Why It Takes More Than Hormones to Fix Your Hormones in Perimenopause and Menopause

Sarah Kleiner welcomes Dr. Anna Cabeca to discuss perimenopause/menopause support for hormone-hesitant listeners, hormone users, and those wanting non-hormonal approaches. Cabeca emphasizes “it takes more than hormones to fix your hormones,” advocating foundations like circadian and lifestyle factors, detoxification pathways, gut and mitochondrial health, and working with individual physiology rather than one-size-fits-all hormone protocols; she frames treatment as hormone “replenishment” and notes benefits of progesterone, pregnenolone, DHEA, and sometimes estrogen/testosterone depending on metabolism and clearance. They discuss increased post-pandemic inflammation and autoimmune issues (Hashimoto’s, dysbiosis), rising MCAS/histamine intolerance linked to estrogen fluctuations or impaired estrogen clearance, and practical supports including food/stress diaries, oxytocin-boosting practices, daily bowel movements, and drainage/lymph strategies. They also cover keto/carnivore drawbacks for some women (uric acid, weight gain), thyroid markers like reverse T3, ferritin optimization, and the importance of individualized, terrain-focused care. Cabeca shares where to find her work and programs— Connect with Dr Annahttps://www.instagram.com/thegirlfrienddoctor/ https://drannacabeca.com/https://www.youtube.com/thegirlfrienddoctor _________Sponsored By:→ VIVARAYS  -Go to  https://vivarays.com/sarah and use code SARAH at checkout. Get back in sync with your own rhythm, one sunset at a time.→ Kēpos | For a limited time, you can get 47% off your first order, PLUS free gifts valued at $62. Go to https://trykepos.com/SARAHKLEINER to claim the offer–your discount will be automatically applied. With their 30-day money back guarantee, you can try it completely risk free. → FERRITIN TERRAIN SUMMIT 2026 – Go to sarahkleinerwellness.com/the-ferritin-terrain-summit-2026 and grab your VIP access. Unlock the full summit experience and dive deeper into the Ferritin Terrain._________Timestamp:00:00 Meet Dr Anna Cabeca00:50 Podcast Intro and Disclaimer03:28 Hormone Views and Foundations04:55 Replenishment Not Replacement08:47 Lifestyle Blue Zones and Root Causes10:33 Post Pandemic Inflammation and Autoimmunity13:03 Histamine MCAS and Estrogen Clearance27:10 Free Ferritin Summit27:51 Hormone Therapy Pitfalls29:06 Progesterone Sensitivity Fixes32:40 Diet Flex for Menopause35:10 Carnivore Uric Acid Clues37:32 Reverse T3 Thyroid Deep Dive42:39 Terrain Foundations Wrap Up——— This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) -  https://www.sarahkleinerwellness.com/coursesMy free product guide with all product recommendations and discount codes:https://www.canva.com/design/DAF7mlgZpJI/xVyE4tiQFEWJmh_Xwx8Kbw/view?utm_content=DAF7mlgZpJIFree Webinar on Light & Health (includes free light bulb guide) - https://www.sarahkleinerwellness.com/mycircadianapp-free-webinarGet Early Access to Podcast Episodes & my Seasonal Food Course + UVB+Red Light Therapy course for free -  https://open.substack.com/pub/sarahkleinerwellness/p/uvbred-light-protocol?r=5eztl9&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true