Ep. 533 “Under 60 or Else?” – The Dangerous Myth Limiting Women’s Hormone Therapy

Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Cynthia Thurlow

Science, Alternative Health, Nutrition, Health & Fitness, Life Sciences

4.8 • 1K Ratings

🗓️ 25 December 2025

⏱️ 20 minutes

🔗️ Recording | iTunes | RSS

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Summary

We have another AMA episode today, where I answer some of the most frequently asked podcast listener questions. In response to a question from Catherine, we unpack the timing hypothesis in this episode, exploring the cardiovascular nuances and clarifying why individualized care truly matters. IN THIS EPISODE, YOU WILL LEARN: Cardiovascular and metabolic benefits of starting hormone therapy within about 10 years of menopause onset What the timing hypothesis really means in clinical practice Why feeling better does not necessarily imply long-term disease risk has been reduced How endothelial (blood vessel) health influences the effectiveness of hormone therapy Why metabolic changes after menopause matter more than most women realize How their hormone therapy decisions must change as women move further beyond menopause Risks and benefits of oral versus transdermal hormone delivery Value of shared patient-clinician decision-making How lifestyle habits and risk assessment form the foundation for safe, effective, and personalized hormone therapy decisions Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow Cynthia’s Menopause Gut Book is on presale now! Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line

Transcript

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0:00.0	Welcome to Everyday Wellness Podcast.
0:03.7	I'm your host, nurse practitioner, Cynthia Thurlow.
0:07.4	This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.
0:13.9	My goal and intent is to provide you with the best content and conversations from leaders in the health and wellness industry each week and impact
0:22.1	over a million lives.
0:29.0	This is the start of a new Thursday series called The Midlife Minute that is really designed to
0:37.0	address listeners questions in a little bit longer
0:40.3	length of time and or deeper dive into topics. Ideally, we're going to keep these podcasts under
0:47.3	20 minutes. Occasionally, we may go over to 30, but I'm trying to reinforce some key concepts and ensure that I'm addressing listeners' questions
0:58.4	in a way that's really helpful.
1:00.4	So the questions that I will be addressing topics are going to be items that I'm being asked
1:05.1	over and over and over again.
1:06.5	I hope you enjoy this series.
1:08.1	Please share with your friends.
1:09.7	And as you know, you can always send
1:11.6	your questions to support at cynthia thurlow.com. I appreciate each and every listener.
1:20.0	Hey, we're back with our second AMA questions. Today we're going to talk about the timing hypothesis, and this is a question from
1:29.1	Catherine. The FDA recently hosted an expert panel on the benefits of hormone therapy. However,
1:34.9	they limited the benefits of starting it to women, quote unquote, under 59 or within 10 years of
1:40.3	menopause. That is truly unfortunate. What if a woman is 60 or 61 or 62? I do understand
1:47.5	the caution based on the women's health initiative findings, but the limitations may create
1:52.2	artificial barriers for women older than the prescribed range. Thankfully, you've had guests who
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