Well, I decided to go ahead and try hormone replacement therapy because I was so desperate for anything to help me. I still felt bad, so only started with a half of a Duavee pill. OMG!!! Game changer!!! I have been on it for three weeks and I feel amazing! Like almost 100% normal. Usually medications make me feel really bad. It's like they build up and become too much for my system to handle. It was the opposite with this. I actually felt better. You are supposed to take a whole pill (one dose, one strength Duavee) but I was scared and cut it in half. I cannot imagine my life without this medication right now. There may be risks with hormone replacement therapy, but I'll take them as the benefits currently outweigh them. I may progress to trying the full pill in a week, but I'm doing really well on a half dose. My anxiety is gone, and so is my sensitivity to noise, light, brain fog much better, my hair is growing back in on the left side of my temple, I sleep through the night, my ocd-ishness is really dialed back, my heart rate and blood pressure normal. I feel like a human being again.