The Wellness Mama Podcast My Take on Hormones, HRT, And What I’ll Do (Solo Episode)
Mar 18, 2026
Clear definitions of perimenopause, menopause, and postmenopause and why they matter. A breakdown of hormone replacement therapy options, delivery methods, and recent label changes. A focus on building foundational supports first like light, circadian cues, blood sugar, mitochondria, and minerals. Personal plans for tracking, labs, and cautious use of bioidentical hormones if necessary.
AI Snips
Chapters
Transcript
Episode notes
FDA Label Change Reframes HRT Risk
- The FDA removal of HRT black box warnings reframes risk but doesn't make HRT risk-free.
- Katie explains the WHI study context and that risks were likely overstated, especially due to synthetic progestins used then.
Prioritize Foundations Before Hormone Therapy
- Do prioritize foundational systems before considering HRT, including light/circadian cues, blood sugar, mitochondria, nervous system, and minerals.
- Katie lists specific foundations like morning sunlight, metabolic health, micronutrients, and electrolyte balance.
Delay HRT Until Foundations Are Solid
- Avoid immediate HRT; wait until foundations are optimized and symptoms are severe or labs indicate need.
- Katie will consider bioidentical, physiologic, lowest effective dose with a qualified clinician when necessary.