I had early menopause at 28 years old. I have been using compounded bioidentical hormones for 26 years. I have energy and have none of the negative symptoms that crippled my life before I had the correct dose. Such as migraines, joint pain, hot flashes, low energy, and tissue thinning. If this had not been available to me, I would have suffered needlessly. Compounded hormones have been personally adjusted for my situation as I have aged, and the dose has been accurate in a way that I believe should be available to all people through this medium .