Hi, Robotic assisted laparoscopic hysterectomy October 8, 2012 and prescribed Premarin 0.625mg. Single site robotic laparoscopic bilateral salingo oopheoectomy due to several cysts with extensive adhesions caused by endometriosis done on February 24,2014. I then continued on the Premarin 0.625mg dose. I was recently switched to Estrogel 0.06/50mg (2 pumps per day). My symptoms are the following: poor memory, concentration, fatigue, word recall difficulty, moody, cognitive ruminations/ anxiety, low sex drive, poor sleep, and I am unable to loose weight. I am not at all myself. My thyroid levels are as follows: free T4 index 3.0,T3 uptake 29, T4 (thyroxine) total 10.3,. Also, my Estrogens, total serum is 146, FSH is 64.5, LH is 62.6, and Estradiol is 28. Could you make some recommendations. Thank you, Amy