Dr. Haver advocates for the use of hormone therapy to calm the brain's hormonal responses and mitigate severe symptoms during the perimenopause and menopause transition.

“think of the hypothalamus I'm giving her just enough estrogen to calm the brain down and tell them everything's okay”

Hormone therapy is a safe and effective treatment that women should have access to for managing menopausal symptoms and improving quality of life.

“And so, hormone therapy is not something that I'm saying every woman must have, but every woman should have access to the toolbox.”

She believes it is necessary to prevent adverse health consequences like cardiovascular issues and bone health degradation, despite the struggle to find the right balance.

“she pretty much told me you know if you are left untreated you'll perpetually have these hot flashes and be miserable you'll be miserable you have a higher risk for a heart attack like soon and then you um you know your bones all the stuff so I was like okay maybe that endometriosis is not as bad as”

She supports the use of modern hormone therapy as a safe and effective way to support physiology and well-being during the menopausal transition.

“So, I'm a supporter. I'm I'm a huge supporter.”

Hormone replacement therapy provides benefits that outweigh its risks for many women, and should be considered as a valid treatment option.

“our conclusion from the book is that the benefits of hormones far outweigh the downsides and hormones have been unfairly excluded from medical regimens that women should at least be offered for consideration”

Hormone replacement therapy, in combination with lifestyle management, will be a key strategy for the future of healthy longevity.

“But, I do actually believe that this, in combination with hormone replacement therapy, is going to be the way of the future for longevity.”

A natural, healthy hormone profile is always superior to a synthetic one, and hormone therapy should not be used in isolation if lifestyle habits are poor.

“Natural good hormone profile is better than a synthetic good hormone profile. It's always the better option. Always a better option.”

Hormone replacement therapy should be treated as a tool used in conjunction with a clean lifestyle and metabolic health optimization rather than a standalone solution.

“I think the challenge we have is not every woman has a doctor like that. Um, HRT is expensive and the zeitgeist is saying it is the answer. And I think we have completely lost sight of lifestyle.”

Hormone replacement therapy should be evaluated based on the patient's symptoms rather than relying on a universal standard or formula.

“it totally depends on the symptoms would be my take, right? So if a guy is having difficulty putting on muscle mass, if he's complaining of something, see, again, there are some guys who say, "I'd like to have sex once a week and my wife would like to have sex once a week and that's what we do and t”

Hormone therapy should be personalized based on a woman's individual health status and symptom profile, particularly for those in early menopause experiencing bothersome vasomotor symptoms.

“it is very important that women be able to help make that decision together with their clinician that they share in that decision making”

Women should be tested to establish a baseline of their hormone levels and use those results to guide whether they initiate hormone replacement therapy.

“So we test for these things early. And I recommend for women who are 40 plus, at 40, get a baseline of your hormones, a complete baseline, and test them once a year. Um, at least every two years. And then if you start to have symptoms, test more frequently. and use testing as a guide for hormone rep”

Dr. Gunter advises patients to use FDA-approved hormone replacement therapy because its composition and delivery mechanism are clinically studied and reliable.

“using FDA approved hormones is like going to the gas station that has the gallons on it and you can choose you know whichever gas you want you fill your car and you have a working gas gauge and you're like I know what's in there and that's important”

Mel Robbins concludes based on Dr. Gunter's guidance that she will no longer use compounded or bioidentical hormone products.

“I am speechless like it's it's not very often that I don't have anything to say and you just took a flamethrower to the entire idea of bioidentical hormon I would never ever try it again”