I have been using Bio-Identical hormones for over 15 years. I am now 64. I have never had hot flashes, I sleep well and have energy because of this. After a total hysterectomy I didn't have to add anything because I was already using the hormones. It is none of the Government's business to tell me what I should put in my body. My insurance used to pay for my Bio-Identical hormones up until about 7 years ago! The Pharmaceutical companies thing THEY know what is good for us! Our representatives in congress should be supporting WE THE PEOPLE and not voting with the Pharmaceutical companies so that they receive a kick back. My health and my body is mine to manage!!