All Episodes

May 2, 2025 40 mins

If you are considering BHRT, this is for you. Even if you’re currently on BHRT, you’ll learn or confirm something here.

If you’ve got daughters or DIL, in my case, there’s something here for you on that front too. If you’ve wondered why does cholesterol go up for so many women or why do autoimmune numbers increase in midlife? There’s a reason to be considering BHRT, and our guest explains why. 

 

My Guest:

Dr. Shilpa Sayana, MD is a Triple Board Certified in Internal, Obesity Medicine and Functional Medicine. She is recognized by her peers by receiving the “Most Humanistic Intern and Resident” award in all three years of her Internal Medicine Residency and celebrated by her patients by being presented the Best Doctors Women’s Choice Award.

She treats women in perimenopause and menopause, optimising their hormones, energy and weight, especially if they have been previously told that their labs are normal.

 

Questions We Answer in This Episode:

  • [00:07:54] What are natural ways to improve your hormones above 45?
  • [00:14:27] What tests do you recommend to a woman considering hormones?
  • [00:22:30] Do you have a unique opinion on starting both progesterone and estrogen at the same time or layer in one? 
  • [00:26:06] Do you advocate for women taking testosterone and what are the benefits and side effects of using TRT?
  • [00:30:21] Why do autoimmune markers increase in perimenopause and menopause? and what to do about it?
  • [00:32:04] What can help cholesterol and blood sugar levels? 



#1 Longevity Hormone Panel 

Purpose: To get a baseline of all key hormone levels

Includes:

  • Morning cortisol (before 10am)
  • DHEAS (hormone that makes cortisol)
  • TSH (thyroid)
  • Free T4 
  • Autoimmune Reverse 
  • T4 (Hashimoto’s)
  • Reverse T3 
  • Estrogen, Progesteron, Testosterone
  • Total Testosterone
  • Free Testosterone
  • Sex Binding Hormone Globulin 
  • ANA (antinuclear antibody or autoimmune antibody)
  • ESR (erythrocyte sedimentation rate to check inflammation rate for autoimmune)
  • CRP (C-reactive protein)
  • Ferritin 
  • Genetics
  • Vitamin B12 
  • Vitamin D

 

More Tests to Truly Know If You’re Ready Before Considering BHRT

 

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