The Dr. Hyman Show Beyond Hot Flashes: Thriving Through Menopause into Your Best Years
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Aug 25, 2025 
In this insightful conversation, Dr. Mary Claire Haver, a board-certified OB-GYN and founder of ThePauseLife.com, and Dr. Cindy Geyer, a physician specialized in integrative medicine, dive into the transformative journey of menopause. They debunk myths surrounding hormone therapy, highlighting the benefits of bioidentical hormones when used correctly. The discussion also emphasizes the importance of lifestyle factors—nutrition, stress management, and exercise—in empowering women to thrive during menopause and beyond, redefining this stage as one of vitality and renewal.
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Hormone Swings Drive Perimenopausal Symptoms
- Perimenopause causes irregular hormone swings: low or high estrogen and falling progesterone from anovulatory cycles.
- Those swings drive heavy periods, hot flashes, sleep disruption, mood changes, and fatigue.
Start With Lifestyle And Targeted Supplements
- Try lifestyle measures first: optimize diet, sleep, stress, exercise, and consider herbs or acupuncture for symptoms.
- Use evidence-based supplements like vitamin D and strength training to protect bones alongside other measures.
Estrogen Protects Bone Density
- Estrogen centrally maintains bone remodeling and prevents accelerated loss during perimenopause and early menopause.
- Women may lose 1–2% bone density per year and need early monitoring to prevent osteoporosis.
