The misuse of hormone therapy in menopause care

As an integrative and functional medicine physician, I prescribe hormone therapy. I also see its misuse daily.

Hormone replacement therapy (HRT), including bioidentical hormone therapy (BHRT), has re-entered menopause care with force, correcting decades of dismissal and undertreatment. That correction was necessary, but the pendulum has swung too far.

What I am seeing clinically is not thoughtful, physiology-based care. It is hormone-first medicine that bypasses stress physiology, nervous system dysregulation, trauma, metabolic …

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The misuse of hormone therapy in menopause care