Why It Takes More Than Hormones to Fix Your Hormones in Perimenopause and Menopause

Sarah Kleiner welcomes Dr. Anna Cabeca to discuss perimenopause/menopause support for hormone-hesitant listeners, hormone users, and those wanting non-hormonal approaches. Cabeca emphasizes “it takes more than hormones to fix your hormones,” advocating foundations like circadian and lifestyle factors, detoxification pathways, gut and mitochondrial health, and working with individual physiology rather than one-size-fits-all hormone protocols; she frames treatment as hormone “replenishment” and notes benefits of progesterone, pregnenolone, DHEA, and sometimes estrogen/testosterone depending on metabolism and clearance. They discuss increased post-pandemic inflammation and autoimmune issues (Hashimoto’s, dysbiosis), rising MCAS/histamine intolerance linked to estrogen fluctuations or impaired estrogen clearance, and practical supports including food/stress diaries, oxytocin-boosting practices, daily bowel movements, and drainage/lymph strategies. They also cover keto/carnivore drawbacks for some women (uric acid, weight gain), thyroid markers like reverse T3, ferritin optimization, and the importance of individualized, terrain-focused care. Cabeca shares where to find her work and programs

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Connect with Dr Anna

https://www.instagram.com/thegirlfrienddoctor/ 

https://drannacabeca.com/

https://www.youtube.com/thegirlfrienddoctor 

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Timestamp:

00:00 Meet Dr Anna Cabeca

00:50 Podcast Intro and Disclaimer

03:28 Hormone Views and Foundations

04:55 Replenishment Not Replacement

08:47 Lifestyle Blue Zones and Root Causes

10:33 Post Pandemic Inflammation and Autoimmunity

13:03 Histamine MCAS and Estrogen Clearance

27:10 Free Ferritin Summit

27:51 Hormone Therapy Pitfalls

29:06 Progesterone Sensitivity Fixes

32:40 Diet Flex for Menopause

35:10 Carnivore Uric Acid Clues

37:32 Reverse T3 Thyroid Deep Dive

42:39 Terrain Foundations Wrap Up

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This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!

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