A crisp clean softcover, no markings throughout:\nBarbara Hall from Luxembourg has bought up some very important points and these are one of the main reasons that up to 60% of new information have been added to 'The New Natural Alternatives to HRT' since the first internationally best selling book, 'Natural Alternatives to HRT ', was published in 1997. (Over 500,000 copies have been sold and translated into 20 languages so I must have said something right!). \n\nThere is so much confusion and hype around HRT and hormones that women need to know what they are taking. There are synthetic HRTs on the market and there are so called 'natural' hormones that are available. The 'natural' ones are chemically identical to those that women produce in their own bodies and so have been misleading classed as 'natural'. But it is important for women to know that these so-called 'natural' hormones are not natural in the everyday understanding of the word natural. They are powerful pharmaceutical hormones that are produced in a laboratory and in the UK they are available only on prescription and rightly so as they are recognised by the UK's Medicines Control Agency as drugs. If women choose to take these drugs (and they are drugs) they are still taking Hormone Replacement Therapy (whether it is oestriol, oestradiol or progesterone) they are just not taking a synthetic hormone. This is explained in detail in 'The New Natural Alternatives to HRT! - from Amzon