I have been using cBHT since the early 90's to regulate unbearable hot flashes and night sweats that began pre-menopause. I have always utilized a gynecologist for functional medicine to test hormone levels at least every six months so my script is kept in sync with resulting lab results. If this medication is not available, I would again experience unbearable hot flashes, night sweats, loss of sleep, mood swings and fatigue. My hormonal needs have been gradually decreasing, thus my ultimate goal is to be free of taking cBHT...eventually. I thank my functional medicine PA for her ability to regulate my hormone levels and my compounding pharmacy for their ability to compound my BHT to my specific needs. And I pray they will continue to provide those skills and abilities not only for me but others who experience unbearable hormone fluctuations during pre and post menopause.