I live in California too! You only have to fly to Houston once just for the testing and the consultation with the doctor and then you treat at home. The hormones are all bioidentical which means they are made specifically to your needs. I had the same problem you did when a past doctor tried to put me on synthetic thyroid - got really sick! If you have the money, I would seriously go to these people. They are changing life after life. I found out that until you fix the thyroid problem, you won't be able to get the other stuff under control. Just give it a thought. I want help as many people ss possible.