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.