I found cBHT to work better for me than the synthetic hormones I first used, which made my breasts swollen and painful. The BHT lifted my mood, helped my appetite and ended hot flashes and night sweats without any discomfort. It also increased my sex drive. They did NOT make my breasts swollen or painful. I found them mild and tailored to my system. I wouldn't want to go back to the synthetic therapy I first tried.