Testosterone Dosing in Menopause: Protocols, Pitfalls & the Evidence Gap

Send us Fan MailIn this episode, Dr. Tara Scott and Mark Newman join host Dr. Jaclyn Smeaton to explore hormone misinformation, the differences between hormone testing methods, and the hormonal drivers often missed by single-point testing. Their conversation also covers: The benefits and risks of using AI to interpret hormone labs What single-point testing can miss when it comes to cortisol testing and cycle mapping The importance of baseline and follow-up hormone testing versus the conventional symptom to prescription pipeline How common symptoms like fatigue, weight gain, and anxiety can have overlapping hormonal drivers that may not be noticeable in single-marker testing The increase in virtual care and how patients in underserved areas are gaining access to specialized hormone care Show Notes Learn more about Dr. Tara Scott, Forum Health, and follow her on Instagram @hormonegurumd! Follow Forum Health on Instagram @forum_health and on YouTube!Explore easy at-home collection for patients with DUTCH Direct.  Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support. 

Send us Fan MailIn this episode, Phoebe Liebling joins host Dr. Jaclyn Smeaton to discuss bone loss, mixed messaging in fitness and nutrition culture that can damage bone density, and the critical role of estrogen in bone remodeling. Their conversation also covers: The invisible and non-linear nature of bone loss Estrogen as a stimulant for osteoblast activity and calcium retention Common habits like chronic under fueling, excess cardio, and fasted training and how they can quietly contribute to bone loss How typical DXA scans begin at 65, missing the fastest bone-loss window which occurs much earlier during perimenopause A practical framework for reversing bone loss through nutrient-dense eating, protein intake, and targeted supplementation Show Notes Learn more about Phoebe Liebling and follow her on Instagram @lieblinghealth! Explore easy at-home collection for patients with DUTCH Direct.  Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support. 

Send us Fan MailIn this episode, registered dietician Erin Kenney joins host Dr. Jaclyn Smeaton to explore the connection between gut health, diet, hormones, and the rising rates of colorectal cancer, particularly in younger adults. This episode also highlights: The critical role of fiber and gut microbiome diversity The link between ultra-processed food additives and gut inflammation How long-term elimination diets can reduce microbiome diversity and end up being harmful Tips for packaged food labels and proper digestion A practical colon-health checklist, including eating fermented foods daily and staying physically active Show Notes Learn more about Erin Kenney and follow her on Instagram @nutritionrewired! Explore easy at-home collection for patients with DUTCH Direct. Become a DUTCH Provider to gain access to peer-reviewed and validated research, comprehensive patient reports, and expert clinical support. 

Send us Fan MailJoin the conversation as Dr. Tori Hudson and host Dr. Jaclyn Smeaton discuss the evolution of menopause hormone therapy through the eras: pre-2002, post-Women’s Health Initiative, and the current state of menopause hormone therapy, with a particular focus on testosterone therapy. This episode also covers: Testosterone usage and dosing and the correlation with libido, mood, energy, and muscle mass Dr. Hudson’s dosing protocols and concerns about supraphysiological dosing Methods of delivery for estrogen therapy Cardiovascular disease as an underappreciated priority in menopause care The importance of individualized care over following hormone therapy trends Show Notes Check out The American Heart Association’s PREVENTä Online Calculator mentioned in this episode.Read Dr. Hudson's DUTCH Article on testosterone prescribing in postmenopausal women, and check out the testosterone guidelines discussed in this episode. Learn more about Dr. Tori Hudson and her practice, A Woman’s Time! Explore easy at-home collection for patients with DUTCH Direct. Become a DUTCH Provider to get access to peer-reviewed and validated research, comprehensive patient reports, and expert clinical support. 

Send us Fan MailIn this episode, Dr. Mamina Turegano and host Dr. Jaclyn Smeaton examine root causes for skin conditions and discuss how hormone balance, gut health, stress levels, and diet can impact skin health. This episode also highlights: The links between gut dysbiosis and acne, rosacea, and psoriasis How the balance of estrogen, progesterone, and testosterone can impact the skin Theories on the rise in adult female acne The effect of environmental toxins and endocrine disruptors on skin health Skin as a systemic signal of gut health, hormone health, stress, and diet Show Notes Learn more about Dr. Mamina Turegano and follow her on Instagram @dr.mamina! Learn about easy at-home collection for patients with DUTCH Direct. Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support. 

