Optimized Hormones but Still Struggling - The Missing Systems Behind Real Hormone Balance with Dr. Aaron Hartman | Hormone Optimization | E127

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Getting your hypertension will lower your risk maybe 38%, home and replacement at 50%.

So all of a sudden, using home and replacement is more impactful on your risk of heart disease

than treating your blood pressure.

That's how big of a thing we got wrong for the last 23 years, roughly.

Welcome back, everybody.

This is our typical Friday podcast where we take a deep dive in the topics you've asked

about.

And what I want to do is revisit the idea of hormone optimization from a different perspective.

People by now realize that November of last year, 2025, the FDA removed the black box

one in hormones and all of a sudden, using home and replacement therapies now acceptable.

But people in the integrative functional medicine world have been doing this for decades.

Have you ever stopped using, because we knew the benefit was there.

Acquaintain the literature may be 140,000 women have died prematurely from lack of access

to home and replacement therapy between 40 and 70 million women who are under treated.

Well, how can this be wise?

Well, according to the literature, horn replacement therapy lowers your risk of heart disease

about 50% in your risk of dementia, about 35%.

So to put this in perspective, if you're seeing a cardiologist, for example, and you're

a female and you have cholesterol, blood pressure, and you're in the menopause age, personopause

of age, which one has the biggest impact on your risk of heart disease?

Treating your hypertension will lower your risk maybe 38%, home and replacement 50%.

So all of a sudden, using home and replacement is more impactful on your risk of heart disease

than treating your blood pressure.

That's how big of a thing we got wrong for the last, you know, 23 years roughly.

So what is the difference between home and replacement therapy, home and optimization,

and what I'm calling holistic hormone management, the newer level, home and replacement

is simply checking a level and seeing your estrogen is low, your progesterone is low,

your testosterone is low, maybe your pregnant alone, which is your primary memory hormone

is low, maybe it's your DHEA, which affects your risk for autoimmune issues.

One of these is low and the other related hormones, and it's repeated, typically topical,

testosterone, pellate, topical, estrogen or pellate, oral progesterone, sublingual, and

some fashion.

This worked 20, 30 years ago when it was simply an issue of replacing it was low, but

in today's world with the toxins and chemicals, having all these autoimmune issues and the

whole host of things, you have to look at home and replacement a little differently, which

I'll see you have women come to office who've had their hormones replaced, and they still

have symptoms of their thyroid being off, or they still have issues with their gut or

hair loss or memory issues, they're slowing hot flashes because they have not had their

hormones optimized.

That's the second thing I want to talk about is hormone optimization.

For those of you who listen to our podcast, you've seen us, you're familiar with this.

Home and Optimization is first dealing with the hormonal hierarchy, which is first your

thyroid, your insulin for insulin resistance, and your cortisol, which is a big player,

cortisol, high cortisol, or low cortisol, with hormone functions, sex hormone function.

Once there's been addressed looking at your gut, which many times this is all happening

at the same time, fixing your gut, dealing with your gut microbiome, which is the back

turn you're gut, working on detoxification, there are certain enzymes like beta-glucuronides,

for example, from certain bacteria that actually affect estrogen detoxification.

If your beta-glucuronidase is high, then all of a sudden taking calcium-deglucrate or

something like that can have a mass impact on your estrogen dominance or estrogen detoxification

so you've got a big, big player in this, and then dealing with the sex hormones.

That is our hormone optimization.

Holistic hormone management is the next level with people you've done their placement,

they're not feeling better, you've looked at the gut, you've looked at thyroid, insulin,

cortisol, and they're still having a lot of hormone, what it sounds like symptoms,

even though these levels appear to be normal.

Hormone optimization is actually taking the next level and looking at it.

What are things that can actually affect in this world, your hormones, and you have to

have a bigger view of bigger lens, and what I want to do is give you an idea what that

lens looks like right now briefly.

You're going to deal with a couple of layers, things.

First are hormone incence, certain nutrients, external factors, like an effect circadian

rhythms, emotional factors, pathological, neurological processes, you're inherited

constitution, and then your acquired constitution.

