08/09/2026
When I work with women in perimenopause and menopause who are considering HRT, or who are already taking it, one thing I strongly encourage is understanding the treatment you have been prescribed and having an appropriate follow-up plan with your prescribing doctor.
HRT can be an extremely valuable treatment for the right woman, but it is still medical treatment that needs to be individualised.
Before starting, or if you are already on HRT, you should know:
✔️ Which hormones am I being prescribed, and why?
✔️ Why was this particular dose and delivery method chosen for me?
✔️ If I still have a uterus, is my endometrium being appropriately protected with progesterone?
✔️ What symptoms should realistically improve, and over what timeframe?
✔️ Which side effects or changes should prompt me to contact my doctor?
✔️ When will my treatment be reviewed?
✔️ How will the dose be adjusted if symptoms persist or new symptoms develop?
✔️ Are my cardiovascular, metabolic, bone and breast-health risk factors being considered as part of the wider picture?
And this is where my own work fits alongside medical care. I look at the nutritional and metabolic picture surrounding that woman; body composition, protein and energy intake, glucose regulation, lipids, iron status, thyroid-related nutrition, bone-supportive nutrients, gastrointestinal health, sleep, training, alcohol intake and the lifestyle factors that can significantly influence how she feels through this transition.
HRT and nutrition are not competing approaches. For many women, the best care is multidisciplinary... appropriate medical treatment where indicated, combined with an evidence-based nutrition and lifestyle strategy that protects long-term metabolic health. Because treating menopausal symptoms should not mean ignoring the rest of the woman.