Hormone replacement therapy might be one of the most misunderstood treatments in women’s health. Some women are still genuinely afraid of it. Others swear they wouldn’t survive without it. But what is hormone replacement therapy, really? Who’s a good candidate? Should anyone avoid it? And what types of hormone replacement is out there–patches, pills, creams, pellets—and what’s actually working in real-life practice?

In today’s episode, we’re asking Dr. Caroline Day—menopause and hormone therapy expert—all of it. And yes, we finally tackle one of the most common listener questions we get: why are hormone pellets so expensive and why aren’t they covered by insurance? If hormones feel confusing, controversial, or just plain overwhelming, this episode is for you!

Find out more about our guest expert Dr. Caroline J. Day!

Her Practice Website and Full Bio: Tuscaloosa Integrative Family Medicine

Facebook: https://facebook.com/tuscaloosaifm

Here’s What We Cover with Dr. Day in Part 1:

What is hormone replacement therapy? 

Why has it been controversial in the past? Is it safe? 

Who is a good candidate for HRT? Are there certain people it’s not appropriate for? 

What are the different types and forms of HRT you recommend and find work best for women?  

Why are pellets not covered by insurance? Why are they so expensive? 

Here’s What We Cover with Dr. Day in Part 2 (Live 3/10/2026):

How do you know when it's appropriate to start hormone replacement therapy (HRT)? Is 65 too late? Can you start early before you have significant symptoms to proactively manage perimenopausal symptoms? 

What are the top benefits of HRT that you hear from patients—that aren’t necessarily in research? 

What should women look for in a practitioner if they want to consider their HRT options? 

What supplements should every perimenopausal or menopausal woman should be taking? 

Thank you for listening to The Happy Eating Podcast. Tune in weekly on Thursdays for new episodes! For even more Happy Eating, head to our website! 

https://www.happyeatingpodcast.com

Learn More About Our Hosts: 

Carolyn Williams PhD, RD:

Instagram: https://www.instagram.com/realfoodreallife_rd/

Website: https://www.carolynwilliamsrd.com

Facebook: https://www.facebook.com/RealFoodRealLifeRD/

Brierley Horton, MS, RD

Instagram: https://www.instagram.com/brierleyhorton/

Got a question or comment for the pod? Please shoot us a message! 

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Produced by Lester Nuby OE Productions