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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

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...

Part 3 The Midlife Stress Crash: What Your Midlife Breakdown Is Actually Trying to Tell You

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

You've made it to part three, and this is the one that ties everything together. If parts one and two left you with a clearer picture of your stress system and your sleep, this episode takes you somewhere deeper: into your thyroid, your brain chemistry, and a layer of midlife that almost nobody talks about on a podcast about hormones. I'm breaking down why your thyroid and your adrenal system are locked in a relationship that most doctors never explain, and why a normal TSH does not mean your thyroid is actually working. Then we go into your neurotransmitters. Serotonin, dopamine, GABA, the...

Why You Struggle to Build Muscle in Midlife (Even If You're Doing Everything Right) with Liz Plosser

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

You're eating "pretty well." You're moving your body. So why does it feel like your muscle is disappearing and your effort isn't paying off the way it used to? In this episode, I sit down with Liz Plosser, former editor-in-chief of Women's Health and a woman who has spent her entire career reporting on health and fitness, to talk about what changes in midlife and why the old rules stop working. Then we go deep on amino acids, what they actually are, why your body becomes less efficient at using them as estrogen declines, and why an essential amino acid supplement might be one of the smartest,...

More Episodes

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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