Menopausal hormone therapy (MHT) can provide cardiovascular benefits for women under 60 and help slow body composition changes, but it is not a standalone solution; exercise, nutrition, and lifestyle modifications are stronger determinants of long-term health outcomes, and MHT should be viewed as one tool in a comprehensive approach to managing menopausal symptoms.
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Is Menopausal Hormone Therapy a Must for Women’s Bone, Brain, and Heart Health?Added:
Let's talk about HRT. Every woman wants this to be their holy grail.
>> If you are 60 and younger, then there can be some cardiovascular benefit. We see that it can slow the rate of change of body comp. Doesn't stop it, but the thing that's not in that conversation is what's the stronger impetus for all of that is exercise and nutrition. When you are doing the right kind of training, and we see that we're having lots of fiber and protein, all of that helps with immune function and changing body comp and keeping gut microbiome diverse.
That said, MHT is a tool in the toolbox, and people shouldn't suffer all of the menopausal symptoms without knowing that MHT is definitely beneficial for some of that. But it isn't the golden goose that people think it is. You do have to put in lifestyle modifications. Even if you're on it, you have to put on lifestyle modifications so that you can have a long and healthy quality life.
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