Missy Miculka
03 April 2026
55m 4s
Is Your HRT Working? Troubleshooting Bioidentical Hormones | Dr. Sarah Daccarett
00:00
55:04

Missy Miculka
03 April 2026
55m 4s
00:00
55:04
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.
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Timestamps
00:00 Intro
01:59 Explaining Progesterone Intolerance
04:22 Exploring Oestra
06:34 The Best Way to Do HRT
11:29 To Track or Not to Track Your Symptoms?
17:31 The Holy Trinity of Hormones
19:14 Oestra Half-Life
23:08 Using Oestra with the IUD
31:11 Using Oestra with the Patch
36:29 Breast Cancer, Stroke & HRT
45:04 Cycling Your HRT
49:04 Skipping Periods on HRT
51:02 What's New at Inner Balance?