Keeping It Real: Conversations with Jillian Michaels

Everything You Should Know About Hormone Replacement Therapy, with Dr. JoAnn Manson

Aug 28, 2023

Dr. JoAnn Manson, an endocrinologist and professor of medicine at Harvard Medical School, discusses hormone replacement therapy (HRT) after menopause. She explains the pros and cons of HRT, the best types and applications of hormone replacement medications, and the potential health benefits of vitamins and supplements. The podcast also addresses the importance of understanding menopausal changes, the debate between bioidentical and synthetic hormones, and finding the right dose of estrogen for HRT.

01:07:34

Episode guests

JoAnn Manson

AI Summary

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Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Hormone therapy should be personalized and tailored to each individual, taking into consideration symptoms and their severity.

FDA-approved bioidentical hormone therapy in non-oral forms, such as transdermal patches, may have advantages over oral pills.

Consultation with a healthcare provider is crucial in determining the best course of action for hormone therapy, considering individual risks and potential benefits.

Deep dives

Different forms of hormone therapy

There are multiple options for hormone therapy, including FDA-approved bioidentical forms such as estradiol and micronized progesterone. These can be administered via transdermal patches or other non-oral routes, which may have advantages over oral pills. It is important to use FDA-approved hormone therapy products for regulated and tested quality. Custom compounding pharmacies may offer non-regulated bioidentical hormone therapy, which can pose risks and should be avoided.

Introduction

3min

HRT, Supplements, and Healthy Habits

16min

Exploring Hormone Replacement Therapy for Menopause

3min

The Importance of Understanding Changes During Menopause

18min

The Debate Between Bioidentical Hormones and Synthetic Hormones

2min

Different Types of Hormone Replacement Therapy (HRT)

8min

Finding the Right Dose of Estrogen for Hormone Replacement Therapy

17min

Understanding the Complexity of Hormone Replacement Therapy

4min

Dr. JoAnn Manson is an endocrinologist, epidemiologist, and professor of medicine at Harvard Medical School, and Brigham and Women's Hospital. In this epsisode, Dr. Manson outlines the specific pros and cons of hormone replacement after menopause, as well as when exactly to start HRT if you choose to pursue it. Find out who is a good candidate for it and who isn’t; what types of hormone replacement medications and applications are best – from bioidentical and synthetic, to pills, gels, creams, patches, etc. She explains the difference between FDA approved medications versus the dangers of custom compounded hormones. Plus, she breaks down the potential health benefits of vitamins and supplements (like folic acid, multi-vitamins, omega 3s, D, B-12, calcium) from pregnancy to menopause!

Guest Links:

Dr. Manson’s book: Hot Flashes, Hormones, and Your Health: Breakthrough Findings to Help You Sail Through Menopause

The North American Menopause Society: www.menopause.org

Preventative Medicine website: http://prevmed.bwh.harvard.edu/

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