2752: The Menopause Solution with Dr. Lauren Fitzgerald
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Dec 18, 2025 Dr. Lauren Fitzgerald is a board-certified physician specializing in menopause and hormone optimization. In this discussion, she reveals insights about the removal of the HRT black box warning and why it's essential to understand hormone therapy correctly. Her thoughts on the benefits of bioidentical progesterone and its impact on mood and sleep are enlightening. She also stresses the importance of monitoring thyroid levels and debunks common HRT myths, emphasizing that 'normal' doesn’t equate to 'optimal' when it comes to health.
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WHI Misinterpretation Derailed HRT
- The 2002 WHI study was widely misinterpreted to link HRT to cancer and created decades of fear.
- The FDA removed the black box because newer data show bioidentical HRT is protective, not uniformly harmful.
Progestins, Not Estrogen, Drove Risk
- Increased breast cancer risk in WHI was driven by progestins, not bioidentical progesterone or estrogen.
- Progestins are synthetic tweaks that carry different risks and are common in birth control.
Progesterone For Sleep And Mood
- Use progesterone to improve sleep, reduce anxiety, and minimize PMS in perimenopause.
- Adjust dose until mood and sleep normalize; many perimenopausal women need 200–400 mg daily.
