The Estrogen Shortage Is Real & Your Gut Might Be Making It Worse with Esther Blum

Esther Blum, integrative dietitian and menopause expert, unpacks
the estrogen supply chain crisis, leaving women without basic
hormone care, while there are 25 erectile dysfunction medications
on the market with zero shortages.


But the conversation goes deeper: if your gut and liver detox
pathways aren't functioning first, HRT may not work the way
you're hoping. Esther breaks down the gut-liver-hormone axis,
explains why 70% of women aren't detoxing their hormones
properly, and makes the case for eating more — not less — in
midlife.


Plus: testosterone as the missing menopause hormone, why carbs at
dinner might be the key to sleeping through the night, and why
the zero F's era is the best-kept secret of menopause.


Episode Overview:
(00:00) Introduction
(01:31) The Estrogen Shortage Nobody Is Talking About
(06:54) The Case for Starting HRT in Perimenopause
(11:19) HRT and Connective Tissue — What Estrogen Can't Do
Alone
(14:15) Testosterone: The Missing Menopause Hormone
(22:00) The Gut-Liver Axis and Why HRT Fails Without It
(29:20) What Happens When You Skip the Detox Step
(34:31) Ventilator Calories and Eating More in Midlife
(41:00) Carbohydrates, Cortisol, and Sleep
(01:00:32) The Lab Tests to Ask For
(01:03:13) One Thing to Do This Week
(01:04:27) The Zero F's Era
(01:11:00) After Party - Final Thoughts with Dr. Stephanie


Resources mentioned in this episode:
https://drstephanieestima.com/podcasts/ep472


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P.S. When you're ready, here are two ways Dr. Stephanie can help
you:


Subscribe: The Mini
Pause — My weekly newsletter packed with the most
actionable, evidence-based tools for women 40+ to thrive in
midlife.


Build Muscle: LIFT — My
progressive strength training program designed for women in
midlife. Form-focused, joint-friendly, and built for real
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