@stephanie_misanik: HRT didn’t fail you. Your provider’s experience level did. When a woman says hormone replacement therapy “didn’t work,” it is almost never the hormones. It is that nobody personalized it to her. Dose, route, type and timing. Change one and the same patient gets a completely different result. Oral and transdermal estradiol are not interchangeable (DOI: 10.1016/j.maturitas.2008.07.007). Micronized progesterone and synthetic progestins are not the same molecule (DOI: 10.7573/dic.2020-10-1). And testosterone gets left out entirely for most women, then everyone wonders why energy, strength and libido never came back (DOI: 10.1210/jc.2019-01603). Prescribing hormones well is a skill. It takes reps. Vet your provider before you decide HRT is not for you. Ask them: 1. What preparations do you offer? If there is only one, you aren’t getting personalized care. 2. Do you personalize the dose based on labs and symptomology, or is it one size fits all? 3. How many patients have you treated with hormones? Ask for the number. 4. Do you prescribe testosterone to women? If no, ask why. 5. Do you treat to optimal ranges or standard lab ranges? Not the same thing. 6. How often do you retest and adjust? Save this for your next appointment. I lead a team of board certified MDs, NPs and nutritionists in root cause medicine, perimenopause and HRT, and I have been doing this for over a decade. I break down the clinical research the medical system ignores so you know exactly who deserves to manage your hormones. Follow to advocate for your own health. #perimenopause #hormonereplacementtherapy #menopause

Stephanie Misanik

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Tuesday 04 August 2026 14:25:43 GMT