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

<p>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</p><p><br /></p><p>— </p><p>Connect with Dr Anna</p><p><a href="https://www.instagram.com/thegirlfrienddoctor/" rel="ugc noopener noreferrer" target="_blank">https://www.instagram.com/thegirlfrienddoctor/</a> </p><p><a href="https://drannacabeca.com/" rel="ugc noopener noreferrer" target="_blank">https://drannacabeca.com/</a></p><p><a href="https://www.youtube.com/thegirlfrienddoctor" rel="ugc noopener noreferrer" target="_blank">https://www.youtube.com/thegirlfrienddoctor</a> </p><p><br /></p><p>_________</p><p>Sponsored By:</p><p><br /></p><p>→ VIVARAYS  -Go to  <a href="https://boncharge.com/products/demi-red-light-device?rfsn=8108115.26608d" rel="ugc noopener noreferrer" target="_blank">https://</a><a href="https://www.vivarays.com/sarah" rel="ugc noopener noreferrer" target="_blank">vivarays.com/sarah</a> and use code <strong>SARAH</strong> at checkout. Get back in sync with your own rhythm, one sunset at a time.</p><p><br /></p><p>→ Kēpos | For a limited time, you can get 47% off your first order, PLUS free gifts valued at $62. Go to <a href="https://trykepos.com/SARAHKLEINER" rel="ugc noopener noreferrer" target="_blank">https://trykepos.com/SARAHKLEINER</a> to claim the offer–your discount will be automatically applied. With their 30-day money back guarantee, you