I was having severe hot flashes, insomnia, and no sex drive. I went to a holistic doctor who ordered some lab tests. When the results came in the doctor just wrote HRT per Labs and sent me to Rick at Palm Beach Compounding. Rick reviewed the labs and asked me some questions. Then Rick came up with my starting dose of Bio-identical Hormone Replacement Therapy in the form of a cream that I rub into my skin once a day. My doctor really trusts Rick to get it right. It took a couple weeks to get the full effect from the BHRT Cream, but I feel so much better now, I rarely get a hot flash now, I sleep better and my libido has increased.