Aaron Hartman, MDFunctional Medicine Specialist | Clinical Researcher

Why Hormone Replacement Isn’t Always Enough #shorts

10 Apr 2026 · 0 min

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Dr. Aaron Hartman says hormone replacement therapy alone often fails because modern toxins and autoimmune conditions complicate treatment. Women on HRT still struggle with thyroid problems, gut issues, hair loss, and hot flashes, meaning their hormones need deeper optimization beyond standard dosing.

this worked 20, 30 years ago when it was simply an issue of replacing what was low. But in today's world, with the toxins, the chemicals, learning more, having all these autoimmune issues and the whole host of things, you have to look at hormone replacement a little differently, which is— I'll see women come to the office who've had their hormones replaced and they still have symptoms of their thyroid being off, or they still have issues with their gut or hair loss or memory issues. They're still having hot flashes because they have not had their hormones optimized