EPISODE · Apr 3, 2026 · 55 MIN
Is Your HRT Working? Troubleshooting Bioidentical Hormones | Dr. Sarah Daccarett
from The Menopause Midwife · host Missy Miculka
This week, we are welcoming back a favorite guest to dive deeper into the "hormone puzzles" that many face during menopause and perimenopause. Dr. Sarah Daccarett, hormone specialist and founder of Inner Balance, returns to the show to help us troubleshoot the most common frustrations with HRT and bioidentical hormone therapy.Dr. Sarah clears up the massive confusion surrounding "progesterone intolerance," and we break down the science of how the liver metabolizes oral hormones and why switching to a vaginal delivery system, like her flagship product Oestra, can be a total game-changer for reducing side effects.We also get into the nitty-gritty of navigating HRT while using an IUD for birth control and why "chasing labs" often misses the mark when it comes to your actual well-being. Sit down for an insightful conversation as we discuss everything from early signs of hormone loss in your 30s to the latest in hormonal skincare.It is time to stop settling for "barely scratching the surface" and start finding the sweet spot that helps you feel like yourself again.Social Media InfoWebsite: https://www.innerbalance.com/Inner Balance's Instagram: https://www.instagram.com/innerbalancemd/Dr. Sarah Daccarett's Instagram: https://www.instagram.com/sarahdaccarettmd/Featured Ad Products:Quicksilver Scientific D3K2: https://www.ohm406.com/product-page/in-store-quicksilver-scientific-d3k2Instamed Strips: https://www.ohm406.com/search?q=instamed&type=productsTimestamps00:00 Intro01:59 Explaining Progesterone Intolerance04:22 Exploring Oestra06:34 The Best Way to Do HRT11:29 To Track or Not to Track Your Symptoms?17:31 The Holy Trinity of Hormones19:14 Oestra Half-Life23:08 Using Oestra with the IUD31:11 Using Oestra with the Patch36:29 Breast Cancer, Stroke & HRT45:04 Cycling Your HRT49:04 Skipping Periods on HRT51:02 What's New at Inner Balance?
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Is Your HRT Working? Troubleshooting Bioidentical Hormones | Dr. Sarah Daccarett
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