Women’s bodies get endlessly analyzed from the outside… while our internal health gets treated like an optional group project nobody studied for. Cool cool cool.
In this episode of This Is Woman’s Work, Nicole Kalil goes deep on the perimenopause/menopause mess: the years of brain fog, 3 a.m. wake-ups, mood swings, weight gain, and the medical equivalent of a shrug. Enter Dr. Sarah Daccarett, hormone specialist and aging expert, to explain why so many women are confused, dismissed, and exhausted—and why hormone replacement therapy (HRT) should be viewed as foundational health support, not a “last resort once you’re fully miserable.”
What We Cover
Why most women (including doctors) are confused about perimenopause + HRT—and why that’s not your fault
The “natural” misconception: why Sarah argues HRT can be more natural than the supplement aisle
Why waiting for hot flashes is like waiting for your car to explode before you change the oil
Hormones as the “CEO of the body”: brain, bones, metabolism, sleep, libido, digestion—ALL of it
The real problem with “just fix your gut / cortisol / diet” advice when your hormones are the actual root issue
PCOS, insulin resistance, and why “just lose weight” advice can be straight-up useless
Why hormone testing can be wildly unreliable—and why symptoms still matter
Medical gaslighting: how women lose trust in themselves when the system keeps minimizing them
If you’ve been white-knuckling your way through perimenopause symptoms, you’re not weak—you’re under-supported. Better info + better care isn’t “extra,” it’s the bare minimum.
Thank you to our sponsors!
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Connect with Sarah:
Website: www.innerbalance.com
$50 off Discount code: PODCASTDRSARAH
Related Podcast Episodes:
Don’t Let Your Doctor Kill You: The New Hormone Solution with Dr. Erika Schwartz | 305
Endometriosis & Women’s Health with Somer Baburek | 238
Floored: Why Our Pelvic Floor Health Matters with Dr. Sara Reardon I 314
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