Episode 9: Ask Moxie: The No-BS Menopause Q&A (Part 1)

In this powerful listener Q&A episode, Marie Hoäg, Clinical Hormone Coach of 20 years, answers complex and emotional questions from women who are desperate for real answers about hormone therapy. From confusion around testosterone to frustration with untrained doctors, Marie exposes why so many women remain estrogen-deficient—even while “on HRT.” She explains what true hormone restoration looks like, why withholding estrogen should be considered a medical injustice, and how to find practitioners trained in advanced, therapeutic-dose protocols that fully restore female physiology.

What You’ll Learn:

• Why “low-dose” HRT and symptom-management protocols keep women stuck in deficiency
• The difference between first-/second-generation HRT and advanced third-/fourth-generation systems
• How to approach testosterone after restoring estrogen and progesterone
• What causes spotting, fatigue, and emotional instability during early adaptation phases
• How estrogen protects against autoimmune conditions, joint pain, and inflammation
• The truth about “Menopause Society–certified” providers and the limitations of conventional care
• Why consistency—not patch hopping or stopping—is critical to successful restoration

Listener Questions We Address:

• Can a woman’s testosterone be raised naturally?
• Why did I start spotting after switching HRT methods?
• Could my joint pain and hair loss be from perimenopause—or estrogen deficiency?
• What should I ask a new doctor before starting hormone therapy?
• Why did my Menopause Society–certified provider replace my HRT with birth control?
• Is it normal to feel anxious after starting an estrogen patch?

Email questions for the show to [email protected]

Disclaimer: The views expressed on the MeNoPause Moxie Podcast are based on over two decades of clinical observation, research, education, training, and personal experience by Marie Hoag, MBA. It is presented for educational, informational, and entertainment purposes, and is not intended as medical, nutritional, or hormone replacement therapy (HRT) advice. Viewers and listeners are strongly encouraged to consult with a trained HRT professional before making any hormone balancing decisions.