All of these can actually have an impact on your hormonal health and how you feel.

So what I mean, the first group is intoxicants, that's food, food additives, things like

neuroendocrine disruptors, petroleum-based solvents in our food, all of these can actually

have a massive impact on your hormonal health and how your body does your estrogen even

work.

Are your estrogen receptors even open?

If there's Bspinal A, which is a neuroendocrine disruptor that looks and acts like estrogen

is bound there, then literally your own estrogen won't have a place to go do its work.

The next level is dealing with water, and it's something that we're chronically dehydrated.

It's a way our body detoxifies, but it also has to do with way we can get chemicals and

toxins in our body.

Aphletoxins, which are multilay toxins, as well as your gut, can actually have a factor

that make these kind of biotoxins into toxins within your body that can have adverse impact

on your hormonal health.

Sanitary applications, chemicals in your environment, cleaning stuff, a lot of these are actually

neuroendocrine disruptors, they disrupt your hormonal health.

Some people just take all this importance to the category of toxins, your toxins or detoxification,

but it's interesting how the detergents, you know, bedding you use, there's a lot of

fire retardants actually built into bedding and stuff by law, and even though it's been

removed in California, other states, it's still residual in the environment.

Even in oral contraceptives, using oral hormones actually suppresses your ovulation, suppresses

your FSH and LH, and suppresses your natural estrogen, natural progesterone production.

So if you've actually ever done a hormone panel on someone who's on a birth control pill,

it's really interesting to see how the whole brain leveled down hormone production is suppressed,

which will affect androgens or male-related hormones, will affect androgens to dye

own, pregnant alone, all these other hormones by taking oral contraceptives or other, even

other pharmaceuticals or other drugs that have estrogenic-like activities, and sugar.

These are all things that are intoxicants that are toxifying in our body.

The second is just lack of nutrients.

So when you think about holistic hormonal approach, if you have low omega-3 levels, you have

low levels of trace minerals, low iodine, your vitamin A is off, your D, which is really

important for your bias and philanthropy processes.

All of a sudden, these nutrient deficiencies, either macro protein, those are a great example,

fats, carbohydrates, or microd these nutrients, will impact your overall hormonal health.

Again, we're talking about holistic hormonal care, big picture.

Have you been told there's nothing wrong with you or worse, there's nothing we can do

for you?

We were told our daughter, Anna, would never walk, talk, crawl, or even see.

We were also told to start surges when she was just 18 months old, and we said no to

all of them.

Today at 19, she's thriving.

And here's what really shakes me to the core.

Her story isn't rare.

I've seen this happen in hundreds of thousands of patients in my clinic.

In Curable, I share exactly how you can do the same type of thing, because you deserve

the same fighting chance as my daughter had.

The link is below, get your copy today.

What else?

The third layer in this, are actually external pacers.

But it's really interesting how our buys are wired to need external pacers, external things

that actually help regulate our day-to-day night cycles.

For example, when there's a sunrise, when there's a sunset, moon cycles, it's really interesting

when I was in the emergency room, when I did my training, and afterwards, and doing

labor delivery.

It's amazing how many things, accidents, bipolar attacks, knifeings, or babies being born,

which I don't know, seem unrelated, but it's really interesting how often these things

would occur on full moons.

There is an impact of lunar cycles on our mental health or hormonal heart health, and then

we now are having this burgeoning realm of education and research on just the simple

fact that not getting the first morning sunlight, those first morning beams to your eye actually

is set up over your super-octocasma is a little timer that regulates your buys, hormone

fluctuations, et cetera, and getting accurate light just being outside as a massive part

of that.

So exposure to EMFs, your EMFs can disrupt that if you live near a cell tower, if you

live near a radio station, it's really interesting how we've lost, I'm not understanding and

view that these things impact our neurological system.

Even though we know they get our search with cancer, even though recently, we've seen

them use the warfare to cause TBI-like effects and individuals lower levels, which we're

exposed to daily, they can have similar day-night cycle disruptions, which can affect our

hormone production, emotional factors.

