Thanks Mary G....yes my mind seems to veer towards patches as i suffer with acid reflux and get upset stomach,s too ..but i need to go to drs with something positive to say about an alternative to climagest, but ive struggled in the last 7 wks getting used to hrt, and dont want to change and put myself right back at the start, my system is now excepting the first 14 days of estrogen ,but def still feel crap on the 12 days of progesterone...... so i need to get it right not sure if my doctor knows enough to give me the right advice on alternatives ...what effect would going on 2mg climagest have , as she said i could either change dosage or try something else , any advice most welcome .