Self-Titrating Your Own HRT: How to Do It Responsibly

In this episode, I sit down with endocrinologist Dr. Gillian Goddard to uncover the shocking truth about how our hormones shift across puberty, pregnancy, perimenopause, and menopause. We break down the major biological loops that control women's health and share why your ovaries are far from useless- even after your periods stop. Watch to learn how to identify early hormonal red flags and get practical strategies from Dr. Gottard to optimize your health at every stage of life.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

As a board-certified internist specializing in menopause, I’m sharing why 40% of women are taking control of their hormone replacement therapy through self-titration to finally relieve perimenopause symptoms. In this video, I break down the latest research on adjusting your estrogen and progesterone doses at home, how to manage fluctuating hormones safely, and why standard HRT prescriptions often fail. Learn how to work alongside your doctor to personalize your hormone therapy regimen so you can eliminate brain fog, night sweats, and mood swings for good.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

I am breaking down the ultimate guide to the exact doctors you need to see through every decade of your life to build true generational health. From transitioning away from your pediatrician in your 20s to navigating the hormonal chaos of perimenopause in your 40s, I reveal why our current siloed healthcare system is failing us and how you can take control. Join me at my practice, The Collaborative, or check out my certified clinician directory to find top-tier medical specialists near you so we can make the dream of comprehensive, multidisciplinary patient care a reality.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

As a healthcare professional practicing internal medicine in the United States, I am revealing the major gaps in medical school education regarding midlife women's health and menopause management. In this video, we dive deep into the clinical realities of menopausal hormone therapy and discuss how hospital protocols are failing patients in local communities and ICU settings nationwide. Join me as we break down the urgent need for better residency training programs and explain how empowering clinicians with evidence-based hormone therapy guidelines can fundamentally transform patient outcomes across the country.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

Join me in this episode as I interview best-selling author Dr. Emily Oster about navigating the challenging pipeline from postpartum recovery to perimenopause symptoms. We tackle the truth behind "mom brain," baby sleep hygiene, and how to advocate for your pelvic floor and sexual health as a mother. Whether you are dealing with postpartum depression or looking for evidence-based wellness trends, this discussion offers the essential tools every mom needs to thrive.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

Why does your wife suddenly seem angry, distant, overwhelmed, or like she cannot stand you in her 40s or 50s? In this video, I explain how perimenopause and menopause can affect mood, relationships, communication, intimacy, and marriage, plus what husbands and male partners need to understand. I also share how you can support your wife through hormonal changes, avoid common relationship mistakes, and strengthen your marriage during midlife.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

As a midlife women’s healthcare specialist, I see firsthand how navigating perimenopause and hormone replacement therapy can feel incredibly complex. In this episode, I share my honest opinion on whether starting menopausal hormone therapy early can actually make your transition into menopause much easier. If you are looking for an expert clinician to guide you through estrogen tracking, progesterone intolerance, or customized hormone stacking, check out the links below.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

Welcome to my show, Health by Heather Hirsch, where I sit down with Dr. Kalena Lanuza, a dual-certified family and psychiatric mental health nurse practitioner providing virtual care across Hawaii, Washington, Oregon, and California. In this episode, we dive deep into the physiological and mental transitions women experience between later-in-life pregnancy, IVF trauma, perinatal anxiety, and the onset of perimenopause. Discover empowering alternatives to traditional insurance-based western medicine as we discuss the vital role of pelvic floor physical therapy, vaginal estrogen, and rebuilding your community village.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

I’m diving deep into the debate on whether you should cycle your hormones, separating the facts from the dangerous myths often seen on social media. I make a strong medical case against postmenopausal hormone cycling, sharing how it forces women to take high doses of synthetic progesterone just to trigger an artificial bleed. If you want to work directly with me and my team for personalized, proactive midlife healthcare, head over to jointhecollaborative.com to join my private telemedicine practice.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com🩷Disclaimer:This video is not sponsored. Some product links are affiliate links, which means I may earn a small commission at no extra cost to you. This video was not created for children under the age of 13.

I’m excited to share the raw, unpublished findings from my "Menopause in 2026" survey, where I analyzed data from 766 women to identify the optimal "sweet spot" for testosterone levels in hormone replacement therapy (HRT). Through these real-world insights, I break down why many women feel best at levels between 50 and 80 ng/dL and why I strongly caution against the permanent side effects and health risks associated with high-dose pellet therapy. Whether you're struggling with brain fog, mood changes, or joint pain, this video offers a holistic look at how to safely manage testosterone and navigate your menopausal journey with evidence-based guidance.🩷 Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.This video is sponsored by Cozy Earth.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...I’m excited to share the raw, unpublished findings from my "Menopause in 2026" survey, where I analyzed data from 766 women to identify the optimal "sweet spot" for testosterone levels in hormone replacement therapy (HRT). Through these real-world insights, I break down why many women feel best at levels between 50 and 80 ng/dL and why I strongly caution against the permanent side effects and health risks associated with high-dose pellet therapy. Whether you're struggling with brain fog, mood changes, or joint pain, this video offers a holistic look at how to safely manage testosterone and navigate your menopausal journey with evidence-based guidance.🩷 Shop Cozy Earth here: ⁠https://cozyearth.com⁠Use code COZYDRHEATHER at checkout to save.🩷 Proactive women: book your Collaborative discovery call today https://v7cv2vnklw4.typeform.com/to/TtK4Q4e4?typeform-source=jointhecollaborative49872.e.wpstage.net🩷Ways to Work with Me:• Free Hormone Health Guide https://view.flodesk.com/pages/5f787b...• Free Reclaiming Menopause Masterclass https://thecollaborative.kit.com/1107...• Looking for expert menopause care? Learn more about The Collaborative: https://thecollaborative.kit.com/11e9...• Clinicians: Elevate your medical career. Watch a grand rounds:https://heather-hirsch-academy.kit.com/d89d8d46cf• Find Your Menopause Type https://view.flodesk.com/pages/647b46...🩷Books by Dr. Heather Hirsch: Unlock Your Menopause Type → https://amzn.to/3N0YcEC The Perimenopause Survival Guide → https://www.hachettebookgroup.com/tit...🩷Stay Connected:Instagram → / heatherhirschmd TikTok → https://www.tiktok.com/@heatherhirsch...Facebook → / heatherhirschmd Twitter/X → https://x.com/heatherhirschMDLinkedIn → / heather-hirsch-md-ms-mscp-161556168 Pinterest → / heatherhirschmd Podcast → https://podcasts.apple.com/us/podcast...Website → https://heatherhirschmd.com/🩷The Collaborative: Instagram → / thecollaborative.telemed Website → https://jointhecollaborative.com/🩷The Academy: Instagram → https://www.instagram.com/womenshealthmedicine/ Website → https://womenshealthmedicine.com