Hi Littlep
Sorry can't help with the Elleste duet side of things, but anxiety and panic attacks are all symptoms of meno...so is the mood changes...it's advised to stay on the hrt for at least 3 months to see if it's going to suit you, that's as long as you can put up with any side effects...if not, change to another.
It can take some time for the hormones to kick in, I suffer anxiety, and my hrt tablets have made it better, I'm on femoston conti, and now only get it mild, and occasionally.
Hang on in there, did the doc give you anything for the acne?
Good luck, let us know how you get on, oh, I know someone's posted on here before about using JUST a clean warm flannel on their face for spots, and they said it worked really well for them. Nothing else, just that...
Oh yeah!
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Keep posting,,........I'm sure someone will post soon with more advice and information.......x jd.