Miraleen Patel, a functional medicine nurse practitioner, is challenging the medical mainstream by advocating hormone optimization for women—focusing on testosterone therapy, birth control risks, menopause support, provider education, and bioidentical hormone balance.

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CHAPTERS:

00:00 Introduction

03:12 Flawed Hormone Studies

06:16 Birth Control Suppressing Hormones

11:39 Progesterone Decline

14:33 Testosterone Misconceptions for Women

26:01 Estrogen Misconceptions

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Miraleen Patel, a functional medicine nurse practitioner, is working to reform how women’s hormone health is addressed across the healthcare system. Trained in integrative and hormone-focused care, Patel began her career treating men with testosterone deficiencies before expanding her focus to the overlooked hormonal needs of women. Her clinical practice now centers on identifying imbalances in estrogen, progesterone, and testosterone, and developing individualized treatment plans using bioidentical hormone therapies.

Patel advocates for a shift away from symptom-suppressing protocols such as birth control and antidepressants, emphasizing the importance of early hormone testing and long-term monitoring. She attributes widespread fear of hormone therapy to the flawed 2002 Women’s Health Initiative study, which used synthetic hormones in an older population and led to decades of misinformation and provider hesitation. Her approach prioritizes root-cause analysis, microdosing, and patient education to restore quality of life.

In her practice, Patel emphasizes that hormone optimization is not a luxury, but a critical component of women’s mental clarity, metabolic health, fertility, and longevity. Her work highlights the need for improved provider training, broader access to testing, and a cultural reframe of hormone therapy as essential, evidence-based care.

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