It was all me. Researching and reading books and medical articles until my head exploded to find out what might work best for me. Had already decided I definitely did NOT want synthetic hormones. I also took advantage of LOTS of free consultations - mostly phone calls - with medical docs outside of my HMO network who specialize in hormone therapy. Then I messaged my PCP to prescribe compounded progesterone and estradial. He was hesitant because of the risks, blah...blah...blah... but we negotiated and he finally agreed with the caveat that I notify him if I experience any negative symptoms. I found a compounding pharmacy and he sent them the script. (No fillers, no dyes, no sugar requested by me.) He started me on a lower dosage. I believe I'm estrogen dominant and have really noticed the effects of the progesterone. Btw...another pound dropped in this last week. Only 44 more to go....lol! Hope this was helpful. If you have other questions about my personal experience, just ask!