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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

Release Date: 07/25/2026

The Estrogen Patch Shortage: What Women Need to Know Before Switching

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

DOWNLOAD YOUR FREE Can't get your usual estrogen patch? Don't panic. You have options! In this free guide, hormone specialist Karen Martel breaks down the different estrogen delivery methods, including patches, creams, gels, oils, and injections. Learn how they compare, understand approximate dosing equivalents, and discover what to ask your doctor before making a switch. Plus, get practical tips for navigating the estrogen shortage so you can stay on track with your hormone therapy and avoid unnecessary disruptions. Imagine finally getting your HRT dialed in, feeling good again,...

Quick Hits: The Protein Mistake That Could Be Costing You Muscle in Midlife with Angelo Keely

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. We talk constantly about eating more protein in midlife. But here is the question we do not ask nearly enough: Is your body actually getting what it needs from that protein? Because there is a big difference between eating protein, digesting protein, getting enough of the right amino acids, and actually giving your body what it needs to maintain...

Menopause and Heart Disease: What Women Are Still Not Being Told with Dr. Suzanne Steinbaum

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

Most women enter perimenopause thinking about hot flashes, weight gain, sleep, brain fog, and hormones. Very few are told that this may also be one of the most important cardiovascular windows of their lives. And that is a problem. Heart disease remains the number one killer of women, yet women are still being underdiagnosed, dismissed, and evaluated using systems that were largely built around male cardiovascular disease. In this episode, I sit down with preventative cardiologist Dr. Suzanne Steinbaum to talk about what women actually need to understand about their hearts in perimenopause and...

Quick Hits: Empower Your Physique: Breaking Misconceptions for Women Over 40 with Philip Pape

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 week we're exploring the intricacies of hormonal health and nutrition for women over 40, including the delicate balance between diet, exercise, and hormones. Joining us is nutrition expert Philip Pape, and together we debunk diet myths and provide personalized strategies to maintain energy, muscle mass, and metabolic health. We also discuss...

Why Do My Joints Suddenly Hurt in Perimenopause?

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

DOWNLOAD OUR FREE GUIDE "IS YOUR HRT OPTIMIZED!" Yesterday morning, I sat up in bed and somehow threw my neck out. That was it. I did not fall. I did not lift anything heavy. I did not have some dramatic injury. I literally sat up. And if you are somewhere in your 40s or 50s, there is a very good chance you have your own version of this story. Your shoulder suddenly stops moving properly. Your back goes out doing something completely ordinary. Your knees start aching. Your Achilles is angry. Your elbow hurts for no apparent reason. Workouts you used to recover from easily suddenly leave...

Quick Hits: Estrogen Has Been Vindicated! Estrogen HRT & Its Crucial Role in Breast Cancer Prevention with Dr. Lindsey Berkson

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

This is Quick Hits, where I pull the best takeaways from past podcast episodes and bring them to you in a shorter format. If today’s clip resonates with you, be sure to check out the full episode linked below. Download in iTunes or on your favorite podcast platforms. Dr. Devaki Lindsey Berkson is a thought leader in functional medicine, with an emphasis on hormones, nutrition, digestion, and intimacy. Berkson was a distinguished hormone scholar at a world-renowned estrogen think tank at Tulane University because she wrote one of the first breakthrough books on endocrine disruption)....

The Midlife Peptide Guide: Energy, Muscle, Recovery, Skin, Sleep & Libido with Dr. Jeff Gross

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

Peptides are everywhere right now. They are being talked about for fat loss, muscle, recovery, brain health, skin, longevity, inflammation, mitochondrial function, injury repair, and just about every other problem women run into in midlife. But which peptides actually make sense? Which ones have useful evidence or clinical experience behind them? Which ones are still early? And where do peptides fit when a woman is already dealing with changing hormones, declining muscle, stubborn body composition changes, poor sleep, low energy, and slower recovery? In this episode, I sit down with Dr. Jeff...

Quick Hits: The Sun Deficiency Epidemic: Could Sunlight Be the Missing Link in Modern Health W/ Gerardo Gutierrez

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 popular conversations. Want the full episode? You’ll find the link below. Are we getting enough of the right kind of light? In this Quick Hits episode, I pull out the biggest takeaways from my conversation with Gerardo “Guti” Gutierrez on sunlight, UVB, vitamin D, red light therapy, infrared light, circadian rhythm, and hormone health. We break down why sunlight is about far more than vitamin D, how UVA and UVB affect the body differently,...

What Happened When I Stopped Drinking: Hormones, Weight, Stress, and Breaking the Cycle

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

This may be one of those episodes you are tempted to skip because nobody really wants to hear that their nightly glass of wine could be working against them. But this is not a lecture about why you should never drink again. In this episode, I’m having a very honest conversation about alcohol, especially for women in their 40s, 50s, and beyond. We talk about how drinking may affect sleep, cortisol, cravings, estrogen metabolism, liver health, insulin sensitivity, weight loss, and the way your body handles stress as you move through perimenopause and menopause. But this conversation goes much...

Quick Hits: Breathwork for Women: Igniting Inner Empowerment with Kyla Erlandson

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. Breathwork has been used for thousands of years across cultures as a powerful tool for healing, emotional release, self-discovery, and spiritual connection. Yet most of us move through our days barely thinking about our breath, let alone using it intentionally. In this episode, we explore how breathwork can help you reconnect with yourself,...

More Episodes

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 system. Dr. Liz walks through her actual clinical protocols, including specific nutrients, herbs, and the EndoAccess formulas she uses with patients who have histamine overload, progesterone sensitivity, or both.

We also get into the harder conversations: when a 5-alpha reductase inhibitor might help women who are pushing too much allopregnanolone, what's really going on hormonally for women hitting perimenopause with worsening PMDD, and yes, when birth control or even an SSRI might actually be the safest, most compassionate choice, even for someone who leans natural. Dr. Liz makes a case that will challenge how you think about "first, do no harm."

This episode is about giving you an actual roadmap, not just information. Because once you understand your own biology, from part one, you can finally stop guessing and start treating the right thing.

In This Episode, We Cover:

Why DAO supplements and strict low histamine diets usually don't solve the problem long term
The gut, liver, and nervous system focused approach Dr. Liz uses first with patients
Key nutrients and antioxidants for calming histamine and neuroinflammation, including glutathione support, sulforaphane, green tea, pomegranate, curcumin, NAC, and glycine
Why alcohol is one of the biggest hidden disruptors of histamine clearance and hormone balance
Specific probiotic strains, including lactobacillus plantarum, and their surprising role in GABA receptor expression
The EndoAccess formulas Dr. Liz uses clinically for histamine support and for progesterone sensitive PMDD, including early results from a small group of patients
What 5-alpha reductase inhibition is, how it relates to allopregnanolone, and when it may help
Why perimenopausal women can suddenly develop worse PMDD, and the surprising role of testosterone, insulin, and FSH
The honest conversation about birth control, newer options, and when it may be the safest choice for severe PMDD
Where SSRIs fit in, including luteal phase only dosing and what to support alongside them
Why the nervous system piece is the part most women skip, and why it may be the most important one

Who This Episode Is For

This is for women who now understand why they're struggling, from part one, and want an actual plan. It's for anyone who has tried supplements or progesterone with no luck and felt like they were out of options. It's especially for women in perimenopause noticing their PMDD or PMS getting dramatically worse, and for anyone who has felt conflicted about whether birth control or an SSRI could ever be the "right" choice for them.

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