
Weight Loss For Women: empowering health, strength and nourishment #362 - HRT, Thyroid & the Real Root of Midlife Symptoms: What Every Woman Over 40 Should Know with Kate Deering, Jay Feldman, Kitty Martone & Dr Leigh Erin Connealy
Oct 29, 2025
In this enlightening discussion, Kate Deering, a metabolic health coach, joins integrative doctor Dr. Leigh Erin Connealy, researcher Jay Feldman, and holistic nutritionist Kitty Martone to challenge common menopause myths. They explore how fatigue and other symptoms often stem from thyroid issues and stress rather than just low estrogen. The panel shares actionable insights on rebuilding metabolism, the complexities of HRT, and the vital role of gut health in hormonal balance. Expect practical tips for optimizing nutrition and stress management for midlife wellness!
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Hormones Are Part Of A Bigger System
- Gut, liver, thyroid and stress systems interact so hormones don't act in isolation.
- Kitty Martone says without metabolic groundwork other treatments often fail.
Check Symptoms And Labs Before Prescribing Estrogen
- Only give estrogen when symptoms and serum tests show a clear need.
- Prefer combining estrogen with progesterone and supporting pregnenolone/DHEA first.
Estrogen Can Impair Thyroid Activation
- Unopposed estrogen and aging both lower T4→T3 conversion and raise thyroid-binding globulin.
- Jay Feldman links this to reduced active thyroid hormone and metabolic slowdown.





