The NASEM committee had little to no expertise in compounded hormones

The lack of practical experience raises serious questions


The NASEM committee consisted of individuals, with two exceptions, who come from academia. Only one member of the committee was currently treating patients. No one is an active prescriber or a pharmacist with patient-facing experience, let alone with experience compounding hormones. 

Certainly, the members of the committee are experts in their field. But no one on the committee has first-hand experience with compounded hormones as a practicing medical professional. 

In short, the FDA asked the committee to develop recommendations on a topic about which it knew little. 

To make matters worse, a number of people serving on the committee were affiliated with organizations that may have added significant bias to the entire process.

Based on a review of documents acquired by the law firm Reed Smith through a Freedom of Information Act request — it is clear that the FDA sought to guarantee the committee reached desired conclusions by ensuring that its proxy, a recently retired executive of the FDA and lead on pharmaceutical compounding, was deeply involved in the development of the committee's report. This former executive declined to serve as a member of the committee because of an existing conflict of interest, but still served on the review team and heavily influenced the final recommendations. 

This former executive's bias against compounding was long established before the NASEM committee was tasked with investigating compounded hormones. One commenter on an opinion piece written by the former FDA official stated it simply: ... the author "sounds an awful like a lobbyist for drug companies."

For the FDA, the executive's conflicts of interest and known bias weren't a detriment, but a benefit.



Source Material

The foundation of this website is an independent analysis of the original NASEM report, The Panel Put Policy-Making  Before Patient Need, written and published by The Berkeley Research Group. You can download the analysis here. 


Hear their stories, in their own words. Protect their access to compounded hormones.

On this page, we can only touch on the data that demonstrates the importance of compounded hormones to the lives of millions of women in this country. While the decision to take this vital therapy from patients and physicians might be profitable for the big pharmaceutical companies, it will be disastrous for the millions of patients that those same pharmaceutical companies cannot serve!

We encourage the appropriate committees in both the House and Senate to hold hearings on this critical issue.

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Explore our interactive map that demonstrates the importance of compounded hormones to patients all across the country. Filter these first-hand accounts by state to see just how vital compounded hormones are.

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