80. Hormone Replacement Therapy (HRT) & Testosterone in Perimenopause and Menopause: Risks, Benefits, and What Actually Matters

Hi Listeners! 

If you’ve been feeling exhausted, gaining weight, struggling with brain fog, or just not feeling like yourself in perimenopause or menopause, you are not alone—and you are not broken. In this episode, we’re unpacking the truth about Hormone Replacement Therapy (HRT) and testosterone, including how the narrative has shifted in 2026 after years of fear stemming from the Women’s Health Initiative (WHI). You’ll learn the difference between relative and absolute risk, what the research actually shows, and why many women may have been unnecessarily steered away from a therapy that could have improved their quality of life.

But here’s the part most people skip—HRT is not a magic fix. Your metabolism, blood sugar balance, muscle mass, stress levels, and overall lifestyle play a massive role in how your hormones function. Whether you choose HRT or not, this episode will help you understand how to support your body in perimenopause and menopause so you can have more energy, better moods, improved sleep, and sustainable weight loss.

Sara — Nourish Health Coaching

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