Send us Fan MailIn this episode, Dr. Stephanie Dunlop joins host Dr. Jaclyn Smeaton to discuss the gap between “normal” and “optimal” lab reference ranges, commonly missed labs, and the importance of root cause assessment over treating isolated markers. Dr. Dunlop and Dr. Smeaton also discuss: How “normal” does not equate to “optimal” when it comes to standard lab ranges Addressing the foundations before testing, like nervous system regulation, gut integrity, and sleep hygiene The importance of treating the root cause rather than treating markers in silos Other labs worth requesting, such as ferritin, homocysteine, and fasting insulin The impact of simple nervous system regulation tools Show Notes Learn more about Dr. Stephanie Dunlop and Root Rx, and follow her on Instagram @docstephaniemd! Become a DUTCH Provider today to see how the DUTCH Test can profoundly change the lives of your patients. 

Send us Fan MailIn this conversation, Dr. Jaime Seeman joins host Dr. Jaclyn Smeaton to discuss muscle as an underappreciated cornerstone of women’s metabolic and hormone health, particularly during perimenopause and menopause, and the importance of resistance training.This episode also highlights:Muscle as a metabolic organ, not just a cosmetic one, and the importance of muscle tissue qualityHow resistance training and cardio affect body composition differentlyThe importance of preserving fast-twitch muscle fibers for longevity later in lifeStrategies for protein and carbohydrate intakeHow the DUTCH Test can help identify where hormonal intervention can fill the gaps beyond lifestyle habits, particularly with estrogen, DHEA, and androgen levels post-menopauseShow NotesLearn more about Dr. Jaime Seeman and follow her on Instagram @doctorfitandfabulous!Become a DUTCH Provider to discover how the DUTCH Test can profoundly change the lives of your patients.

Send us Fan MailIn this episode, registered dietician and celiac disease specialist Erin Kenny joins host Dr. Jaclyn Smeaton to discuss the differences between celiac disease and gluten sensitivity, the social and emotional toll of diagnosis, and common myths and misinformation. Their conversation also covers: The underestimated social and emotional burden of the disease How less symptoms do not equate to less intestinal damage Hidden drivers behind symptoms, including dysbiosis, hormonal issues, thyroid dysfunction, and nervous system dysregulation The physiological effects of stress How DUTCH testing can help identify HPA axis dysregulation Show Notes Learn more about Erin Kenny and follow her on Instagram @the_celiac_space! Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support. 

Send us Fan MailIn this episode, Dr. Rubaina Dang and host Dr. Jaclyn Smeaton explore the root causes of hair loss in women, particularly the information that standard labs can miss. Dr. Dang and Dr. Smeaton also dive into the hormones driving hair loss, optimal versus “normal” lab levels, and the gut-skin-hair axis. Their conversation also highlights: Dr. Dang’s recommended panels for anyone presenting with hair loss The key differences between “normal” and optimal lab ranges when it comes to hair health Stressors that can cause telogen effluvium, including illness, rapid weight loss, postpartum, or a major life event How gut dysbiosis and inflammation can affect hair follicles Dr. Dang’s rankings for popular hair-growth products and ingredients Show Notes Learn more about Dr. Rubaina Dang and follow her on Instagram @healwithdrdang! Check out our white paper on 5a-androstanediol.Become a DUTCH Provider to see how the DUTCH Test can profoundly change the lives of your patients. 

Send us Fan MailIn this episode, Dr. Margaret Beeson joins host Dr. Jaclyn Smeaton to discuss bone health, estrogen decline during perimenopause, and the importance of family history as a predictor of bone health and risk of osteoporosis. Dr. Beeson and Dr. Smeaton also discuss: How estrogen decline contributes to bone loss Genetics and family history as the strongest predictors of risk The need for DEXA scans to occur earlier and establish a baseline of bone density The impact of estrogen and progesterone therapy on bone health and how DUTCH testing captures those hormone levels Systemic issues in primary care that can make proactive screening difficult Show Notes Learn more about Dr. Margaret Beeson and her practice, Yellowstone Naturopathic Clinic. Become a DUTCH Provider to get access to comprehensive patient reports, peer-reviewed and validated research, and expert clinical support.