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Pellets, Periods, and Not Giving a Damn: A Midlife Hormone Roundtable with Dr. Amie Hornaman & Elle Russ

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Release Date: 07/11/2026

The Dark Side of GLP-1s No One Is Talking About

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Karen Martel grew up with a front row seat to diet culture most of us only felt secondhand. Her mom didn't just live it, she ran a weight loss center. Butter was called Vaseline. Popcorn was the enemy. And by her teenage years, Karen was deep in an eating disorder that would shape her relationship with food for decades. In this conversation, Karen gets honest about that history, and about something she still checks herself on today. Because here's the twist. We told ourselves we moved past the thin obsession. Body positivity was supposed to be the turning point. But somewhere in the last two...

Quick Hits: Sex, Lies & Liberation: What You Were Never Taught About Female Pleasure with Susan Bratton

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. Have you ever thought about what you truly want in your sexual experiences? Are you curious about the often misunderstood aspects of female anatomy and how they play a critical role in pleasure? This episode with Susan Bratton, who is the “Intimacy Expert to Millions,” promises to unravel these mysteries and more. Can long-term relationships...

Beyond the Pepcid Claritin Trend: Real Solutions for PMDD and Progesterone Sensitivity with Dr. Liz Bartmen

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

In part one, Dr. Liz Bartman and I broke down why PMDD happens: the histamine surges, the GABA receptor glitch, the progesterone metabolite that either calms you down or completely wrecks you depending on your unique biology. If you haven't listened to that one yet, start there, because this episode builds directly on it. Now we get into the part everyone actually wants to know: what do you do about it? We talk about why popular fixes like DAO supplements and strict low histamine diets usually fall short, and what to focus on instead, starting with your gut, your liver, and your nervous...

The Molecule Your Doctor Never Mentioned That Controls Your Libido, Energy, and Heart Health with Cathy Eason

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

You've been told menopause is a hormonal transition. It's also a vascular one, and almost nobody is talking about it. In this episode, Karen sits back down with Cathy Eason, Chief Science Officer at Berkeley Life, for round two on a molecule most women have never heard of but should know by heart: nitric oxide. It is tiny, it is a gas, and it touches nearly every system in your body. When estrogen drops in perimenopause and menopause, nitric oxide production drops right along with it, and that decline may be quietly connected to your fatigue, your brain fog, your blood pressure, your blood...

The Histamine Hack, PMDD, and Progesterone Sensitivity: What's Really Going On

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

If you've been on social media lately, you've probably seen it: women swearing that a combo of Pepcid and Claritin, ordinary histamine blockers, gave them their life back during the worst days of their cycle. It sounds too simple to be real, and honestly, it kind of is. But the reason it's working for some women and doing absolutely nothing for others is the whole story, and it's a story almost nobody is explaining correctly. In this episode, I sit down with one of my all time favorite guests, Dr. Liz Bartman, to go deep into progesterone sensitivity, PMDD, premenstrual dysphoric disorder, and...

Quick Hits: Decoding Fibroids: Unmasking Causes & Effective Solutions

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. This weeks quick hit we are jumping right into a very important topic: uterine fibroids. Maybe you have experience with fibroids, or maybe you do not even really know what they are yet. Either way, this is a conversation every woman should understand. Fibroids are incredibly common. It is estimated that up to 75 to 80 percent of women may...

Pellets, Periods, and Not Giving a Damn: A Midlife Hormone Roundtable with Dr. Amie Hornaman & Elle Russ

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

This is not just a conversation about hormones. It is a conversation about what it means to age as a woman in a culture that is obsessed with youth, terrified of wrinkles, and wildly uncomfortable with female power after 40. In this roundtable episode, I sit down with Dr. Amy Horniman and Elle Russ to talk about the very real physical, emotional, and identity shifts that happen as women move through perimenopause and menopause. We get into everything from early perimenopause symptoms, thyroid issues, SHBG, testosterone, progesterone, estrogen, libido, vaginal dryness, hot flashes, pelvic floor...

Quick Hits: The Testosterone Replacement for Women Conundrum: Libido Highs and Hair Loss Lows with James O'Hara

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. James O'Hara is a family nurse practitioner who utilizes a utilizes an integrative approach to health which combines lifestyle interventions, appropriate supplementation, and medications when indicated to empower patients to feel better and live longer, healthier lives. Today we're speaking with James about testosterone replacement for women plus...

