The Menopause Midwife

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Missy Miculka

29 August 2025

59m 29s

Hormones, PCOS, & More: The Modern Guide to HRT | Dr. Sarah Daccarett

00:00

59:29

This week, we're diving into a topic that has been misunderstood and mismanaged for far too long: hormone replacement therapy (HRT).

Our incredible guest, Dr. Sarah Daccarett, a renowned hormone specialist and anti-aging expert, is here to set the record straight. As the founder of Inner Balance, she's pioneering a modern, bioidentical approach to hormone management that's designed for women of all ages—not just those going through menopause.

Dr. Daccarett is on a mission to end the cycle of misdiagnosis and overlooked symptoms. She’ll break down why a proper ratio of estrogen, progesterone, and testosterone is essential for your well-being, and why so many doctors get it wrong. We'll talk about everything from painful periods and PCOS to mental health and anti-aging, all through the lens of hormonal balance.

Prepare for some eye-opening truths and discover why taking control of your hormones is a game-changer for your health.

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Timestamps

00:00 - Podcast Intro

00:52 - Introduction to Dr. Sarah Daccaret and Inner Balance.

07:17 - The difference between Progestin and Progesterone

11:30 - Understanding the Estrogen-Progesterone-Testosterone Ratio

17:24 - How hormones are the foundation of anti-aging

20:01 - Practical Steps for Younger Women's Hormone Health

23:56 - Why is "Estrogen dominance" not accurate?

27:14 - HRT delivery methods and dosing

34:24 - Why is hormone health more than just balance

36:12 - Are doctors not properly trained in women's hormonal health?

38:02 - HRT isn't one-size-fits-all

46:59 - Are we burning through our hormones?

52:08 - HRT and taking the power back

54:36 - What's next for Inner Balance?

55:26 - Rapid fire questions

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