{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Thyroid Mystery Solved: Hashimoto's and Hypothyroidism Revealed","title":"154 A Novel Approach to Supporting Hormones in Perimenopause and Menopause with Emily Sadri (Part 2)","html":"","width":"100%","height":180,"duration":2446,"description":"In the last episode, we met Justine. As a reminder, here are a few details about her case. The Case:  Justine is 44 and dealing with sudden abdominal weight gain. She is also experiencing brain fog which is causing her stress. Her PMS is getting worse and she just doesn’t feel like herself. She saw her gynecologist who suggested birth control and antidepressants.    The Investigation If you didn’t hear the first part of this story, please go back and give episode 153 a listen. In that episode, I spoke about Justine’s case with Emily Sadri, an expert in Hormone Replacement Therapy (HRT) and achieving hormonal harmony. Emily is a good friend to the show having previously shared her insights in episodes 141 on Semaglutide (like Ozempic) and Weight Loss and 107 on Birth Control Use with Thyroid Issues. In the last episode, we talked about the many misconceptions around hormones during perimenopause and menopause. Now, let’s pick up where we left off in the last episode by looking at the timing for hormone support and the physiological restoration protocol (PR protocol).  When to Start Hormonal Support A question many women ponder is when to start supporting their hormones, especially as they transition into menopause. Emily noted that the dosage and timing of hormone support depend on whether a woman is still having a menstrual cycle regularly or if is their cycle has become irregular, for example, every 3-6 months. For instance, women who are still cycling (i.e., ovulating) might only need a minimal dosage of estrogen (1-2 milligrams) transdermally daily, while others might require more substantial support. The key is to start with a little bump up and track and monitor for changes.  The Importance of Monitoring Hormones One alarming revelation was the number of physicians who prescribe hormone replacement therapy without regular testing. Traditional doctors are often focused on resolving a singular symptom. So, if the dosage reduces, say hot flashes, then the...","thumbnail_url":"https://img.transistorcdn.com/9ZbRr0xzgu8-YRnig2AcyeY_Nu_m2EBquTr83LV8K2g/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9zaG93/LzQ4NTg5LzE3MTE1/NjQxMDktYXJ0d29y/ay5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}