@markkaplan20 Than you β€οΈ I will have him check the iron/ferritin selenium, zinc. I take Magnesium Glycinate, My D was a little high according standards. I take d3,k2,wk7. For gut health any recommendations for prebiotic or probiotic?
I think it is that βBREAK GLASS IN CASE OF EMERGENCYβ moment in Tennessee.
We must recalibrate the state government to realize that they work for you, the citizens, and under the authority of the Constitution and Almighty God.
I'm asking you to charge forward with me. Vote Fritts.
@nicksortor Let's Say Breaking: When the Senate Passes It! Thank you! We are patiently waiting for all others to pass the Senate. Good thing I'm not holding my breath.
@RobertKennedyJc Anything store bought is filled with harmful chemicals! It takes months for this stuff to grow mold if ever! Remove all chemicals that have in our food source. They added it don't let them fool you that it would take forever to change!
I'm a cardiologist. I watched @MegynKellyShow ask a question millions of women are living with β and nobody answered it.
She's on estrogen. It changed her life. But the progesterone she has to take to protect her uterus leaves her miserably bloated. Her doctors offered her an IUD she doesn't want. That was it. End of options.
That is not the end of her options. There are at least six. Here's every one of them.
First, why you need it at all. Estrogen stimulates the uterine lining. Unopposed, that raises endometrial cancer risk. Progesterone keeps it in check. If you have a uterus and take systemic estrogen, you need endometrial protection. That part is real. But how you get that protection has six versions β and most women are only ever offered one.
1. You may be on the wrong molecule. Synthetic progestins and micronized progesterone β the bioidentical form β are different drugs that feel completely different in the body. Women who feel awful on a synthetic often do fine on micronized. Ask for it by name.
2. Change the route. Vaginal micronized progesterone protects the uterus with far less circulating in your bloodstream β which means far less bloating, grogginess, and mood effect. Used off-label, well described, rarely offered.
3. Change the schedule. Daily continuous dosing is not the only regimen. Cyclic dosing β roughly 12 to 14 days a month instead of 30 β is long established and can cut side effects in half.
4. Change the hour. Oral micronized progesterone is sedating. Taken at bedtime, that stops being a side effect and becomes the reason you finally sleep through the night. Same drug. Different hour. Different life.
5. Local delivery. A levonorgestrel IUD protects the lining with minimal systemic exposure. Megyn doesn't want one β fair. But it's a real tool, not a consolation prize.
6. The option almost nobody mentions. There's a combination that pairs estrogen with a SERM instead of a progestogen β protecting the lining with no progesterone at all. Availability varies. Ask.
And if your only problem is dryness, burning, or painful sex: local vaginal estrogen requires no progesterone whatsoever. None. Millions of women suffer for years over a fear that was never justified.
Now the part the whole conversation missed: your bloating may not be the progesterone at all.
One of estrogen's jobs is holding water in tissue. Dose and route matter enormously. Here's my lane as a cardiologist β transdermal estradiol (patch, gel, spray) bypasses the liver. Compared to oral estrogen, it carries lower clot and stroke risk and tends to cause less fluid retention. Oral estrogen also raises SHBG, a protein that binds up your free testosterone β the exact hormone driving libido. So the fix may be switching your estrogen, not fighting your progesterone. Almost no one checks this.
Two more things women deserve to hear.
Testosterone. If you're on estrogen, sleeping better, feeling better β and still have zero libido, or can't get aroused despite loving your husband β low free testosterone is usually why. Women make testosterone too. Low-dose therapy, about a tenth of a male dose, improves desire, arousal, and orgasm in randomized trials. It is the single most overlooked piece of this entire conversation, and the one that quietly damages marriages.
Frozen shoulder. If you're between 42 and 58 and your shoulder mysteriously froze, that's adhesive capsulitis β and it clusters hard around menopause. Estrogen affects collagen and connective tissue. Most orthopedists never mention the hormonal link. Worth raising before anyone manipulates your shoulder under anesthesia.
And the context that changes everything:
In November 2025 the FDA began removing the black box warnings from hormone therapy β including vaginal estrogen β and finalized it this year. The FDA Commissioner called it one of the greatest screw-ups of modern medicine.
Why? The 2002 WHI was misread. In the estrogen-alone arm, breast cancer risk was actually lower. For women starting within 10 years of menopause or under 60, the risks are far smaller than anyone was told. Roughly 50 million women were frightened away from a treatment that relieves symptoms, protects bone, and gives them their life back.
Here's what I need you to take from this.
"Progesterone makes me bloated, so I guess I'm done" is not a medical answer. It's the answer you get from someone who only knows one regimen.
There are six. Screenshot this. Bring it to your appointment. Ask by name. And if your doctor shrugs, find a menopause-certified clinician β they exist, and the difference is night and day.
You were never supposed to just endure this.
You were supposed to be treated.