If I did not have access to hormone pellet therapy, I would have to leave the workforce. I am unable to work full time or perform my activities without HRT therapy. I would be forced to medically retire as a VA counselor. I am only 43. Thanks to the pellets I do not have debilitating migraines daily. I have the energy to care for my clients, complete my work, and have enough energy left over to enjoy my life. I can enjoy my grandchild rather than spend the day in bed because of a migraine.