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July 15, 2026 β€’ 24 mins

Why does one woman feel incredible on hormone replacement therapy while another gains weight, feels anxious, or sees no improvement at all?

The answer isn't simply the hormone—it's how your body processes it.

In this episode, Dr. Brendan McCarthy explains why the route of hormone delivery (oral, topical, injectable, or pellets) dramatically changes how hormones behave in the body. He also breaks down the role of liver metabolism, sex hormone-binding globulin (SHBG), body fat, inflammation, insulin resistance, and lab timing—and why these factors matter when creating an individualized hormone treatment plan.

You'll learn:

  • Why the same hormone can produce completely different results in different women
  • How oral, topical, injectable, and pellet hormones affect your body differently
  • Why "normal" lab results don't always mean your hormones are optimized
  • The importance of free testosterone vs. total testosterone
  • How inflammation, body fat, and liver function influence hormone metabolism
  • Four questions every woman should ask her hormone provider
  • Why hormone therapy requires ongoing monitoring—not just a prescription

Hormone replacement therapy is never just about writing a prescription. It's about understanding what your body does with it.

πŸ“š Download the free research resources and citations: Visit www.protealife.com for episode notes, references, and educational materials.

Dr. Brendan McCarthy is the founder and Chief Medical Officer of Protea Medical Center in Arizona. With over two decades of experience, he’s helped thousands of patients navigate hormonal imbalances using bioidentical HRT, nutrition, and root-cause medicine. He’s also taught and mentored other physicians on integrative approaches to hormone therapy, weight loss, fertility, and more.

If you’re ready to take your health seriously, this podcast is a great place to start.

πŸ‘‡ Tap Subscribe to learn more about what’s actually happening in your body, and what to do about it.

πŸ“˜ Read Dr. McCarthy’s Book: Jump Off the Mood Swing – A Sane Woman’s Guide to Her Crazy Hormones https://www.amazon.com/Jump-Off-Mood-...

πŸ“² Follow Dr. McCarthy: Instagram: @drbrendanmccarthy TikTok: @drbrendanmccarthy Website: www.protealife.com

πŸ’¬ Got a question or topic for a future episode? Let us know in the comments! 

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