# 208: The Hormone Therapy Revolution You've Never Heard Of

Page: https://stenobird.com/podcast/the-hotflash-inc-podcast-4524774/208-the-hormone-therapy-revolution-you-ve-never-heard-of
Text version: https://stenobird.com/podcast/the-hotflash-inc-podcast-4524774/208-the-hormone-therapy-revolution-you-ve-never-heard-of.md
Podcast: [The Hotflash inc podcast](https://stenobird.com/podcast/the-hotflash-inc-podcast-4524774)
Published: 2026-04-30T04:30:00+00:00
Episode link: https://api.riverside.com/hosting-analytics/media/72aa919c19c0f4a6426e2d2ad515f2ddaed249349600d1b9db3df993816269d1/eyJlcGlzb2RlSWQiOiI0YmU2NjNkNy0zZjdjLTQyMjYtYjlmYi03ZWRjMjRjMGQwYjciLCJwb2RjYXN0SWQiOiJkYzIyYzM2OS0wMzNhLTQ4NTAtOTE5OC1hZDI5YzNmOGFhMzciLCJhY2NvdW50SWQiOiI2MGJjZWZjOTMwMmM3ODAwMDNiZDdmNGIiLCJwYXRoIjoibWVkaWEvY2xpcHMvNjlmMDcwMjhjMGJlNTRhMjYzZjIzNGQyL3NhbGx5LUt6YkpTLWNvbXBvc2VyLTIwMjYtNC0yOF9fMTAtMzAtMzEubXAzIn0=.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-hotflash-inc-podcast-4524774/episodes/208-the-hormone-therapy-revolution-you-ve-never-heard-of
Duration seconds: 3421

## Resource

🌿 Get the updated + free Fix It Fast Perimenopause List. → http://go.hotflashinc.com/fix-it-fast 🔥 Get on the waitlist for my new digital guide, The Hot Truth About Hormone Therapy. → http://go.hotflashinc.com/hottruth-waitlist Dr. Felice Gersh is a dual board-certified OB-GYN and integrative medicine physician here to talk about Rhythmic Physiologic Dosing (RPD) – and what she believes is wrong with the current approach of "low, static" dosing of hormone therapy. Highlights 07:40 – What "regular" HRT looks like vs. RPD 12:00 – Her argument why "lowest dose" makes no sense 15:00 – Why measuring estradiol blood levels matters 19:52 – Yes, you will have a bleed — that's the point 21:00 – Growth factors, the brain, mitochondria, and estradiol 27:00 – The case for endometrial ablation as an option for RPD patients 31:31 – Vaginal and rectal progesterone — why it matters 38:00 – Progesterone intolerance — what's going on 43:39 – The tissue hormone argument — and why it doesn't pick up the slack 54:47 – Is this safe? 55:35 – The future: hormone pumps and new ovaries Connect with Hotflash inc TikTok: @hotflashinc.menopause Instagram: @hotflashinc X: @hotflashinc YouTube: @hotflashinc Facebook: @hotflashinc LinkedIn: Ann Marie McQueen Disclaimer This podcast is for informational purposes only and is not a substitute for medical advice. Always speak with a qualified healthcare professional before making changes to your treatment, supplements, or lifestyle.

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## Transcript

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