The Perimenopause Puzzle | Hormone Replacement vs Optimization

Perimenopause is a moving target, is the best way I describe it. And like moving more. So with estrogen, like you described, progesterone, it's usually on its way out. You can kind of give it back. And most people feel good. You just gotta find that sweet spot. Dosing, which also might be a little bit of a moving target, but so safe, so bioavailable. If you give it orally, it converts into allopregnanolone, which is calming. So it helps with anxiety associated with that transition, helps with sleep, which is a huge issue during that time. And then plus or minus little testosterone. Do you always have to be weary? Because that T. In a biological female, it's gonna wanna convert into estrogen if they're carrying weight. That adipose tissue is estrogenic, meaning upregulated aromatase. This is all fancy way of saying, you know, if you're metabolically off, your body is gonna push towards making more estrogen. And sometimes that comes from testosterone. But that. That moving target. Yeah, you're right. It's hard to replete when they're low. So you just kind of support that area. And when it's high, really ramp up, detox, and then wait for it to kind of level off. And then. Okay, we're good. Now maybe we can give you a little bit back or catch it right as it's on its way out.