Dear "Need advice": You have a couple of questions in your letter. I think I have something to offer you about the HRT question. You might consider going to a custom compounding pharmacist, or a health practitioner that knows about custom compounding for menopause issues. The pharmacist or practitioner will do a comprehensive history and then prescribe a "Tri-estrogenic" formula that is based on three estrogens that human females actually produce, versus what a mare produces, then asceptically extracted from the mare's urine. This mare urine estrogenic extraction is the standard HRT derivative that is commonly given to women for menopause discomfort, etc. The custom formulated tri-estrogen medication will be based on the actual symptoms that you are having, for example, mood swings, flushing or sleeplessness, etc. You can research this on the net so you are more familiar with the science. I don't know why they don't custom prescribe for menopause, or why they give women estrogens that their bodies do not produce. You can also make sure you are getting enough sleep. If you are working the night shift, and/or working long shifts, your body might be telling you to find a less stressful work schedule. Sometimes, we just really need to take care of ourselves, in order to take care of others. dharmakat