• Many independent ranchers and farmers don’t use artificial hormones on their animals. By purchasing your milk and meat from local, sustainable farms, you are supporting a system that ensures the health and welfare of the farm animals, and protects you and your family from hormone-related health risks.
• Choose hormone-free beef and rBGH-free dairy products at the supermarket. Foods that carry the “USDA-certified organic” G label cannot come from animals given any artificial hormones. When purchasing sustainably raised foods without the "organic" label, be sure to check with the farmer to ensure no hormones were administered.
Tibolone has tissue -selective estrogenic effects, with desirable effects in bone , the brain , and the vagina , and lack of undesirable action in the endometrium and breasts .  Its tissue selectivity is the result of metabolism , enzyme modulation (., of estrogen sulfatase and estrogen sulfotransferase ), and receptor modulation that vary in different target tissues, and differs mechanistically from that of selective estrogen receptor modulators (SERMs) such as tamoxifen , which produce their tissue selectivity via means of modulation of the ER.   As such, to distinguish it from SERMs, tibolone has been described as a "selective tissue estrogenic activity regulator" (STEAR),  and also as a "selective estrogen enzyme modulator" (SEEM).