As a hormone specialist who’s a board-certified endocrinologist and pharmacist, I can attest to the value of compounded products. However, if I have a choice of a compounded or pharmaceutical bioidentical hormone product, I will always prescribe the pharmaceutical product because they have to meet stricter standards of quality control, and provide more consistent results. Even though they contain identical ingredients, the FDA does not regulate compounded products. Without the warning labels, women mistakenly assume there are no risks. Compounded hormone replacement therapy ((HRT) carries the same risks as pharmaceutical bioidentical hormones
Compounding pharmacists play an important role in providing products for patients with allergies and other special needs. They can also compound products that are not commercially available. Pharmaceutical companies sometimes withdraw drugs from the market not because of poor efficacy but because there may not be enough market demand for their product. . If a physician chooses to prescribe compounded hormones, patients should be monitored in the same manner as any other patient receiving HR.
Read more in my guidebook for women, “Outliving Your Ovaries: An Endocrinologists Reviews and Risks and Rewards of Treating Menopause with Hormone Replacement.”