Episode Details

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Dr. Felice Gersh is a dual board-certified OB-GYN and integrative medicine physician here to talk about Rhythmic Physiologic Dosing (RPD) – and what she believes is wrong with the current approach of "low, static" dosing of hormone therapy.

Highlights

07:40 – What "regular" HRT looks like vs. RPD

12:00 – Her argument why "lowest dose" makes no sense

15:00 – Why measuring estradiol blood levels matters

19:52 – Yes, you will have a bleed — that's the point

21:00 – Growth factors, the brain, mitochondria, and estradiol

27:00 – The case for endometrial ablation as an option for RPD patients

31:31 – Vaginal and rectal progesterone — why it matters 38:00 – Progesterone intolerance — what's going on

43:39 – The tissue hormone argument — and why it doesn't pick up the slack

54:47 – Is this safe?

55:35 – The future: hormone pumps and new ovaries

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Disclaimer

This podcast is for informational purposes only and is not a substitute for medical advice. Always speak with a qualified healthcare professional before making changes to your treatment, supplements, or lifestyle.