10/09/2025
HRT or Not to HRT? Part 2 🌿
What I Do Differently?
I don’t guess—I test. As much as is available and possible for you, we explore together:
• Nutrition & biorhythms: What you eat and when, how aligned you are with circadian rhythms, and whether your melatonin hygiene supports recovery.
• Metabolic & inflammatory health: We check your sugar and insulin (and take measures to flatten the spikes and boost mitochondrial efficiency), inflammatory markers, liver function and enzymes.
• I like to see your hormonal resilience. Full hormonal panel (estradiol, progesterone, DHEA-S, testosterone, prolactin, SHBG, … if needed with their metabolites), full thyroid function, adrenal health (AM cortisol, HPA/HPO axis), immune status, or some key micronutrients (vitamin D3, minerals, electrolytes).
• We discuss stress & its impact on your nervous system. I teach you breathwork, stress management, and we even go through reviewing your training plan (and how aligned it is with your genotype).
• We exploree hidden burdens: Trauma, chronic stress, or toxic load (estrogenic exposures from plastics, metals, personal care products, medications such as birth control).
I also now recommend a genetic and lifestyle tests that every woman should consider before starting an HRT. I believe we should understand as much about our own biology as possible e.g. detox pathways and genetic variations on commonly studied SNPs as COMT, CYP1B1, CYP1A1, CYP2D6, MTHFR, VDR, CYP2R1, ESR1/2, that can explain how your body metabolizes, detoxifies and responds to hormones.
The focus always begins with lifestyle change that can often reverse or reduce peri&menopausal symptoms without exogenous hormones. I teach women how to “listen to the voice or whisper” of their bodies—the subtle signs that point to imbalance—before those whispers grow louder.