Download our FREE “Hormone Cheat Sheet” guide
Not sure what your hormones actually do?
Estrogen, progesterone, and testosterone play a role in everything from your brain and mood to your skin, bones, metabolism, and more.
Understanding them is the first step to feeling like yourself again.
We created a Hormone Cheat Sheet to break it all down in one simple guide, with a clear look at how each hormone impacts your entire body.
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Download our FREE WEIGHT LOSS guide
The science behind stubborn weight gain.
If you’ve been doing all the right things and still can’t lose weight, you’re not alone, and you’re not failing.
Weight gain as we age rarely comes down to one thing. It’s usually a combination of hormone imbalance, insulin resistance, and inflammation.
Download our free PDF to learn the real causes of weight gain and the treatments that actually get results.
Hormone therapy research
Our go-to educational resources on hormone replacement therapy, perimenopause, menopause, and hormone imbalance—handpicked by our providers.
💡 From the safety and effectiveness of HRT to the latest findings in women’s health, these resources offer science-backed insights you can trust.
Explore our favorite research 👇
Bioidentical vs Synthetic Hormones
Are Bioidentical Hormones Safer or More Effective Than Synthetic Hormones? – Study by Kent Holtorf, MD
Key Takeaway
Bioidentical hormones—like estradiol, estriol, and progesterone—may be safer and more effective than synthetic hormones traditionally used in hormone replacement therapy (HRT).
What causes perimenopause & menopause?
Dr. Mary Claire Haver explains how egg supply & ovulation relate to perimenopause & menopause
Key Takeaway
Once perimenopause begins, hormone levels—especially estrogen and progesterone—start to fluctuate unpredictably.
Testosterone therapy in women
Testosterone Therapy in Women: Myths and Misconceptions
Key Takeaway
Testosterone is vital to women’s health and, when dosed appropriately, is safe, non-masculinizing, and protective across several body systems including the heart, brain, and breasts.
“Not feeling like myself” during perimenopause
“Not feeling like myself ” in Perimenopause — What Does it Mean? Observations from the Women Living Better Survey
Key Takeaway
“Not feeling like myself” during perimenopause is most strongly linked to symptoms like anxiety, fatigue, brain fog, mood swings, and sexual changes—highlighting the need for better support during this phase of life.
Dr. Mary Claire Haver x Mel Robbins
Dr. Mary Claire Haver x Mel Robins Podcast Episode
Key Takeaway
The #1 Menopause Doctor breaks down how to lose belly fat, sleep better, & stop suffering.
Estrogen deficiency during & after menopause
Estrogen Deficiency and Hormone Therapy: What We Now Know
Key Takeaway
Estrogen deficiency during and after menopause impacts nearly every system in the body—causing symptoms that range from hot flashes to long-term heart, brain, and bone changes.
The Women's Health Initiative
‘Tis but a scratch: a critical review of the Women’s Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer
Key Takeaway
The WHI data was misinterpreted, misreported, and overstated, resulting in unnecessary fear and avoidance of beneficial hormone therapy.
Will hormone therapy stop my body from making hormones on its own?
No, that’s a common myth!
Your body naturally slows down hormone production with age. That’s what causes menopause symptoms in the first place.
As you move through perimenopause and menopause, your body makes less hormones on its own. HRT helps fill in that gap.
If you stop HRT, your hormone levels will return to the natural levels your body can make at that stage, not lower.
Is it too late for me to start hormone therapy?
“You’re too old for hormone therapy.” FALSE. There is no age at which your brain, bones, heart and mood stop needing hormonal support.
While starting earlier in the hormone journey has advantages, women over 60 can absolutely begin or continue HRT safely with the right evaluation.
The real question is “am I a good candidate?” That’s where we look at your labs, symptoms, history and goals to build a plan that’s personalized and safe for YOU.
Does hormone therapy cause cancer?
No, not when done correctly. The 2002 WHI study linked synthetic progestins to a slightly increased breast cancer risk — but bioidentical progesterone has actually been shown to be breast-protective.
Estrogen deprivation carries its own serious risks that nobody talks about, including cardiovascular disease, the #1 killer of women in the US.
Blanket fear of all hormone therapy is not evidence. It’s a 20-year-old study that’s been debunked.
Why do so many doctors still refuse to prescribe it?
Two big reasons. Doctors receive an average of ONE hour of menopause training in medical school. One hour to understand one of the most complex and consequential transitions in a woman’s life.
And the 2002 WHI study created a liability fear that never went away, even after the research was retracted, reanalyzed and debunked more than a decade ago.
It comes down to a lack of education and a medical system that was never built to support women in midlife.
When should I start considering HT?
Earlier than you think. Hormones can start shifting in your 30s and perimenopause can begin as early as 35.
Research supports the 10 years following menopause as the optimal window for hormone therapy, when protective benefits for your brain, bones and heart are greatest.
Don’t wait until you’re exhausted and desperate. When something feels off, that’s your cue.
What is included in the Trillion Health comprehensive hormone blood work panel?
During your initial blood draw for hormone therapy, we run a comprehensive hormone panel that typically includes: Estrogen, Testosterone, Progesterone, Thyroid function, and other basic health markers.
Depending on your symptoms and health history, we may also include additional labs to get a more complete picture of your hormone health.
Our goal is to create a treatment plan that’s truly personalized to you.
What if I am not a candidate for HRT?
It’s a common misconception that certain medical histories automatically disqualify you from hormone therapy (HRT).
While a history of HR/PR+ breast cancer will influence our clinical approach—including the specific type, dosage, and monitoring frequency—it does not necessarily rule out HRT entirely.
At Trillion Health, we categorize candidacy based on specific safety windows. Currently, the only absolute contraindications for starting HRT are:
- Active blood clots or a stroke within the last 6 months.
- Undiagnosed vaginal bleeding that has not yet been medically evaluated.
Because every woman’s journey is unique, a personalized assessment with a specialized provider is essential to safely exploring your options.
We believe every woman deserves informed, individualized care.
women's hormone health
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