If women have been convinced that their symptoms of joint pain, swelling, tiredness, skin itching and feeling like they've been through a cement mixer filled with bricks every morning when they wake up can only be due to their ovaries shutting up shop, rather than being an autoimmune disease that can be easily treated with DMARDs or biologics, no wonder they're still feeling shit and think 'It can't be a high enough dose'.
If they're actually justifiably unhappy, tired and emotional because they're in a crappy relationship, their kids are being horrid, their boss is piling more and more work and rules onto them with constant criticism rather than giving them respect and greater autonomy and it isn't because they are mere hormonal beasts of burden in need of more magic estrogen, no wonder they're still feeling shit and think 'It can't be a high enough dose'.
If they're actually undiagnosed with ADHD and are completely burned out from trying to function despite their missing diagnosis, but have been convinced that it's all your age, dear, no wonder they feel like crap and think it can't be a high enough dose.
If they're actually malnourished because they're trying to keep their weight as low as possible for 30 years or because they are so skint and tired, they've had to rely upon cheap, low nutrition food for years, their bone density is abysmal, their iron levels are low, they're chronically deficient in Vitamin D and experiencing osteomalacia as a precursor to osteoporosis, but it's been blamed on her age and hormones rather than a desperate need to improve nutrition, no wonder they feel like crap and think it can't be a high enough dose.
Whilst Davinia McShouty makes an absolute fucking shedload out of writing everything off as withering ovaries instead of social, economic, interpersonal and genuine physical conditions that can be relieved if they are actually investigated and treated instead of dismissed as being due to getting on a bit, no wonder women still feel like crap and think it can't be a high enough dose.
And sometimes it isn't a high enough dose. But there is more to women's lives and health than the level of hormones their ovaries are secreting. Easy to write them all off, though, isn't it?