Of course the REAL bio-identical = identical hormones are better. There is a reason that they evolved to have exactly the structure they have. It should be obvious.

What I'm most concerned about is not to alienate fellow sufferers still on synthetics. When we're at the bottom, even the meager help one gets from synthetics are better than no help, and may even be just enough to reclaim enough energy and wit to go looking for that doctor that will prescribe the really effective stuff.

Just how one should go about telling people (barley keeping their heads above water on synthetics) that they really should use their energy in a fight to get desiccated thyroid "now" instead of focusing that energy on getting back to work and family, because getting thyroid is a better long-run strategy … I don't know.