07/18/2026
10 things every woman should know before she starts HRT.
-Start with a DEXA scan. Bone and muscle loss can begin before your bloodwork shows a problem, this gives you a baseline to actually track HRT's impact.
-Whatever dose you start on won't be your dose forever. Your plan should shift as your body and life stage change.
-HRT isn't a substitute for the basics. Nutrition, movement, sleep, stress, alcohol, and gut health still have to be part of the plan, otherwise you're missing the foundation underneath it.
-Even moderate drinking can undo progress. Alcohol tends to worsen sleep, hot flashes, anxiety, inflammation, and how your body processes estrogen.
-Hair thinning and stubborn weight gain aren't something you're supposed to just tolerate. You shouldn't be told to "give it more time" indefinitely.
-Testosterone isn't only about libido, and progesterone isn't only relevant if you have a uterus. Both matter for brain function, nervous system health, skin, and hair, for everyone.
-Pellets aren't the place to start. They're hard to adjust once placed, and side effects can stick around for months if the dose isn't right.
-Get tested, no matter the delivery method. Creams, patches, injectables, hormone levels should always be monitored.
-A prescription online isn't the same as real HRT care. This should be part of a bigger, more personalized picture, not just a script for a patch.
-Bioidentical and synthetic hormones are not interchangeable, even though people use the terms that way. And birth control is not HRT, one suppresses your natural hormones, the other supports them.
Which one stood out to you most? Let me know below 👇
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