4. Which of the following statements regarding bioidentical hormones is FALSE?

• Natural hormones used in compounded products must be converted to the active form in a laboratory.
• Compounded bioidentical hormone replacement therapy is a "natural alternative" to traditional hormone replacement therapy.
• The term bioidentical simply indicates that the hormone has the same chemical and molecular structure as the endogenous hormone.
• Due to a lack of oversight, these compounded products carry a risk of under- or overdosing, lack of sterility, and the presence of impurities.