I have struggled for several years finding hormone replacement therapy that is both effective at controlling my symptoms without causing negative side effects. I am allergic to estrogen patches and cannot use them. I have tried gel and that too causes allergic reactions on my skin. The compounded estrogen that I get from my compounding pharmacy does not cause any allergic reactions. It is also A LOT less expensive- and I pay the full cost of my prescriptions because I have a high deductible insurance plan. For example, the estrogen from the compounding pharmacy costs about $50 per month. The gel product I used before was $260 per month. Please do not take away this valuable product and service. My very life depends upon it.