My name is Jonathan. I started TRT hormone therapy almost 1 year ago. I was experiencing extreme brain fog, fatigue, anxiety, and depression. It seemed as if nothing helped. I have been prescribed Xanax for anxiety and hated it. I decided to get my levels checked. After 2 blood tests, my levels steadily kept dropping. I found out I had the test levels of a 90-year-old man at the ripe old age of 33. Ever since I started TRT I have not dealt with any anxiety or depression and have had a quality of life I never thought I would get back. Having Hypogonadism affected the business that I own and my family life. Without TRT I would not have the quality of life I now have unless God works a miracle for me. Please keep TRT available for all who need this treatment. I believe keeping TRT and Hormone replacement available will keep those who are now on it away from obtaining it illegally to keep up their newfound quality of life. Thanks for your time and consideration. God bless our freedoms and God bless America.

Access to these medications saved my life. I feel so much better both mentally and physically. They also saved my marriage. Please don’t take away our access to these life-saving medications.

I am writing to express my concern about the FDA’s possible decision to ban compounding pharmacies from filling prescriptions for bio-identical hormones. As a seventy-four-year-old woman who has been taking these hormones for approximately twenty years, I would be in a difficult position for my remaining years.

I had a complete hysterectomy at the age of thirty. For the next many years, I had difficulty getting relief from the hormonal changes in my body with prescription hormone replacement. I suffered from depression and never-ending hot flashes, as well as insomnia. When I first tried compounded hormone replacement, I experienced a huge change. My body accepted these so much better. While I still suffer from some sleep difficulties and mild depressive episodes, they are tolerable and short-lived.

I have been helped so much by these compounded prescriptions, and I know I am not the only woman out there. Please do not ban compounding pharmacies from providing this service to the people who need this specialized care.

My troubles with "one size fits all" synthetic hormones began in my twenties when I began taking birth control pills. For the four years before my third child was born and for the next two years after, I always had a yeast infection. No matter what medicines were given to me, the yeast infections always came right back. This affected my ability to enjoy sex. I felt awful all the time and I lost my joy of life.
My doctor suggested I quit using birth control pills. Within a few months of stopping the pills, and with no other medications, the yeast cleared and I was able to live a normal life. Until menopause. Within a few months of starting a popular synthetic hormone replacement, the yeast was back. For the next 10 years I suffered, and again lost my joy of life.
Then I began to hear about bio-identical hormones and compounding pharmacies. I changed doctors and began working with one who was familiar with these products. It took a while, but with my doctor and compounding pharmacist working together, changing something here, adjusting something there, they finally found just the right combination and methods that fit my body. I have been yeast free for 12 years. I am 74 and other than my compounded bio-identical hormones, I take no other prescription medication. I am healthy. I camp, hike and kayak. I have joy. My hormones, made especially for me, help keep me that way!

Until I was prescribed compounded hormones, I was ready to consider my life over. Even with children, grandchildren, a job I loved, and a passion for writing, I felt there was no point in living, no joy. Then friends convinced me to try the compounded hormones. Slowly, my energy and joy to live came back. My overall health improved, my bone density got better, and I began an intimate romantic relationship. Taking away compounded hormones would condemn me to death of all that I am. Please, commission a new, unbiased study but do not take it away.

Taking compounded BHRT has greatly improved my quality of life and has also improved my bone strength. I was diagnosed with Osteopenia and it started improving after I started taking the compounded hormones. Compounded BHRT is vital to many women.

I use compounded progesterone because the drug companies use peanut oil in their progesterone. I am allergic to nuts.
I also have to get a compounded product for my dog. He takes a product that supports his high liver enzymes. The drug company has not been able to produce it recently. My dog would die if I could not get this for him.

I went through menopause at age 44. It made me feel like I was exhausted, angry and sweating. Unable to think well or sleep. My poor husband was wondering who the hell I was.

For the past 8 years, I have been on two different forms of bio-identical hormones compounded just for me.

My life is so much better. No more awful mood swings. Energy! Sleep! Kindness! is all mine once again.

