Brief Answer: please follow one system of medicine at one time Detailed Answer: Hello Thanks for choosing www WWW.WWWW.WW This is quite confusing to me why are you trying two different systems of medicine together. The chances are you will be more harmed than benefitted . Every system has its advantages and disadvantages so combining them is not scientific. Klonopin for anxiety is good but has the potential for dependence so mono therapy may not be a good idea. The better choices could be Desvenlafaxine , ( good for anxiety and menopausal symptoms as well) , SSRI ( Paroxetine , Fluxetine or Fluvoxamine ). The selection of the medicine has to be done after careful evaluation by Psychiatrist. HRT can be quite helpful in eliminating many symptoms like pains, low mood, low energy , sex problems and hot flushes. So you can go ahead for this under supervision of a good Gynecologist. Personally I feel no need for cortisol levels but TSH level may be more helpful because hypothyroidism is quite common. But if you have strong faith in homeopathy, please follow the advice of a qualified homeopath and don't combine the two systems of medicine Good Luck Dr Saatiish Jhuntrraa

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Brief Answer: Talk to your doctor about HRT Detailed Answer: Hello HRT hasmoregood things than bad one's if taken with due precautions under the guidance of a Gynecologist. The doctor will first get a Pap smear done to rule out Cervical Dysplasia. You can discuss more about the possible harms and benefits with your doctor before you start . Yes, it may be very helpful in anxiety , though not the first line of management , which would be SSRI like Paroxetine orFluoxetine . You need not worry about cortisol level because that is the body's response to external and internal stress. Normally speaking, it is a part of your immune system so it is better to try to reduce stress .Your TSH is normal. Dr Saatiish Jhuntrraa

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