In this episode of the Progress Your Health Podcast, Dr. Valorie Davidson and Dr. Robert Maki dive into a question from Sabrina about the accuracy and usefulness of saliva versus blood testing for hormone replacement therapy (HRT).
đ Is saliva testing more accurate for transdermal Bi-Est creams?
đ Why does your estradiol look low in bloodwork but high in saliva?
đ Does skipping your hormones before testing give a better resultâor just confuse the picture?
đ Whatâs a true 80/20 Bi-Est ratio, and how can you read your prescription dose properly?
đ Why might oral progesterone make you anxious instead of sleepy?
Youâll learn:
â How to interpret blood and saliva test results when you’re on HRT
â The pros and cons of different testing methods (serum vs. saliva vs. urine)
â The real reason your progesterone might backfire and worsen sleep
â Why your estrogen dose may be too lowâeven if your labs say you’re âin rangeâ
â How to work with your practitioner to adjust your HRT plan safely
This episode is perfect for anyone on HRT whoâs feeling confused about their labs, frustrated by persistent symptoms, or stuck between conflicting advice.
đ§ Bonus: Dr. Davidson breaks down estrogen ratios and cream dosing using real-world examples.
If you have a question, please visit our website and click Ask the Doctor a question.
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Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.
Discover the common and unfamiliar symptoms that you might be experiencing. Get access to cases of real women with hormonal conditions.
Protecting your `heart health` is crucial, especially during `menopause`, when risks can increase. In this `women’s health` episode, Dr. Valorie Davidson and Dr. Robert Maki share essential `health tips` and insights into how `hormones` impact cardiovascular well-being. Learn about important lab tests and supplements to safeguard your heart. Youâll learn: â Why heart disease in women is often a âsilentâ problem until itâs serious â The difference between general âheart diseaseâ and atherosclerosis â Coronary calcium scores: what they are, what the numbers mean, and when to consider one â Why total cholesterol alone is useless (and often scary for no reason) â The key markers that matter more: â Triglycerides â HDL â Triglyceride HDL ratio (and why 1.5 is a powerful insulin-resistance clue) â ApoB â Lp(a) â hs-CRP (cardio CRP) â Blood pressure & insulin resistance â How estrogen decline in perimenopause & menopause affects cholesterol, visceral fat, inflammation, and heart risk â How rhythmic dosing and thoughtfully prescribed HRT can support metabolic and cardiovascular health â Visceral fat vs âroly polyâ fat: why where you store fat matters more than the scale â Foundational supplements for heart protection (education only, not personal medical advice): â Omega3s (EPA/DHA) â Vitamin D 2 â CoQ10 â Curcumin/turmeric â Magnesium Red yeast rice, bergamot, berberine & more metabolic support â Nitric oxide support (beet root, citrulline, etc.) If you have a question, please visit our website and click Ask the Doctor a question. Join the Progress Your Hormones Community Stay Connected Instagram: @drvalorie TikTok: @drvaloried Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.
Can You Do Rhythmic Dosing After a Hysterectomy? Short answer: Yes, but there are some other factors to take into consideration to make sure someone is a good candidate. In this episode, Dr. Valorie and Dr. Maki explain how rhythmic dosing works without a uterus, why it can be an excellent option after total hysterectomy (with oophorectomy) or surgical menopause, and when a simpler static approach might be better. We cover candidates, myths (like âno uterus = no progesteroneâ), brain and bone benefits, and how to personalize dosing for real-life outcomesâsleep, mood, cognition, libido, and long-term bone strength. What youâll learn â Rhythmic dosing 101 (mimicking a 26â28-day cycle) â Hysterectomy types: uterus-only vs. total (with ovary removal) â Why rhythmic dosing can still helpâeven without a period â Customizing estrogen + progesterone to symptoms and goals â Brain fog & sleep: why declining estradiol hits cognition â Bone density protection in the first 5â7 years post-menopause â Endometriosis & fibroids: nuance, not one-size-fits-all â When rhythmic dosing may not be ideal (e.g., 60 and off HRT for many years) If you have a question, please visit our website and click Ask the Doctor a question. Join the Progress Your Hormones Community Stay Connected Instagram: @drvalorie TikTok: @drvaloried Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.
