I am a board certified OB/GYN. I have been in practice since 1994. I attended my first course in bio-identical hormone replacement in 1998 when, after a few years in practice, that I realized the information I gained during residency worked for some but not most. I started offering BHRT to my patients and the difference was remarkable. I continue to update my knowledge on a regular basis but I never received any official type of certification. Today, bio-identical hormone replacement for women and men is the largest part of my practice. My practice, along with several of my APRN's, sees over 200 patients a week. We see between 10 and 20 new patients a week just for bio-identical hormone optimization requests. I receive much of my continuing education through seminars hosted by various compounding pharmacies.