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Today I’m sharing big news for every woman in perimenopause or menopause. The FDA and HHS have officially removed the Black Box Warning from menopausal hormone therapy (MHT). This label has scared women and clinicians for more than 20 years, even though the evidence has long shown that estrogen — when started before age 60 or within 10 years of menopause — can actually improve long-term health.
In this episode, I explain what the Black Box Warning was, why it lasted so long, and what this change means for your care. I also discuss a new study of 120 million medical records showing that estrogen therapy is linked with lower risks of breast cancer, heart attack, stroke, and Alzheimer’s, especially when used earlier in menopause.
I share my own story of asking for hormone therapy in perimenopause and being told, “I’m afraid of hormones.” My hope is that this update encourages more women to seek evidence-based treatment—and helps more clinicians feel confident providing it.
If you’ve been dealing with hot flashes, sleep issues, brain fog, sexual pain, weight gain, or that “I’ll just wait it out” feeling, this episode will help you understand your options and advocate for the care you deserve.
💛 FREE GUIDE FOR YOU
The number one question women ask me is, “What should I eat for breakfast for weight loss in menopause?” I created a simple, doctor-approved guide to make this easy.
Grab your free copy at vibrant-md.com/breakfast
...
Want to know your two next best steps to watch the number on the scale go down? Sign up for a free mini-session with Heather Awad, MD
Sign up here: https://calendly.com/heatherawad/discovery-calls.
By Heather Awad, MD4.9
1717 ratings
Click here to text us!
Today I’m sharing big news for every woman in perimenopause or menopause. The FDA and HHS have officially removed the Black Box Warning from menopausal hormone therapy (MHT). This label has scared women and clinicians for more than 20 years, even though the evidence has long shown that estrogen — when started before age 60 or within 10 years of menopause — can actually improve long-term health.
In this episode, I explain what the Black Box Warning was, why it lasted so long, and what this change means for your care. I also discuss a new study of 120 million medical records showing that estrogen therapy is linked with lower risks of breast cancer, heart attack, stroke, and Alzheimer’s, especially when used earlier in menopause.
I share my own story of asking for hormone therapy in perimenopause and being told, “I’m afraid of hormones.” My hope is that this update encourages more women to seek evidence-based treatment—and helps more clinicians feel confident providing it.
If you’ve been dealing with hot flashes, sleep issues, brain fog, sexual pain, weight gain, or that “I’ll just wait it out” feeling, this episode will help you understand your options and advocate for the care you deserve.
💛 FREE GUIDE FOR YOU
The number one question women ask me is, “What should I eat for breakfast for weight loss in menopause?” I created a simple, doctor-approved guide to make this easy.
Grab your free copy at vibrant-md.com/breakfast
...
Want to know your two next best steps to watch the number on the scale go down? Sign up for a free mini-session with Heather Awad, MD
Sign up here: https://calendly.com/heatherawad/discovery-calls.

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