When I was going through menapause my doctor tried a couple of medications to help the hot flashes and mood swings. But the side effects were not tolerable. I was fortunately able to talk to a doctor who studied hormone replacement. I took tests to determine my hormone in balance. I was placed on compounding hormones and my symptoms improved. It has also improved my bladder issue and helped with bone and muscle health. Please do not take hormone compounding off of the market. This product has tremendously helped me. Without it my over all health will decline. There needs to be room for this specialty. It is not a threat to the big pharmacies.