Aaron Hartman, MDFunctional Medicine Specialist | Clinical Researcher

The Shocking Turnaround_ 'Our Bad' on Hormone Guidance | Hormone Replacement vs Optimization

3 Jun 2025 · 1 min

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Aaron Hartman and colleagues discuss how prior hormone therapy guidance was wrong, citing errors in a study's progestin arm. They acknowledge hormones may help some patients but say recent messaging still hasn't claimed clear benefits for heart, brain, or bone.

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We revisited the study are bad. So sorry for all of the damage that you all have suffered. It was just the progestin arm, and that still stands, yet still prescribed. And hormones may be useful and helpful in certain situations, but it's patient dependent. And that's about the extent and specific nature of which they would say, like they didn't come out and say they're beneficial. They didn't come out and say they will absolutely help you with your heart or your brain or your bones. They didn't specify, but at least they weren't saying they're going to kill you. Don't use them.
It's more sinister than that.
Yeah.
So maybe sinister is the wrong word. I need to be more, show more grace.
Politically correct.
Yeah. But there was a significant number of the females who are smokers, which we know hormones and smoking do not mix.