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The Great Menopause Myth: Optimization vs. Symptom Management with Ashley Curtis FNP & Maria Pesce

  • Writer: Stefan Hartmann, PA-C
    Stefan Hartmann, PA-C
  • 17 hours ago
  • 2 min read

In this episode of the Iron Direct Primary Care podcast, Stefan and Nurse Practitioner Ashley Curtis are joined by midlife health coach Maria to pull back the curtain on menopause, perimenopause, and the massive gaps in standard medical care.


We dive deep into why "normal" lab results aren't "optimal," the hidden cardiovascular benefits of high-dose estradiol, and the real reason many women are misdiagnosed with UTIs and anxiety when they actually need hormone replenishment.

In this video, we discuss: The "Default State" of Inflammation: Why menopause is more than just hot flashes [01:09].

Optimal Dosing: Why 100 pg/mL of estradiol might be the magic number for bone and heart health [04:56].

Saving Relationships: How hormone optimization impacts libido and emotional connection [07:19].

The Bi-Est Debate: Why common prescriptions might be holding you back from true relief [14:18].

The LDL Connection: How estrogen acts as a natural "statin" by protecting liver receptors [33:08].Progesterone Protocols: Solving sleep issues and migraines with the right delivery method [27:09].

About Our Guest: Maria is a Women’s Midlife Health Coach and co-author of The Great Menopause Myth. She specializes in helping women navigate the complexities of HRT and advocacy in a medical system that often overlooks female metabolic health.

Follow her on Instagram: @menopausewithmaria

About Iron Direct Primary Care:

We provide a membership-based model that allows for the "tinkering" and long-term partnership required for successful hormone optimization. No insurance barriers, just personalized care.Subscribe for more deep dives into functional medicine and longevity!



Find Maria on IG


ironDPC.com to register to become a patient with Ashley


To learn HRT as a provider register for our course on https://learnfunctionalmedicine.mykajabi.com/signup

 
 
 
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