# 787. Why HRT Isn't Working for Your Friend — The 3 Foundations She Skipped

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Text version: https://stenobird.com/podcast/the-female-health-solution-podcast-410185/787-why-hrt-isn-t-working-for-your-friend-the-3-foundations-she-skipped.md
Podcast: [The Female Health Solution Podcast](https://stenobird.com/podcast/the-female-health-solution-podcast-410185)
Published: 2026-05-26T09:00:00+00:00
Episode link: https://drbethwestie.libsyn.com/787-why-hrt-isnt-working-for-your-friend-the-3-foundations-she-skipped
Audio file: https://traffic.libsyn.com/secure/drbethwestie/Why_HRT_Isnt_Working_for_Your_Friend__The_3_Foundations_She_Skipped.mp3?dest-id=745215
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Duration seconds: 2000

## Resource

If your HRT is not working the way you expected, it does not always mean the hormones are the problem. Often, the real issue is that your body is missing key foundations needed to process and respond to those hormones effectively. In this episode, I break down the three biggest areas I look at first: your liver detox pathways, your gut and estrobolome health, and your blood sugar and cortisol regulation. I explain why some women start HRT and feel worse, with symptoms like increased hot flashes, night sweats, bloating, mood swings, and breast tenderness. In many cases, this happens because the body is not clearing estrogen properly, causing it to recirculate instead of leaving the system. I also walk through the three Ps of hormones which are production, processing, and pathways. If even one of these is off, your results can suffer no matter what protocol or supplement you are using. We also talk about how gut inflammation, histamine responses, and insulin resistance can block your body's ability to respond to hormones at the cellular level. If this sounds familiar, download my Hormone Cascade Map to better understand what may be happening in your body: https://dr-beth-westie.mykajabi.com/hormone-cascade-map And if you are ready for personalized guidance, book a strategy call with my team . We will help you uncover what your body needs and map out your next best steps so you can finally start feeling better: https://calendly.com/dr-beth-westie/program-discovery-call

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## Transcript

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