In my early 50's I started having terrible hot flashes, to the point where I would literally be soaking wet, with sweat dripping down my back and neck and face, even in the middle of the day. I don't know why but I am very sensitive to many medications, and compounded hormones have saved me from these debilitating hot flashes. I am also a pharmacy technician and I started my career as a compounding technician. Now I work in a hospital and many of our patients are prescribed compounds to help them through their hospital stays. Please don't hold compounded hormones to the same standards that drug manufacturers have to follow. It is a literal impossibility given the thousands of formulations needed to to treat an individual's need. Thank you for reading.