Confused by your DEXA scan results? Not sure if your T-score is ânormal,â âosteopenia,â or âosteoporosisâor what to actually do about it? In this episode, Dr. Valorie Davidson and Dr. Robert Maki walk through three real viewer examples to show You exactly how to interpret bone density scores in your 50s and beyond. Youâll learn: â How to read your DEXA scan: T-score vs Z-score in plain English â The cutoffs: â 0 to -0.9 â normal bone density â -1.0 to -2.4 â osteopenia â ⤠-2.5 â osteoporosis â Why two women in their early 50s can have completely different bone density â What a T-score of -3.7 or -3.8 really meansâand whether itâs reversible â How surgical menopause, long-term steroids, vitamin D deficiency, RA, and genetics impact bone health â Why your 50s are really about protecting your 70s (fracture risk, independence, and longevity) â How weight loss, GLP-1 meds, and low muscle mass affect bones â Practical foundations to protect and improve bone density: â Smart movement: walking, weighted vests, strength & resistance training â Protein targets & why bone = âcalcified proteinâ â Stress, cortisol & steroid impact on bone loss â Vitamin D + K2, food-based calcium & targeted bone support formulas â Where HRTâand rhythmic dosingâfit into a long-term bone strategy If you have a question, please visit our website and click Ask the Doctor a question. Join the Progress Your Hormones Community Stay Connected Instagram: @drvalorie TikTok: @drvaloried Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.
Many women confuse cycling static HRT with rhythmic dosing, but theyâre not the same thing. In this episode, Dr. Valorie Davidson and Dr. Robert Maki from Progress Your Health break down the difference between the two, why it matters for your safety, and how to do hormone therapy the right way. In this video, youâll learn: â What ârhythmic dosingâ actually means â Why cycling your static HRT is not rhythmic dosing â How improper dosing can impact mood, energy, and breast tenderness â The risks of trying to adjust hormones on your own â Why rhythmic dosing must follow the bodyâs natural ovarian rhythm â How men and women can use synchronized rhythmic dosing safely If you have a question, please visit our website and click Ask the Doctor a question. Join the Progress Your Hormones Community Stay Connected Instagram: @drvalorie TikTok: @drvaloried Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.
In Part 2, we go symptom-by-symptom so you can sleep through the night again. Dr. Valorie and Dr. Maki cover night sweats, frequent urination, heart palpitations, muscle cramps, headaches, itchy skin, vivid dreams, and when to suspect sleep apnea (under-recognized in women). Youâll hear practical tacticsâelectrolytes, targeted magnesium types, phosphatidylserine timing, glycine, L-theanine, and smart melatonin useâplus when HRT helps and how to pair data (CGM, wearables) with your sleep plan. Youâll also discover practical, science-backed fixes like: đ§ Smart electrolyte balance & targeted magnesium types đ§ Phosphatidylserine timing for cortisol control đ´ Glycine, L-theanine, and optimal melatonin use đ When HRT makes senseâand how to pair it with CGM or wearable sleep data What youâll learn â What nighttime urination signals (estrogen & ADH, electrolytes, cortisol) â Palpitations in midlife: estrogen link, when to see cardiology, calming strategies â Cramps/headaches/itchy skinâcommon causes & quick fixes â How/when to test for sleep apnea at home (and why itâs missed in women) â Fine-tuning supplements & dosing; when HRT is the lever Still not sure whatâs really causing your sleepless nights? Find out if youâre in the In-Between stage of perimenopause and menopause. If you have a question, please visit our website and click Ask the Doctor a question. Join the Progress Your Hormones Community Stay Connected Instagram: @drvalorie TikTok: @drvaloried Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.
Why midlife wrecks your sleepâand how to fix it naturally. In Part 1, Dr. Valorie and Dr. Maki unpack the hormone triad behind womenâs insomnia: shifting estrogen/progesterone, cortisol dysregulation, and blood sugar/insulin resistance. Youâll learn the difference between trouble falling vs. staying asleep, how low progesterone affects GABA (hello 2â3 a.m. wake-ups), and the daily habits that reset your circadian rhythm. What youâll learn â The hormone triad driving midlife sleep loss â âVampire / Zombie / Ghoulâ sleep patternsâwhat they mean â Why blood sugar swings trigger nighttime cortisol spikes â Morning fixes that help nights: protein breakfast, light exposure, movement, temperature â Starter supplements & how to think about them: magnesium (glycinate, L-threonate), L-theanine, glycine, phosphatidylserine, melatonin If you have a question, please visit our website and click Ask the Doctor a question. Join the Progress Your Hormones Community Stay Connected Instagram: @drvalorie TikTok: @drvaloried Disclaimer: All content in this blog, including text, images, audio, video, or other formats, was created for informational purposes only. This video, website, and blog aim to promote consumer/public understanding and general knowledge of various health topics. This content is not a substitute for professional medical advice, diagnosis, or treatment. Please consult your healthcare provider with any questions or concerns you may have regarding your condition before undertaking a new healthcare regimen. Never disregard professional medical advice or delay seeking it because of something you have read on this website. If your healthcare provider is not interested in discussing your health concerns regarding this topic, then it is time to find a new doctor.