I had a complete hysterectomy at 35 immediately throwing my body into menopause. I had hot flashes at all hours, fatigue, night sweats, depression, you name a symptom, I had it. I've tried most of the prescription hormone replacement therapies. They all had issues. Many were incredibly expensive due to limited insurance coverage. Frequently one or the other would be back ordered and I had to switch to a different kind. With my prescription at the compounding pharmacy, I can consistently and affordable get exactly what I need. Not to mention without the compounding pharmacy, testosterone isn't even available to women despite the clear research indicating it is critical part of the recipe for hormone replacement. Before you go banning something, please make sure you have a viable replacement. Too often women's health, especially reproductive health, takes a backseat to profits and gender bias.

I began menopause in my early 50s. After much testing and doctor visits, I aligned with a Dr. that partnered with me and a compounding pharmacy to provide me with customized hormone replacement therapy. This literally saved my life. I have worked with many compounding pharmacies in the last 15 years, after living in different geographic locations and they have always taken the time to explain and assess my symptoms, to find solutions to alleviate symptoms and improve/maintain my health safely. This has always been in conjunction with my Drs. My compounding pharmacists (and pharmacy’s) are ESSENTIAL for my well-being and health.

Please do NOT allow the FDA to over-reach and remove a safe and effective path to keep and maintain my well-being.
Thank You

I was a high mileage high school runner with extremely low body fat, so I had sporadic periods. Pellets have allowed me to have a normal aging process and libido that I wouldn’t have gotten since I stopped having periods at 40.
I feel safe taking natural testosterone hormones in pellet form, and I get yearly blood work to test my levels.
These pellets have allowed me to have a much better quality of life and marriage. The testosterone also enhances my muscle tone qualities.
I also use estradiol patches to get smaller amounts of estrogen. The estrogen pellets were not working as well for me.

Please keep bioidentical hormone therapy available and accessible through compounding pharmacies.

They are necessary for our health, well being and lives!!

This also includes for my daughter and best friend.

Thank you!

When I went to my eurologist 3 years ago for a random check up I found that my testosterone levels were extremely low and at 49 years old they were only going to get worse with age.

I started taking TRT and DPAC (compound medication) and 3 years later I can say it changed my life. I'm more awake, I sleep better, I have more energy and my overall quality of life is simply light uears better.

I hope that your intentions are not to restrict or remove compound medications that truly help change people's lives and help them to live a better healthier life.

I went into peri- menopause about 10 years ago. As a young 40 yr old my symptoms were not being taking seriously until I found a doctor that specialized in female hormone therapy. This Gyn studied the research and did testing and monitoring to find out exactly what was going on in my body. Compounding gave her the ability to customize the prescription for me.

The traditional products are not formulated for individuals rather test subjects and speculated effectiveness for the masses. I appreciate the fact that my prescription can be tweaked as needed for me. Why would you take customization away from consumers? One size does not fit all when treating symptoms of menopause!!!!

Need compounded testosterone cream to increase level while calming my overall mood. The compound pharmacy provides a critical need that serves to enhance hormone levels. In addition, the pharmacist answers to any questions and provides the expertise to alleviate any concerns.

I'm 65 years old, male, 5'11", 180 lbs, 32" waist, in excellent health, no illness or disease - NO PRESCRIPTION drugs - which is the most significant part of this story. Whenever I take a physical the doctors always ask "What medication are you taking"? When I reply NONE they have a shocked look on their face as if to imply....."everyone takes some medication"!

With compounded bio-identical hormones you don't have to take medications. 
Please insure that bio-identical hormones are available through compounding pharmacies for all people who want them.

I’m allergic to all formulas of my medication from commercial pharmacies. Compounded medication does not have the chemical allergens that are a threat to my life.

My gynecologist told me to take compounding hormones. I have been on these hormones for almost a decade and have been helped significantly by them. I do not want any governmental body/agency interfering in my care.

Dear Congress,

Unfortunately, through no fault of my own, I suffer hormonal imbalance, among other medical comorbidities. Compounded hormones (cBHT) and the other medicines and minerals I need at specific doses for my unique individual situation have been essential. Compounded hormones are the only tolerated, and suitable option to regain my normal health. Due to my unique situation and comorbidities, other single dose medications are not tolerated or even indicated for my treatment.

It's like the lock on the front door to my house... only one uniquely grounded key unlocks my front door, not just any key will unlock it. Only one very special, uniquely crafted key. It's not rocket science it's common sense, we can't slide a 4 inch square peg through a 2 inch round hole either. Since I've utilized compounded hormones I feel like I'm 30 years old again! I feel FANTASTIC! I have a normal life again, I can sleep uninterrupted for a full 7-8 hours, and I am back to all my usual and necessary activities, even gym workouts!

You may not be aware, but the FDA is citing a deeply flawed report from NASEM, signaling that it may consider new restrictions on compounded therapies. Compound pharmacy is the only therapy that actually works for me. I've tried them all, believe me, you can bank on the fact that my insurance company has put me through all the horrifically disturbing standard, "one size fits all", less efficacious step-edit formulary protocols throughout my treatment process. Been there, done that, and most definitely do NOT want to do that again! It's really quite simple, hundreds of thousands of individuals just like me can reassure you "one size does not fit all!"

