The Body Pod
As part of our Best of the Body Pod series, we're revisiting one of our favorite Body Pod conversations with one of our favorite guests. So many women think they have to wait until they've gone a full year without a period before hormone therapy is even on the table, but Dr. Heather Hirsch, founder of Join the Collaborative, says that's one of the most persistent myths in women's health. Her breakdown of the THRIVE Method and how to actually approach hormone decisions is just as useful now as it was the first time this episode aired. In this episode of The Body Pod, hosts Hailey and Laura sit down with Dr. Hirsch for a wide-ranging conversation on perimenopause and menopause care, digging into her THRIVE Method: a framework for approaching hormone decisions through tracking symptoms, reviewing health history, researching safety data, and investigating one hormone at a time. The discussion digs into testosterone therapy for women (still, as Dr. Hirsch puts it, a "data-free zone"), the safety and underuse of vaginal estrogen even in women already on systemic hormones, and the physiology behind genitourinary syndrome of menopause (GSM). She also makes the case that bone health deserves the same proactive treatment women's health gives to conditions like pre-diabetes, and highlights the growing role of strength training in protecting bone density during midlife. For women who aren't ready for (or can't use) hormone therapy, Dr. Hirsch outlines a tiered approach starting with lifestyle changes and supplements before moving to non-hormonal medications or hormone therapy itself. She closes with a reassuring message: hormone therapy doesn't have to be all-or-nothing, and can be trialed short-term before making a longer-term decision. Listeners can find Dr. Hirsch at Join the Collaborative jointhecollaborative.com [https://jointhecollaborative.com/] and on Instagram @HeatherHirschMD. Hailey Happens Fitness Membership is the only fitness investment that grows with you! Get instant access to my full training system and design a training year that fits your midlife goals and body. Start training with a 10-day free trial → [https://www.haileyhappensfitness.com/hhfmembership?utm_source=podcast&utm_medium=shownotes&utm_campaign=membership] Finish 2026 Strong. Two expert-led ways to close out the year, each with a community of women learning and training beside you. Be first in line → [https://mailchi.mp/haileyhappensfitness/2026planyouryear?utm_source=midroll&utm_medium=podcast&utm_campaign=vip2026] when we open doors for early access to Fat Loss Happens Education course and the Shred Happens challenge.
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