The Dr. Gabrielle Lyon Show The Real Truth About Menopause Treatments | Dr. Mary Claire Haver
21 snips
Jan 2, 2024 
Dr. Mary Claire Haver, a board certified ObGyn and Certified Culinary Medicine Specialist, discusses the safety of hormone therapy, the lack of menopause education in traditional ObGyn training, misconceptions and symptoms of menopause, and the importance of individualized approaches to menopause treatments. They also highlight the benefits of testosterone for women and the importance of supplementation during menopause including the use of fiber to stabilize insulin levels and nourish the gut microbiome.
AI Snips
Chapters
Transcript
Episode notes
Women's Health Initiative's Impact
- The Women's Health Initiative (WHI) changed the narrative on hormone replacement therapy (HRT) by halting a study early and claiming estrogen causes breast cancer.
- Reanalysis suggests the progesterone used in the study, not estrogen, may have been linked to the slightly increased breast cancer risk, and estrogen alone might even decrease the risk.
Healthy Cell Hypothesis
- Estrogen is protective, and the longer the body is without it (natural or supplemental), the higher the risk of various diseases (cardiovascular, diabetes, muscle loss, etc.).
- Starting HRT early, even in perimenopause, offers better symptom relief and overall health.
HRT Dosing in Perimenopause
- For symptomatic perimenopausal women, higher HRT doses (similar to birth control pills) can help control heavy bleeding, acne, and other symptoms.
- For less severe symptoms like hot flashes, lower doses of estradiol and micronized progesterone may suffice.