Ladies do yourself a favor and make sure your hormone levels are accurately tested with a siliva test before you let butler perscribes hormone cream for you. She is so self righteous in her approach that you trust she is giving you the correct dosage. How can she possibly know when she doesn't test the levels. I decided to seek out another doctor who was shocked that butler just made up dosages and prescribed the cream. Well come to find out after doing a siliva test (more accurate than blood) she was giving me completely wrong amounts. And don't kid yourself she is not an ob/gyn. Look it up for yourself. She thinks she knows everything based on a conversation which is and can be detrimental to your health. I used to think she was the absolute best until it was time for me to have a hysterectomy. She has to refer to Chou or whatever his name is who is the surgeon and if you've ever had the opportunity to meet him you'll run in another direction just like I did. I went and had my surgery elsewhere yet because I trusted butler I came back to her for hormone replacement. It's been almost 2 years and because my last time seeing her when I"questioned her" and asked how does she know what to prescribe she pissed me off so bad with her attitude I sought out another doctor. She means well but like I said be proactive and demand that your levels are tested, if she gives you her self righteous talk saying "I can test you if you want but it's only going to say your in menopause and I already know what to prescribe based on your symtoms" RUN!! And do your own research.. Siliva is more accurate than a blood test.