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They may differ in efficacy, safety, risk, and side-effect profiles from commercially available or FDA-approved drugs

One thing to factor in is the membership

Major US medical organizations including ACOG, The Menopause Society, and NASEM have concluded that compounded bioidentical hormone therapy claims of superior safety or effectiveness over FDA-approved hormone therapy are not substantiated by evidence from well-designed clinical studies, and that FDA-approved hormone therapy products are generally recommended over compounded alternatives when an FDA-approved formulation appropriate to the patient is available

Dig Liver Dis 53(5):558565 Fenneman AC, Weidner M, Chen LA, Nieuwdorp M, Blaser MJ (2023) Antibiotics in the pathogenesis of diabetes and inflammatory diseases of the gastrointestinal tract

This can be a game-changer to help you get through the adjustment period comfortably