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Hormone Replacement Therapy, What Every Woman Needs to Know in 2026 | Dr. Heather Hirsch

3/3/20261 hr 11 min

I’m joined by Dr. Heather Hirsch to debunk the persistent myths surrounding hormone replacement therapy and explain why the 2002 Women’s Health Initiative data was so widely misinterpreted. We discuss how optimized estrogen, progesterone, and testosterone levels can protect your heart, bones, and brain health, helping you move past "normalized suffering" and into a proactive state of longevity. Whether you are in perimenopause or well past the ten-year window, you'll learn how to navigate personalized dosing and clinical data to reclaim your vitality and extend your health span.

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First 90 seconds
  1. Heather Hirsch· Guest0:00

    The leading cause of death in women is heart disease. This, to me, is a huge reason to consider menopausal hormone therapy. So what estrogen does is it opens the blood vessels so you get better blood flow, and that is preventing cardiovascular disease. And they have improved cognitive function at the time at which they started.

  2. Gabrielle Lyon· Host0:19

    There is an increased risk for dementia or other cognitive challenges when individuals are devoid of hormones.

  3. Heather Hirsch· Guest0:25

    They have all seen their parents struggle with cognitive decline, Alzheimer's, and dementia, something I actually am going through in my own life.

  4. Gabrielle Lyon· Host0:34

    What are women doing wrong?

  5. Heather Hirsch· Guest0:39

    As a society of women, we stay in the suffering period for far too long, and we've really normalized suffering, putting on a face, and just getting the things done. However, sometimes that can be as a detriment to us.

  6. Gabrielle Lyon· Host0:51

    I don't care how much you work out. I don't care how well that you eat. If we're talking about estrogen's impact or even testosterone, they have certain receptors that are only going to be affected by those hormones.

  7. Heather Hirsch· Guest1:02

    By those hormones.

  8. Gabrielle Lyon· Host1:03

    The biggest concern I hear patients say is they're concerned about breast cancer with estrogen therapy.

  9. Heather Hirsch· Guest1:09

    We've never actually proven that estrogen itself causes breast cancer. Sounds almost criminal to say out loud, um, but I'll say this idea that estrogen is dangerous and harmful truly came from...

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