The restrictions that would result from the FDA citing flawed NASEM reports would not only put access to compounded hormones and the only successful and tolerated treatment I have, but also successful therapy for hundreds of thousands of other individuals under a very real threat!

PLEASE spend the time and effort to preserve access to compounded hormones and other important compounded therapies so hundreds of thousands of patients are not thrown back into a miserable life of suffering through no fault of their own. Compounded hormones are vital to mine and thousands of others sanity each and every day. As well, they have been well tolerated, efficacious, improved outcomes, and have improved my quality of life! Isn't that what medicine is all about?

I found myself where I never thought I would be. After trying every alternative there was no doubt that I needed a full hysterectomy at 35. Afterwards the moodswings, dryness, depression and lack of sex drive was taking a toll on my spouse & family. The availability of compounded hormones made me feel like myself again. Please don't restrict access.

I started perimenopause at 40 and by 45 was in menopause. If I did not have my local compounding pharmacy to provide me with my cBHT I don’t know where I would be. These hormones help me feel like a normal person again.

I have several medical diagnoses which were exacerbated severely, along with completely new sets of symptoms, with the onset of menopause. At least one of my conditions is reliant on the activity of estrogen and progesterone. My labs showed severe deficiency in both. I was trying to manage my already known health conditions, work full time and deal with all the symptoms of menopause (including lack of sleep) at the same time. An MD prescribed transdermal/topical Bioidentical HRT. Within 3 months my body responded and I was back to feeling and operating close to my usual baseline. Symptoms improved even more after 6 mos. Please do not take compounding Bioidentical HRT away from us. There are so many that can not function as a healthy human without it.

Since having my thyroid removed in 2007 due to cancer. I’ve been diagnosed as being hypothyroid. I’ve tried Synthroid and Levothyroxine with Cytomel as I need T3 AND T4.

I cannot take the above mentioned meds as I have reactions to the fillers.

I’ve been on Armour Thyroud since 2010. This medication is much easier on my body and Ive adjusted well.

For those of us who suffer with thyroid disease, we would not wish this illness on our worst enemy.

However we need this medication to continue to thrive with our disease.

If this medication is taken off the market due to proposed regulations in 2029 so many of us would suffer.

More studies are needed. Thank you. 

After getting the hormones I feel with energy, more calm, happy, I can sleep through the night, my skin looks younger, and also they helped me increase my libido!

My name is Autumn, I had to have a partial hysterectomy in 2014, I was 31 years old. I had incredible large amounts of uterine fibroids, endometriosis and pcs. This surgery was a year after I had my 2nd son. He was born with many special needs too. Fast forward to October 2022 my ovaries and all the metastatic endrometriosis that continued to grow in my abdomen post hysterectomy, had to be removed. I suffered every day until October, much pain impacted life. I am now in menopause, luckily I was able to come off my psych meds with my psychiatrist help. Turns out I had been misdiagnosed with bipolar since I was 14, thanks medical system and fda. Over medicated contributed to weight gain and many more life long problems. I have autism and trauma I am working through and severe anxiety from menopause. I won’t take psychiatric meds. I can’t take estrogen or many other hormones non bio identical as it raises my blood pressure which is being watch, I have a thoracic aorta aneurism, so high blood pressure is not a good thing. My Obgyn thinks the Biest will help and be safe. Please don’t make this more difficult to get. But both our boys are special needs and I am trying to work as an artist, husband barely makes enough money too. I need help.

When the Women’s Health Initiative study launched over a decade ago sponsored by the makers of Premarin it showed issues with our choices for hormone restoration from commercial meds in America. BHRT bioidentical hormones gave millions of men and women with declining hormones a choice. Like diabetics replacing insulin with human insulin, no longer beef or pork like the 80’s and back menopausal women can now choose a custom approach from many highly skilled compounding pharmacies. I feel compounders are only shown in a negative light by the FDA. There are many more wonderful pharmacies like mine, Family Care Pharmacy that have provided positive impact to loved ones who deserve this access to care. Truly custom, personalized medicine looking at the biological deficiency and providing the exact amount of medication needed not a 1 or 2 strength off the shelf solution. Know that many pharmacies self included have follow up assessments and surveys surrounding the patients pharmacological treatment to continue to optimize therapy based on patient and physician feedback. Please do not allow the FDA to deny access to care based on a highly flawed NESEM study.

My mother really suffered when her body started menopausal symptoms when she was just into her forties. She was given many different manufactured products to try and help curb her life-interrupting symptoms; yet all proved to be not worth the side effects, if they assisted at all.
At the time there were not many "compounders" in our local area, but one independent pharmacist owner, opened a "natural pharmacy" that promoted compounding for patients with specific needs. After a brief, yet very informative conversation with this pharmacist, my mom was set on trying cBHRT therapy.
It was a godsend as she would describe it. Her life literally went "back to normal", if you will, as she was able to trust her body once again.
My mother's story is quite detailed and I'm sure she'd be willing to tell it to anyone it would help, but with compounded hormone therapy being challenged as a legal treatment, she is very disappointed and feels many women are going to have to suffer, for no real good reason. She has urged me to share her brief story with the hopes more women (all people) will have access to these compounded medications and not have to suffer needlessly.
Thank you for your time and attention and please, from my mother and I, PRESERVE THIS CRITICAL MEDICAL THERAPY and stop this threat to legit, life-changing, cBHRT therapy!