2752: The Menopause Solution with Dr. Lauren Fitzgerald
32 snips
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.
AI Snips
Chapters
Books
Transcript
Episode notes
Free T3 Better Reflects Thyroid Symptoms
- TSH alone often misses symptomatic thyroid dysfunction; free T3 correlates better with symptoms.
- Many midlife women show classic hypothyroid symptoms despite 'normal' TSH.
Treat Thyroid To Symptoms, Not TSH
- Consider natural desiccated thyroid (NDT) to optimize free T3 when appropriate.
- Expect TSH suppression when replacing thyroid and focus on symptom relief not TSH alone.
Optimize Testosterone For Function And Composition
- Optimize women's testosterone to improve libido, orgasms, lubrication, mood, energy, and body composition.
- Use doses that may label labs 'high' but relieve symptoms; deliver daily creams for steadier levels.


