July 20, 2025

68: Feeling Off in Your 30s, 40s or 50s? – The Best Time to Start Hormone Therapy with Dr. Terri DeNeui

59 minutes

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🎙️ Episode Summary

In this powerhouse episode of Hormones, Metabolism, and You, Dr. Cassie Smith welcomes nationally recognized hormone expert Dr. Terri DeNeui for a deeply informative conversation about women’s hormone health through every life stage. From the subtle shifts in your 30s to the major hormonal declines of your 40s and 50s, this episode tackles it all — including the myths around hormone replacement therapy and cancer.

Dr. DeNeui, author of Hormone Havoc, shares why symptoms like fatigue, low libido, mood swings, and poor sleep are not just “normal aging,” but signs of underlying hormonal imbalance. She and Dr. Cassie explore the importance of gut health, the dangers of long-term SSRI and birth control use, and how lifestyle choices shape your hormonal landscape. Most importantly, they challenge outdated medical guidance and explain why estrogen therapy may not only be safe — but protective.

Whether you’re navigating perimenopause, confused by lab results, or wondering if it’s “too early” or “too late” to start hormones, this episode brings clarity, compassion, and science-backed advice.

👤 About Dr. Terri DeNeui

Dr. Terri DeNeui is a board-certified nurse practitioner, nationally recognized speaker, author, and founder of EvexiPEL® and Evexia Medical. She holds advanced certifications in hormone replacement, preventive wellness, and functional medicine. Her passion for root-cause healing and optimal hormone balance has helped transform the lives of thousands of patients and train countless providers across the country. Dr. DeNeui is also the author of Hormone Havoc, a must-read guide for anyone struggling with hormone imbalance.

🔑 Key Topics Covered

What happens to women’s hormones in their 30s, 40s, and 50s

Early loss of testosterone and progesterone: why it matters

The emotional and physical symptoms of hormone decline

Why gut health is central to hormone metabolism and disease prevention

The dangers of birth control, SSRIs, and one-size-fits-all care

Debunking the myth: do hormones cause cancer?

Understanding the difference between progesterone and progestin

Estrogen’s protective role in heart, brain, bone, and sexual health

When to start (and when to stop) hormone replacement therapy

Why personalized, root-cause care beats symptom suppression

🛒 Products and Resources Mentioned

Hormone Havoc by Dr. Terri DeNeui: https://a.co/d/2aCDLce

Einkorn (ancient wheat): https://www.einkorn.com/what-is-einkorn/

Evexia Medical: https://www.evexiamedical.com/

2020 JAMA WHI Estrogen Study: https://jamanetwork.com/journals/jama/fullarticle/2765301

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By Cassie Smith

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