# 80. Hormone Replacement Therapy (HRT) & Testosterone in Perimenopause and Menopause: Risks, Benefits, and What Actually Matters Page: https://stenobird.com/podcast/improve-energy-for-busy-moms-gut-health-hormone-imbalance-fatigue-moodiness-bloating-weight-loss-7094538/80-hormone-replacement-therapy-hrt-testosterone-in-perimenopause-and-menopause-risks-benefits-and-what-actually-matters Text version: https://stenobird.com/podcast/improve-energy-for-busy-moms-gut-health-hormone-imbalance-fatigue-moodiness-bloating-weight-loss-7094538/80-hormone-replacement-therapy-hrt-testosterone-in-perimenopause-and-menopause-risks-benefits-and-what-actually-matters.md Podcast: [Improve Energy for Busy Moms | Gut Health, Hormone Imbalance, Fatigue, Moodiness, Bloating, Weight Loss](https://stenobird.com/podcast/improve-energy-for-busy-moms-gut-health-hormone-imbalance-fatigue-moodiness-bloating-weight-loss-7094538) Published: 2026-05-11T09:00:00+00:00 Episode link: https://improveenergytofeelamazing.podbean.com/e/80-the-truth-about-hormone-replacement-therapy-hrt-testosterone-in-perimenopause-and-menopause-risks-benefits-and-what-actually-matters/ Audio file: https://mcdn.podbean.com/mf/web/47n24eujq6i44pfc/Ep_80_-_The_Truth_About_Hormone_Replacement_Therapy_HRT_Testosterone_in_Perimenopause_and_Menopause-_Risks_Benefits_and_What_Actually_Matters9xmm0.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/improve-energy-for-busy-moms-gut-health-hormone-imbalance-fatigue-moodiness-bloating-weight-loss-7094538/episodes/80-hormone-replacement-therapy-hrt-testosterone-in-perimenopause-and-menopause-risks-benefits-and-what-actually-matters Duration seconds: 1947 ## Resource Hi Listeners! If you’ve been feeling exhausted, gaining weight, struggling with brain fog, or just not feeling like yourself in perimenopause or menopause, you are not alone—and you are not broken. In this episode, we’re unpacking the truth about Hormone Replacement Therapy (HRT) and testosterone, including how the narrative has shifted in 2026 after years of fear stemming from the Women’s Health Initiative (WHI). You’ll learn the difference between relative and absolute risk, what the research actually shows, and why many women may have been unnecessarily steered away from a therapy that could have improved their quality of life. But here’s the part most people skip—HRT is not a magic fix. Your metabolism, blood sugar balance, muscle mass, stress levels, and overall lifestyle play a massive role in how your hormones function. Whether you choose HRT or not, this episode will help you understand how to support your body in perimenopause and menopause so you can have more energy, better moods, improved sleep, and sustainable weight loss. Sara — Nourish Health Coaching To learn more about my 12-week Gain Health, Lose Weight, Grow Closer to Your Creator Program, book a FREE discovery call here: www.callwithsara.com Follow Nourish Health Coaching on social media: New Improve Energy and Confidence Facebook Public Group! https://www.facebook.com/groups/1092112296115850 Facebook - Nourish Health Coaching - https://www.facebook.com/sarapaxtonhealthcoach Instagram - sarapaxtonnourish - https://www.instagram.com/sarapaxtonnourish/ My Website:https://www.sarapaxtonnourish.com/home If you love my podcast, leave me a review! https://podcasts.apple.com/us/podcast/improve-energy-to-feel-amazing-transform-your-life/id1778860724 Team Nourish’s Favorite Products FREEBIE Click HERE! ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/improve-energy-for-busy-moms-gut-health-hormone-imbalance-fatigue-moodiness-bloating-weight-loss-7094538/episodes/80-hormone-replacement-therapy-hrt-testosterone-in-perimenopause-and-menopause-risks-benefits-and-what-actually-matters/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/improve-energy-for-busy-moms-gut-health-hormone-imbalance-fatigue-moodiness-bloating-weight-loss-7094538/80-hormone-replacement-therapy-hrt-testosterone-in-perimenopause-and-menopause-risks-benefits-and-what-actually-matters.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.