DG, don't forget we are all different, gel didn't override my system at all and I suffered for it. I only started climaval on Wednesday and starting on 2mg I'm hoping to get the body used to it if I can through side effects that is! and you are right about being higher on pills if I can he said up to 4mg because absorbtion rate and my system is hard to crack so if I can I will be upping the dose. My gyne likes challenges thank God and it certainly is ..this body is hard work and painful. I take pill half way through breakie. Thanks DG