that has been hard for me to find in standard medical practices. Thank you SO much.

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Erin on Trustpilot
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I love the M4 Face cream as part of my daily skincare routine. I am an Advanced Practice Esthetician and specialize in peri-post menopausal skin. I have recommended it to many of my clients. It’s such a great addition to what I offer.

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Cindy on Trustpilot

The Alloy Promise

Alloy believes that every woman deserves accurate, up-to-date information and the agency to make her own decisions about her health based on facts, not fear.


All of our board-certified physicians follow ACOG and The Menopause Society guidelines and prescribe only FDA-approved, generic medications for the treatment of menopausal symptoms. The safety of our products is our top priority.


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