#336 - What Women Over 40 Aren’t Being Told About Hormone Replacement Therapy with Jay Feldman

Uncategorized May 01, 2025

Thinking about HRT?

Before you jump on the hormone train, especially if you’re in your 40s or 50s, PLEASE listen to this episode first.

I recorded this with Jay Feldman (@jfwellness), and it’s hands down one of the most important convos I’ve had around perimenopause, menopause, and hormone therapy.

Here’s what we cover (that most doctors aren’t telling you):

⚠️ Why it’s progesterone, not estrogen, that crashes first

⚠️ How estrogen “works” by suppressing symptoms like cortisol but at a long-term cost

⚠️ The real risks of taking estrogen-only or synthetic HRT

⚠️ Why testosterone therapy can backfire by converting into more estrogen

⚠️ How estrogen impacts your thyroid, metabolism, and fat loss

⚠️ Why progesterone (used properly) can be game-changing — but only if your foundations are in place

And most importantly how you can support your body naturally before considering hormone therapy.

If you’re under eating, under nourished, sleeping 5 hours a night, stressed, running yourself into the ground, chugging wine on the weekend… no amount of HRT is going to fix what’s actually going on.

Start with nourishment. With light. With rest. With blood sugar balance. With building muscle and getting active. Work on the foundations first!

Then and only then should you consider hormone therapy.

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