Your Lifestyle Is Your Medicine
Menopause gets treated like a vague “phase,” but one detail changes how you think about everything: menopause is literally one day, marked after 12 months with no period. The harder stretch for many women is perimenopause, when ovulation becomes unreliable and hormones fluctuate in ways that can disrupt sleep, mood, focus, weight, and relationships long before anyone says the word “menopause.” That confusion fuels bad advice and delayed care, so we wanted a plain-English reset. I’m joined by Katie Lomas, a nurse practitioner who specializes in women’s health and hormone replacement therapy (HRT). Together we tackle the myths that keep coming up in clinics and group chats: whether you can use HRT in perimenopause, what’s actually happening with bone density loss and osteoporosis risk, and why “no hot flashes” doesn’t mean “no problem.” We also unpack the lingering fear around breast cancer risk and the Women’s Health Initiative, including the difference between relative risk and absolute risk, plus why the type of hormones and the delivery route matter. We get practical about options and personalization: transdermal estrogen (patches and gels), oral estrogen, micronized progesterone for uterine protection, and the often-missing conversation about testosterone as a human hormone that can influence motivation, cognition, mood, libido, and muscle. Katie also explains why vaginal estrogen is an underused tool for GSM (genitourinary syndrome of menopause), dryness, pain, and recurrent UTIs, and why shared decision-making should start with your goals for health span, not just a prescription. If this helped you sort truth from noise, subscribe, share it with a friend who needs it, and leave a review so more women can find evidence-based menopause care. Thanks for listening! Send me a DM on Facebook [https://www.facebook.com/EdPagetOsteopath]or Instagram [https://www.instagram.com/ed.paget/]
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