June 25, 2026

Testosterone Therapy for Women: The Evidence, the Controversy, and What Actually Works

Testosterone Therapy for Women: The Evidence, the Controversy, and What Actually Works Testosterone therapy for women is one of the most common questions I hear. It still surprises me how rarely it comes up in the standard menopause workup. Women in their 40s and 50s describe the same pattern. No interest in sex. Flat energy […]

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Menopause Gut Health: The Bacteria-Estrogen Connection Your Doctor Probably Skipped

Menopause Gut Health: The Bacteria-Estrogen Connection Your Doctor Probably Skipped     I’ve had this conversation more times than I can count. A woman comes in at 50 with worsening hot flashes, a gut that stopped behaving the way it used to, and a mood that feels like it belongs to someone else. Her primary

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Hormone Therapy Bone Density: The 137,484-Woman Study Your Doctor Hasn’t Mentioned Yet

Hormone Therapy Bone Density: The 137,484-Woman Study Your Doctor Hasn’t Mentioned Yet I hear the same version of this conversation over and over. A woman comes in at 52 or 53. Her doctor ran a DEXA scan, told her bones looked “a little thin,” handed her a calcium supplement, and sent her home. Nobody mentioned

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