Hot flashes are totally gone, sleep is much better, anxiety that accompanied severe hot flashes is gone. Lower anxiety and better sleep allows healthier waking hours, i.e. improved energy levels, better task focus at work and at home, healthier interpersonal relationship interactions. Aside from these specifics, my overall health goals have been profoundly affected. I have found a personal motivation to continue engagement in an attitude of life-long learning on this topic. For example, my health care provider(s) know to expect thoughtful questions at each visit. This is very good- and began years ago when I realized that choosing cBHT was controversial, but did not understand why this was the case. I continue to learn and be an enthusiastic advocate for my health. Thank you.