
Bioidentical Hormone Therapy Explained: What Women 40+ Need to Know About HRT | Dr. Melissa Miskell EP336
Hot flashes. Brain fog. Weight gain. Poor sleep. Anxiety. Low libido.
For many women over 40, these symptoms begin during perimenopause and menopause, yet they’re often dismissed as simply “normal aging.”
In this episode of It’s Hertime, Cody Sanders sits down with Dr. Melissa Miskell, a physician with more than 30 years of experience helping women navigate menopause, hormone imbalance, and hormone replacement therapy (HRT).
Together they break down what bioidentical hormone therapy actually is, how it differs from older synthetic hormone treatments, and why many women still struggle to receive proper hormone care.
After the 2002 Women’s Health Initiative study, the conversation around hormone therapy shifted dramatically. Many physicians stopped prescribing HRT, leaving countless women navigating perimenopause symptoms and menopause symptoms without clear guidance or support.
Dr. Miskell explains how individualized hormone therapy works, why hormone changes impact so many aspects of health, and how restoring hormonal balance may improve both quality of life and long-term health outcomes.
This conversation also explores the connection between hormones and heart health, brain health, bone density, and metabolic health—topics every woman should understand as she enters midlife.
If you’re a woman over 40 experiencing symptoms like hot flashes, fatigue, brain fog, or mood changes, this episode will help you better understand your options and advocate for your health.
In This Episode
• What bioidentical hormone therapy (HRT) is and how it works
• The difference between synthetic hormones and bioidentical hormones
• Why many women are dismissed when seeking help for menopause symptoms
• What changed in hormone therapy after the Women’s Health Initiative study
• Why antidepressants are often prescribed instead of evaluating hormones
• How hormones influence heart health, brain health, and bone density
• Why individualized hormone therapy can improve quality of life in midlife
• The first steps women can take if they suspect hormone imbalance
Connect with Dr. Melissa Miskell
Hormones by Design
https://hormonesbydesign.com
PINCC (Preventing Cervical Cancer Worldwide)
https://www.pincc.org
Connect with Cody Sanders
Follow Cody for education on women’s hormones, metabolic health, and midlife wellness.
Instagram
https://www.instagram.com/codyjeansanders
The CALM Program (Coaching + HTMA + Metabolic Health Support)
It’s Hertime Podcast
https://www.mixhers.com/pages/podcast
Mixhers Products
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