She came into my office and broke down in tears. “I am absolutely miserable,” she lamented. “I can’t sleep at night. I have no energy. I am snapping at my kids and my husband every day. My hair is falling out, I’ve gained about 20 pounds in the last six months, and my sex life on a scale of 1 to 10 is a zero!” This is the story of Barbara, a 50 year old mother of two grown sons and a devoted wife, daughter and sister. Her life fell apart six months ago when she went through menopause and now she has come to my office for advice and treatment.