@dr.amybkillen: Checking estradiol and progesterone in perimenopause should not prevent you from getting hormone therapy. ❎ You should still get other labs, such as metabolic markers, lipids and inflammatory markers at least yearly (ideally more). I generally prefer serum (blood) testing for hormones but it's not wrong to also use other tests in the decision-making process. The standard of care in medicine is classically 14 years behind the cutting edge curve. We need to be open to reviewing new science instead of waiting for someone else to do it for us. My two cents. 💰

Dr. Amy Killen MD

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Thursday 26 March 2026 12:54:38 GMT