I also said that many OTC medications need to be more strictly regulated. The American capitalistic approach to marketing drugs is obscene and needs to be heavily reigned in. HRT is not a special category of medication because every substance that has a desired effect also has side effects that need to be considered. Acetaminophen (aka paracetamol or Tylenol) in other countries is regulated similar to how pseudoephedrine (Sudafed) is regulated as in needing to get it from the pharmacist in limited quantities in individual blister packs. It is absurd how poorly controlled dangerous medications are in this country, but it’s unlikely that will ever change because of the attitudes of American individualism and pharma lobbying groups.