Dr. Cindy Geyer joins Dr. Mark Hyman to answer the most common questions about hormone replacement therapy from the audience. They discuss the latest safety research, the critical timing around perimenopause, differences between bioidentical and synthetic hormones, and HRT’s impact on sleep, cognition, metabolism, and bone health. The conversation also covers natural strategies and how functional medicine personalizes hormone therapy through testing and lifestyle integration.
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The Window of Opportunity for HRT Safety
Starting hormone replacement therapy near menopause offers a different risk profile than starting later — timing matters more than previously thought.
Bioidentical vs. Synthetic Hormones: Understanding the Differences
The type of hormone matters — bioidentical hormones match those the body produces, while synthetic and compounded options have different safety and efficacy profiles.
Hormone therapy influences sleep quality, brain fog, weight distribution, insulin resistance, libido, and bone density — it’s a full‑body intervention.
Functional Medicine Personalization: Beyond One‑Size‑Fits‑All HRT
Functional medicine tailors HRT by evaluating comprehensive labs, estrogen metabolism, gut health, genetics, and lifestyle to reduce risks and optimize outcomes.