Hi everyone, I have been on Evorel Conti 50 mcg for many years. I used to cut my patch in half and have been slowly upping the dose for the last 6 months or so.. Do we need a higher dose of HRT as we get older I'm 71 and started HRT at 53. I have been experiencing some brain fog and a few sweats lately and achy joints - feeling quite stiff when I wake up in the mornings)..any advice would be much appreciated.