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

Ep. 586 The Estrogen Masterclass: The Truth About HRT, Heart Health & Hair Loss | Menopause, Perimenopause & HRT

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

Cynthia Thurlow

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

4.71.2K Ratings

🗓️ 29 April 2026

⏱️ 53 minutes

🧾️ Download transcript

Summary

We have an estrogen masterclass mashup episode today, featuring Dr. Carrie Jones, Dr. Stephanie Estima, Dr. Sarah Berry, Dr. Thomas Dayspring, and Dr. Kellyann Niotis, who share their insights on estrogen and women’s health in midlife. In this mashup masterclass, we’re bringing together a powerful compilation of conversations centered on the impact of hormones on brain health and cognition. We explore the nuanced risk factors for neurocognitive changes and how shifts in insulin sensitivity during perimenopause and menopause influence various aspects, including lipid patterns, hair changes, laboratory markers, and lifestyle inputs. We examine how the gut microbiome changes dynamically, targeted nutritional interventions, the role of advanced testing, including the DUTCH test, and how genetics, detoxification pathways, methylation, and the estrobolome. This is an exciting, dynamic mashup of some of my favorite podcast conversations dedicated to estrogen and midlife physiology. It’s one you’ll likely want to revisit more than once. IN THIS EPISODE, YOU WILL LEARN: The critical role estrogen plays neurologically, and how estrogen receptors in the brain increase as estrogen declines How declining estradiol during menopause impacts women's lipid metabolism Why insulin resistance tends to increase during the menopause transition The gut microbiome shifts that occur in postmenopausal women The link between the gut microbiome and menopausal symptoms such as brain fog, anxiety, and sleep issues How impaired estrogen detoxification pathways may increase long-term risk of hormone-sensitive cancers How the DUTCH test provides insight into hormone patterns and metabolism beyond standard bloodwork How declining estrogen disrupts the hair growth cycle and increases shedding Why personalized approaches to supplements, diet, and HRT are essential for women in midlife 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 Connect with Dr. Carrie Jones On Instagram Estrogen Detox Made Easy Hello Hormones with Dr. Carrie Jones (Podcast) Connect with Dr. Stephanie Estima On Instagram Better! With Dr. Stephanie (Podcast) Connect with Dr. Sarah Berry On Instagram The Zoe Science and Nutrition Podcast Connect with Dr. Thomas Dayspring On LinkedIn On X (@DrLipid) Connect with Dr. Kellyann Niotis On her website On Instagram Podcast Links: EP. 513 Fasting Doesn’t Work the Same After 35 – The Shocking Truth About Hormones, Hunger & Aging with Dr. Stephanie Estima Ep. 522 Menopause Is Wrecking Your Gut – The Best Nutrition Fixes for Midlife Women with Dr. Sarah Berry Ep. 523 This Is Why Your Cholesterol Shifts in Midlife – The Best Strategies to Reduce Risk & Improve Vascular Health with Dr. Thomas Dayspring | Women’s Heart Health & Menopause Ep. 540 “Your Brain Needs Estrogen” – The Most Powerful Way to Protect Memory, Cognition & Longevity in Midlife with Dr. Kellyann Niotis | Menopause & Brain Health Ep. 542 Why Your Hair Is Thinning After 40” – The Shocking Truth About Menopause Hair Loss – Cynthia Thurlow Ep. 567 “Timing Is Everything” – The Best Way to Test Hormones, Cortisol & Thyroid for Real Answers with Dr. Carrie Jones

Transcript

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0:00.0

Welcome to Everyday Wellness Podcast.

0:04.0

I'm your host, Nurse Practitioner Cynthia Thurlow.

0:07.0

This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.

0:13.0

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 over a million lives.

0:29.0

Today is a mashup of multiple guests surrounding topics specific to the role of estrogen.

0:38.0

Dr. Kelly Ann Yotis, Dr. Tom Dayspring, Dr. Sarah Barry, Dr. Carrie Jones, Dr. Stephanie

0:44.0

Estima, and one of my Microbiomunday episodes.

0:48.7

In this mashup, we have a compilation of discussions around the impact of hormones on brain

0:54.1

health and cognition,

0:55.7

risk factors for neurocognitive changes, the impact of changes in insulin sensitivity

1:01.2

and perimenopause and menopause and how that shows up in our lipids.

1:05.2

Here changes in labs and lifestyle, how the gut microbiome changes dynamically and the impact of specific nutritional

1:13.2

interventions, the role of testing, including the Dutch, the impact of genetics, detoxification

1:19.9

pathways, methylation, the astrobolome, and more. This is going to be a really exciting

1:25.3

dynamic mashup of some of my favorite podcasts that have been

1:30.0

dedicated to topics around estrogen and one you'll probably want to listen to more than once.

1:39.8

Do you feel like the conversation around hormones as it pertains to the, you know, fluctuations?

1:47.7

I always think about estradiol predominantly, but we know that, you know, progester and testosterone also have a role in brain health.

1:53.8

I think estrogen gets framed as, you know, this bikini medicine.

1:57.1

It's just a reproductive hormone.

1:59.1

But talk to us about how estradiol in particular is so

2:03.9

helpful and beneficial to our brains and how that, you know, the changes and alterations in

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