Taking away my right to choose my own compounded medicine is removing fundamental freedom. Period.

I had a lot of problems sleeping and had heart palpitations so a doctor gave me a pharmaceutical prescription which gave me cramps and headaches and made the heart palpitations worse. I changed doctors and got a prescription for a compound blend of estradiol, estriol, and progesterone all natural. Now I have no side effects, I sleep better, and have no more heart pain or flutters, and my brain is clearer. PLEASE DO NOT TAKE THIS AWAY. I need my compounded hormones and I believe it keeps me alive.

Every female on my mother's side of my family has suffered from hot flashes and night sweats until they died from age 80 to 95! I started taking the drug when I began going through menopause at 50 and suffered from the same life-disrupting symptoms. I would "flush" red so drastically that people thought I was having a stroke or something equally as life-threatening. The compounded hormones are the only way I can maintain a normal life. I know this. Every time I would try to stop taking this medication within 3 or 4 months the symptoms would come back full force.

I had a total hysterectomy at 30 y/o due to severe endometriosis. My very caring physician recommended cBHT which has given me a healthy, vigorous, productive life without complications for decades. I also have inflammatory arthritis, and the estrogen helps protect my bones and brain health. Denying physicians the ability to prescribe these life-changing treatments -- and the patients the ability to receive them - is denying an achievable quality of life.

I sought out bio-identical hormones to decrease the amount of medication I’d been consuming. My night sweats were so bad I’d wake multiple times and then couldn’t fall back to sleep. I was having trouble being clear-headed at work. After taking bio-identical hormones, I began to notice how much they helped and how I could sleep again!
After this, I told my GYN that I had painful intercourse and we started on a topical vaginal cream. Magical! And I had used other creams they never worked like my compounded cream.
My life has vastly improved all because of compounded medication!

I have used compounded hormones for many years. They are the MOST effective at controlling symptoms of menopause. I am healthier because I use them.

I am the Senior Director of Clinical Strategy at one of the largest medical companies in the world and plan our data needs. At 40 years of age, I was tired all the time, I could not recover from any workouts, I was competitively cycling and not able to train and recover and my libido had crashed. I went and had bloodwork and found that my testosterone level of the lowest 5% for an 85-year-old man. I am now 53, have been using compounded medications for 13 years and it has changed my life. I can work out and recover, and my wife and I have a great relationship (she is also using compounded medications after a partial hysterectomy). I have read the FDA report performed by a large number of pharmaceutical company consultants suggesting regulation and think this is an exceptionally flawed approach. This is a perfect opportunity for an RWE study on compounding drugs rather than a poorly run study by a clearly biased group.

Compounded hormones are saving my life, I feel better than I ever have and I feel like I matter in this world. If it weren’t for these hormones, I’d be bedridden with massive symptoms.

As a post-menopausal woman, I was having painful skin tears in my perineal area after just wiping myself on the toilet. These were happening more often until I started bio-identical compounded hormone replacement. My skin integrity is now much better. I couldn't get along without it! Also, no more mood swings. Please don't limit compounding pharmacists from doing what's best for their clients!

I had my uterus and both ovaries removed at the age of 35. I tried many different pharmaceutical pills and creams. I did different combinations. I tried no hormones at all. My skin and hair looked terrible. My brain was always in a fog and I physically felt awful. The only thing that has helped me feel normal is my compounded hormones. I don’t know how I would have survived these last 12-plus years without my hormones. I feel amazing. My hair and skin look great. My brain works as well as it did before my hysterectomy. As long as skittles are allowed to be on the market my compound hormones should be available.

I literally could not get out of bed. I couldn’t work. This treatment gave me my life back after my hormone production stopped entirely.  Compounding pharmacies have been my only option. 

I have been on bio-identical hormones for years, they work for me. I have taken regular pharmaceutical hormones before--they did not work. My OB-GYN did lab work and the compounding pharmacy makes what my body needs. 3 different estrogens, progesterone, and testosterone. No other pill is manufactured for me as to what my body is lacking. Please let us keep getting bio-identical hormones the way we are now!