When I first had menopausal symptoms, they were so severe I could not sleep at night. I was getting extreme fatigue from not sleeping, and I had been to a gynecologist who said I was too old for any treatments, so he was just monitoring me for months. After a while I thought this has got to stop so I went back to my primary who referred me to Dr. Prema. The difference the hormone replacement treatment has made with me has been tremendous. My biggest improvement would be my energy, increased focus, I no longer get confused about little things. My hormone levels have even gone up to normal, they were super low. I even got my daughter who is 63 years old to do the treatment, I am even 83 now.