This is where you get into this neural, this, the fifth, the fourth, the fifth one is these

emotional factors that can affect your neural hormonal axis, your HPA, your hypothalamus,

the particular adrenal, gonadal axis, chronic stress trauma.

It's interesting how in traditional Chinese medicine, the thyroid gland was thought to

be the syndrome of emotions, and we now know the thyroid is a massive impact on all the

hormones.

We talked about that in the hormone optimization, but chronic stress can have a massive impact

on your thyroid hormone, and we'll see that as measured in a elevated reverse T3, which

is literally a brakes on your thyroid production.

And finally, pathologic neurological processes shock, lack of rest, poor sleep cycles, trauma,

a big T trauma, a little T trauma, all these can have a massive impact on not just hormone

production, but also hormone function.

If you're stressed, if your neurological system is round up, your sympathetic system is

overdrive, and all of a sudden, even if hormones bind to receptors and do what they're supposed

to do, you're not going to get desired impact.

And then there's the whole idea of your constitutionality, what you're made of, your physical

trauma.

So you're physically active, do you exercise routinely, mentally and emotionally, are

you stable?

Do you have a high mental emotional IQ?

Can you deal with social media?

Can you deal with everything going on the world right now?

And they calm mind, does it not trigger you?

You have this, maybe not strong, but a resilient or an even keeled constitution.

And it's really interesting, traditional Chinese medicine refers to this as Yin and

Yang.

Like what the things you're made of, combating each other, but it's interesting how we're

seeing now, in my culture, the idea of like having our daylight cycles balanced, having

our rest as well as physical activity.

That's literally a Yin, Yang concept, the physical activity, exerting yourself would be

Yin, and the Yang would be rest and relaxation.

You know, a different way of thinking about things, but I always interest me, the ancient

people's fear of these things out years and years ago, just by observing natural forces.

They needed different things.

It sounded a little weird, but they're describing the similar things that we see now in our

world.

And the finally is just acquired constitution, lifestyle, nutritional influences, belief

systems, the environment you live in, a social interaction, emotional balance.

All these things play into a holistic, hormonal mindset.

So if you're someone who's having hormonal issues, who's seeing all the specialists and

all the right things, you've balanced your hormones, you still don't feel right, you've balanced

your thyroid, you're insulin, still don't feel right, your guts better, still don't feel

right.

So if you look at all of these holistic, hormonal things that can have impact on you again,

list them once again, these intoxicants, nutrients, external Pacers, emotional factors, pathological

neurological processes, then constitutional.

You're in here to constitution, you require constitution.

So I encourage you all to look at this one.

We'll be doing more about this idea of a holistic, hormonal approach, because this is where

I feel like all my patients now are missing the right keys, they've done all the right stuff.

We've balanced with thyroid, 80% of people need to do the basic hormone stuff, they feel

better.

There's a small percentage.

You have to do the more advanced stuff.

Once you've taken to the thyroid, their genitals are gut, probably 80% of that, 20%

they're better.

That still leaves, 6% of people, 8% to 10% of people are still struggling with their hormones,

not quite with any DB.

And that's where we're having this more holistic mindset, I think it'd be super useful.

If this information's helpful, please like, share, subscribe as well.

I'd like to hear your comments below.

Do you feel like you're in this area?

Yeah, I feel like it's really helpful to get some feedback from those who listen to me,

to make sure we're giving out good information, education-wise for people, because that's

old dollar from a goal is to educate, encourage, and power people to take charge of the health,

so take care and we'll talk to you soon.

My daughter was never supposed to walk talk or crawl, and today at 19, she's thriving.

And guess what?

We ignored every single thing the specialist told us to do.

Hi, I'm Dr. Aaron Hartman, and I wrote, uncurable from hopeless diagnosis to defying

all odds, so you don't have to navigate this alone.

In a minute, we share the secrets that she and thousands of my patients have used.

Grab the book or audible wherever books are sold, or you can find it in the link below.