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Is Hormone Therapy Being Oversold?

Host Ann Marie McQueen introduces a split-from-a-longer conversation with naturopathic doctor Dr. Kirsten Smith, who practices between Ontario and Costa Rica. They discuss how the current menopause conversation has swung from years of neglect to a frantic “meno rush,” with social media and commercial forces amplifying hormone therapy as a universal solution and stoking fear about risks of not taking it. Dr. Smith emphasizes that while menopause hormone therapy can be powerful for some, a significant number of women can’t tolerate it or have contraindications, and overstated claims can increase mistrust and anxiety. They also address how perimenopause can coincide with other complex health issues and pathology that may be missed when everything is blamed on hormones, alongside a growing trend toward self-medicating and demands for testosterone. They touch on the FDA removing black box warnings on estrogen products, the need for nuance about benefits and low-but-not-zero risks, and the polarizing, exhausting nature of online discourse. Dr. Smith highlights the importance of basics like exercise, stress management, movement, and food for long-term health, and explains how naturopathic medicine relies on longer visits and a holistic approach while still needing to triage acute suffering quickly. The episode includes a sponsor message for Phosis skincare with a discount code and closes with a medical disclaimer. 00:00 Welcome + Why This Menopause Conversation Matters 02:35 Show Intro & Sponsor Shout-Out (Phosis) 03:47 Meeting Dr. Kirsten Smith + The ‘Menopause Gap’ 05:37 The ‘Meno Rush’: Hormone Therapy Hype, Mistrust & Overwhelm 08:46 FDA Black Box Changes + Risks Getting Lost in the Messaging 10:06 Ann Marie’s Dilemma: Nuance vs. Irresponsible Viral Claims 14:39 Polarization, Influencers & Why Personal Stories Skew the Narrative 16:32 What HRT Is (and Isn’t): Indications, Oversimplified Science & Autoimmune Questions 23:32 Back to Basics: Exercise, Patience, and the Problem of ‘Speed’ 25:21 How Naturopathic Care Works: Time, Holism, and Triage in Crisis 28:48 Closing Story + Podcast Disclaimer