Why Isn’t My HRT Working? 7 Reasons You Still Don’t Feel Better | Dr. Valorie and Dr. Maki Explain

You started HRT expecting to feel better, but you’re still tired, foggy, moody, not sleeping well, gaining weight, or simply not feeling like yourself.

Does that mean HRT isn’t working for you? Not necessarily.

In this episode, Dr. Valorie Davidson and Dr. Robert Maki discuss some of the most common reasons women may not feel better on HRT, including:

✨ Estradiol dose is too low
✨ Progesterone may be the wrong form for you
✨ Estradiol may be the wrong form for you
✨ Timing of your HRT may be working against you
✨ Other hormones may be getting overlooked, including testosterone, DHEA-S, and thyroid
✨ Stress and cortisol may be affecting how you feel
✨ Elevated insulin or insulin resistance may be part of the picture

HRT isn’t always as simple as taking estrogen and progesterone. The dose, form, timing, and your overall hormonal and metabolic picture can all matter.

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