The Truth About Female Desire, Orgasms, and Sex That We Were Never Taught with Dr. Sally Greenwald

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

If you've ever wondered why you don't want your husband to walk through the door and rip your clothes off anymore, this episode is for you. If you've ever quietly believed something was wrong with you because you don't orgasm easily, or at all, this episode is for you too. I sat down with Dr. Sally Greenwald, a board-certified OB/GYN with specialized training in menopause medicine, and what she shared genuinely stopped me in my tracks. We were taught to protect ourselves from pregnancy and disease. We were never taught how our bodies actually work. No one explained the difference between the...

Quick Hits: The Hidden Influence of Sunlight and Circadian Rhythm on Blood Sugar & Metabolism

The Hormone Solution | Menopause, Perimenopause, & Women's Midlife Health

Welcome to Quick Hits — where we bring you the most impactful moments from past episodes in under 15 minutes. Today’s clip comes from one of our most replayed conversations. If you want the full episode, check the link in the description below. With Dani's guidance, we're exploring how simple changes in light exposure and grounding can revolutionize metabolic health, particularly for those grappling with conditions like PCOS, hypoglycemia, acne, or weight loss resistance. Dani shares her personal journey and expert insights on how morning sunlight can reset circadian rhythms, enhance...

More Episodes

We get into everything from early perimenopause symptoms, thyroid issues, SHBG, testosterone, progesterone, estrogen, libido, vaginal dryness, hot flashes, pelvic floor changes, and how all of these things can affect the way women feel in their bodies. But we also go deeper into the emotional side of all of it. What happens when you are no longer getting the same attention? What happens when your face changes, your body changes, and you realize how much of your worth was tied to being seen as young or desirable?

We also have a very honest conversation about hormone replacement therapy, why individualized care matters so much, why pellets are not always the answer, and why so many women are still being failed by outdated medical thinking. And from there, we talk about Botox, beauty standards, confidence, sex, self-worth, and why this stage of life can also be one of the most freeing. Because yes, aging is real. But so is wisdom. So is power. So is the version of yourself that finally stops asking for permission.

In this episode, we cover:

Early perimenopause signs and how differently they can show up for women
How thyroid issues and elevated SHBG can affect sex hormones
The difference between rhythmic and static hormone dosing
Testosterone for women, including libido, muscle, mood, vaginal health, and pelvic floor support
Why so many women struggle to get proper hormone support from conventional medicine
The pros and cons of pellets versus creams and injections
How aging affects confidence, sex drive, self-image, and identity
Botox, beauty standards, and the pressure women feel to stay young
Why women deserve to age on their own terms without shame
How midlife can become a more authentic, confident, and powerful season of life

Who this episode is for

This episode is for women in perimenopause and menopause who are trying to understand what is happening to their hormones, their bodies, their libido, their confidence, and their sense of self. It is especially for women who are curious about HRT, frustrated by outdated medical advice, or wrestling with how to navigate aging in a way that feels empowering instead of defeating.

Dr. Amie Hornaman “The Thyroid-Fixer”, is host to the top-rated podcast in medicine and alternative health: The Thyroid Fixer™, with listeners around the globe. She is the founder of The Institute for Thyroid and Hormone Optimization, an organization with transformational, proven approaches to address thyroid dysfunction and support people in returning to full health.

Dr. Amie is also the creator of The Fixxr™ Supplement line with revolutionary, proprietary supplements that are changing the lives of many people. Ultimately, she is a woman on a mission to optimize thyroid patients around the world and give them their lives back. Visit Dr. Amie's website here.

Elle is a world-renowned thyroid health expert, master life coach, and a #1 bestselling author with a degree in Philosophy from The University of California at Santa Cruz. She has helped thousands of people worldwide reclaim their health through her book, The Paleo Thyroid Solution, her online courses and find confidence with her book Confidence as Fuck. Elle has been an admired leader in the paleo, primal, ancestral health industry for a decade. Elle coaches people all over the world - helping them achieve goals and dreams and improving their health. She offers online courses and free masterclasses to empower people to become the best version of themselves. Visit Elle's website here.

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