Most conversations about menopause begin and end with one conclusion:

Low estrogen is the problem. And hormone replacement therapy is the solution.

But what if the story is more complicated than that?

In this episode, Ashley sits down with nutritionist and author Kate Deering to explore the bioenergetic perspective on estrogen, menopause, metabolism, and women’s health.

Together, they discuss why declining estrogen may not be the whole story, how stress physiology and energy production influence menopausal symptoms, what current research actually says about HRT, and why supporting metabolism may be one of the most overlooked pieces of the conversation.

This isn’t an anti-HRT discussion.

It’s a conversation about asking better questions, understanding the science, and exploring all of the options available to women.

In this episode we discuss:

• Why menopause symptoms are not the result of low estrogen

• Whether there is sufficient evidence to support long term HRT use

• The difference between observational studies and randomized clinical trials

• Healthy user bias in hormone replacement research• Estrogen, metabolism, thyroid function, metabolic health, and energy production

• The role of stress, sleep, nutrition, and lifestyle during menopause

• Practical ways to support your body naturally during perimenopause and menopause

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📖 Kate’s new book: Better Energy

(Now available as an audio book)

https://amzn.to/4fotLHy

https://www.katedeering.com

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Timestamps

00:00 - Why menopause symptoms may be more about stress than estrogen

01:03 - Welcome + introducing Kate Deering’s new book Better Energy

03:10 - Kate’s severe Botox reaction that changed her life

08:05 - Why we’re rethinking the mainstream view of estrogen

12:03 - What actually happens to estrogen during menopause

15:40 - Why HRT may improve symptoms, but does that mean estrogen is the answer?

20:54 - Estrogen is more than a blood test: tissue storage & total estrogen load

25:10 - HRT success stories, healthy user bias & what research really shows

32:20 -Why menopause isn’t “just getting older”

37:00 - Short-term benefits vs. long-term health outcomes

41:38 - The biggest takeaways from the current research

44:06 - Natural strategies to support menopause without relying solely on HRT

53:30 - Nutrition, metabolism & supporting healthy energy production

59:00 - Lifestyle habits that reduce menopausal symptoms

1:05:35 - Final advice: supporting your body before making long-term hormone decisions

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