Hot flashes, night sweats, anxiety, insomnia, weight gain, and other symptoms of hormonal change are often blamed on declining estrogen—and the conventional solution is to replace it. But what if the deeper problem isn’t simply a lack of estrogen, but a deficiency in progesterone and T3 thyroid hormone?
In this episode, I take a pro-metabolic look at estrogen, progesterone, thyroid function, and the stress metabolism. I talk about why hot flashes may be a sign of impaired energy production rather than simply “low estrogen,” how low thyroid function can change the way the body handles estrogen, and why progesterone may be far more important to women’s health than we’ve been led to believe.
I’ll also unpack the idea that progesterone doesn’t merely “balance” estrogen—it can help reduce estrogen’s biological effects and support its inactivation and elimination.
Instead of asking, “How can we replace the estrogen women are losing?”, perhaps we should be asking a different question:
Why has estrogen become so dominant in the first place—and what happens when we restore progesterone, thyroid function and efficient glucose metabolism?
This is a conversation about menopause, but it’s also about metabolism, stress, hormones and a radically different way to approach perimenopause + menopause.