Hormone replacement can help, but only when it’s tested and monitored appropriately. Here’s the physiology-based reason you should not “wing it.”

• Estrogen: don’t use it without proper testing and appropriate monitoring
• Unopposed estrogen can stimulate growth that’s not controlled
• Unchecked growth is the risk pattern we associate with cancer
• Testosterone: too much can be aromatized into estrogen, especially with fat tissue
• Higher estrogen can increase clotting factors—raising cardiovascular risk
• Monitoring should be physiology-based and individualized to your situation

If you’re on HRT, are your labs tied to dose decisions? Comment what you’re monitoring.

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