For women, there really is a piece that we have some control over (general health) and a piece that is beyond our control (the hormonal changes related to perimenopause/menopause). It hasn't mattered what I've done, my health has only continued to worsen this year. In just 6 weeks of estrogen, my burning mouth syndrome is 75% improved! My nerve pain in my face seems to be lessening, too. If that could go away, I would be SO much more comfortable! Thanks for your insight, Nettie!