Straight answers about HRT. No upsells.
Whether you're a candidate, which format and which dose, and what to say if you're told no. Five pages to bring to the appointment.
Four things women get told that aren't true
The HRT advice has reversed itself three times in 25 years. These are the leftovers.
Women sit out years of perimenopause on the strength of this one. Hormone therapy can be started in perimenopause when symptoms warrant it. For a lot of women that's the point they needed it.
Usually said by a clinic that sells the $500 panel. Hormone levels swing day to day in perimenopause, so one snapshot tells you very little. The diagnosis is made on symptoms and history, not a number on a lab report.
Body-identical estradiol and micronized progesterone are real, regulated, and what menopause societies recommend. Any pharmacy has them. What isn't regulated is the custom-compounded version, mixed on site and sold by subscription, where the dose and purity vary from pharmacy to pharmacy. The word "bioidentical" gets used for both.
The $80 bottle of adaptogens has no clinical trials behind it. There are non-hormonal options with real evidence. They're almost never the ones being advertised to you.
Five pages you can bring into the room
The risk numbers, in plain figures
What the research found, written as women per thousand instead of "a 26% increase." The same finding reads very differently once you can see the denominator.
Answers to the four conversation-enders
What to say to "you're too young," "let's wait until it's worse," "it causes breast cancer," and "let's try an antidepressant first." Written out, so you're not composing it on the spot.
How to spot a clinic selling you something
The tells that separate a legitimate prescriber from a pellet or compounding subscription, and what to ask for in writing before you leave.
There's nothing on the other side of this to buy
Most HRT information online is attached to something for sale. That's how it gets funded, and it's why the advice so often ends up pointing at a product.
- We don't sell hormones, creams, pellets, or compounded prescriptions.
- We don't sell supplements, saliva tests, or hormone panels.
- We're not a clinic and we don't take referral fees from one.
- The pages are free and the app is free.
Bring it to your next appointment
Five pages, free. Have the conversation you've been trying to have for two years.
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