How To Understand Your Menopause Labs With Confidence - Episode 343
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I walk you through how to understand menopause blood work in a way that actually matches your symptoms, especially if you are on HRT or BHRT. I connect the dots between hormones, metabolism, thyroid, iron, and even the deeper “science and soul” layer that labs cannot measure.
• functional lab ranges versus standard ranges and why “normal” can still feel awful
• how to time hormone testing and why consistency matters for tracking trends
• estradiol basics, common target ranges, and signs it is too low or too high
• compounded Biest ratios, estriol versus estradiol, and why dose changes can hit fast
• progesterone versus progestin, unopposed estrogen risks, and why ratios matter
• bleeding after menopause on HRT, what it can mean, and why it must be checked
• FSH and LH as feedback signals that can reveal whether estrogen is “landing”
• testosterone, SHBG, free versus total, and how raising estrogen can lower testosterone
• prolactin as a clue for sore breasts alongside estradiol
• fasting insulin as an overlooked marker for belly fat and future risk
• thyroid markers beyond TSH, plus ferritin, iron, and vitamin C links to energy and hair
• the “soul side” of menopause, including stress, anxiety, trauma, and meaning
• uterine cancer risk factors, what progesterone protects against, and how to be proactive
• a practical lab checklist and tracking approach to bring to your practitioner
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I'm Sandy Kruse, a Registered Holistic Nutritionist, credentialed & long-standing host of Sandy K Nutrition Health & Lifestyle Queen, and a solo, independent podcaster who has been doing this passion-over-profit for 6+ years. Mostly me now in 2026, chasing the truth about health and wellness. If this episode gave you something, the most powerful way to support shows like mine is free: hit subscribe and leave a quick review with a few kind words wherever you're listening. Those little reviews are how independent voices actually get found - they help this show reach the next person who needs to hear it. Thank you for being here. Oh, and please share this with a friend.
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