Self-Selecting

E. 94 Female TRT 101: How to Optimize Hormones Without Guesswork


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In this episode, I talk through critical issues around hormone therapy and lab testing, especially for women navigating TRT (testosterone replacement therapy). I break down common pitfalls in provider care, how symptomology is often overlooked, and why proper lab work is a non-negotiable. If you're confused about DHEA, TRT, or the impact of low-fat diets on hormone production, this one’s for you.


I also tackle how to read ovulation signs properly, the role of functional health coaches, and the importance of subjective data in optimizing hormone protocols. We close with tips on adjusting dosages, how libido reflects hormonal balance, and why you should never treat lab ranges like hard rules.



Timestamps:


- [00:00 – 03:15] - Opening thoughts on lab work and hormone optimization

- [03:15 – 06:30] - When subjective data matters more than lab numbers

- [06:30 – 09:45] - Dangers of improper provider protocols

- [09:45 – 13:00] - Ovulation, cycle tracking, and hormonal accuracy

- [13:00 – 16:15] - Female TRT and understanding where it fits

- [16:15 – 19:30] - The danger of low-fat diets for hormone production

- [19:30 – 22:45] - Functional coaches, DHEA, and questionable care

- [22:45 – 26:00] - Most common TRT missteps in women

- [26:00 – 29:15] - Symptomology vs numbers in diagnosing low testosterone

- [29:15 – 32:30] - TRT administration methods: pros and cons

- [32:30 – 35:45] - The importance of titrating doses correctly

- [35:45 – 39:00] - Libido as a reflection of hormonal health

- [39:00 – 42:15] - Overcorrecting TRT protocols too fast

- [42:15 – 45:30] - Escalation risks in hormone therapy

- [45:30 – 48:46] - Final takeaways: test smarter, not harder



Links & Resources:



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Self-SelectingBy Cory Hageman

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