Why I No Longer Take Bio-Identical Hormone Replacement Therapy (HRT) During Menopause
When I first entered menopause, I did what many women do—I started bio-identical Hormone Replacement Therapy (HRT).
At the time, it seemed like the obvious choice.
If my body wasn’t producing the same levels of hormones anymore, why wouldn’t I replace them?
As I continued learning through Functional Medicine and researching how hormones actually work, my perspective completely changed.
Today, I no longer take HRT.
This is my personal journey and why I decided that supporting my body naturally was the better choice for me.
🌸 I Learned That “Bio-Identical” Doesn’t Mean Natural
One of the biggest surprises for me was learning that bio-identical hormones are still manufactured hormones.
Although they are designed to closely resemble the hormones our bodies produce, they are not actually made by our bodies.
That may not matter to everyone, but it mattered to me.
Our endocrine system is incredibly intelligent. It constantly adjusts hormone production based on thousands of signals throughout the body.
Once I understood that, I began wondering:
What happens when we add hormones that our body didn’t decide to produce?
⚖️ Hormones Are All About Balance
One of the most important things my Functional Medicine doctor taught me is this:
Hormones don’t work alone.
They function as an interconnected system.
When you increase one hormone, it can influence many others.
For example, estrogen and progesterone constantly work together. Changing one affects the balance of the other, and that ripple effect can influence the entire endocrine system.
Our bodies are always trying to maintain balance (homeostasis).
The more I learned, the more I realized that I didn’t want my body constantly trying to compensate for hormones I was adding from the outside.
For me, supporting my body’s own natural balancing system simply made more sense.
🤧 The Surprising Connection Between Estrogen and Histamine
This was something I had never heard anyone talk about.
I discovered research showing that estrogen can increase histamine levels by making mast cells release more histamine while also reducing DAO, one of the body’s primary enzymes used to break histamine down.
Why does that matter?
Histamine doesn’t just affect seasonal allergies.
High histamine levels may contribute to:
- 🤧 Allergy symptoms
- 🤕 Headaches
- 🌸 Sinus congestion
- 😣 Itchy skin
- 🍽️ Digestive issues
- 😰 Anxiety
- 😴 Sleep disturbances
For women who already struggle with histamine intolerance, adding estrogen may make those symptoms worse. This relationship is one reason some functional medicine practitioners look at hormone balance when evaluating histamine-related symptoms.
🦠 Gut Health Changed Everything for Me
If you’ve followed my health journey, you already know how passionate I am about gut health.
When I was dealing with autoimmune disease, almost every path I followed eventually led back to my gut.
Healing my gut became one of the biggest turning points in restoring my health.
As I continued learning, I discovered that hormone balance and gut health are closely connected.
The gut microbiome even plays a role in processing estrogen.
When the gut isn’t healthy, estrogen metabolism may also be affected.
That was another piece of the puzzle that confirmed I wanted to focus on supporting my gut instead of adding more hormones.
Healthy gut…
Healthy immune system…
Healthier body.
Everything is connected.
💪 What I Focus on Instead of HRT
Deciding to stop Hormone Replacement Therapy didn’t mean I stopped caring about healthy aging.
Quite the opposite.
I simply shifted my focus toward helping my body function the way it was designed.
Today I prioritize:
🥩 Eating whole, nutrient-dense foods
💤 Getting quality sleep
🏋️♀️ Strength training to preserve muscle
💪 Creatine for healthy aging and muscle support
🧬 Peptides that align with my personal health goals
🥦 Supporting my gut microbiome
🚶♀️ Daily movement
☀️ Managing stress
Those things work with my body instead of trying to override its natural hormone regulation.
🙏 Trusting the Natural Process of Menopause
One of the biggest mindset shifts I had was realizing that menopause isn’t a disease.
It’s a natural stage of life.
Our bodies were beautifully designed to transition through it.
That doesn’t mean the transition is always easy.
But for me personally, I no longer believe every change needs to be replaced or corrected.
Instead, I want to give my body what it needs so it can adapt naturally.
❤️ My Personal Decision
This isn’t meant to tell anyone else what they should do.
Many women choose Hormone Replacement Therapy and are very happy with that decision.
This is simply why I chose to stop taking bio-identical HRT.
After everything I learned about hormone balance, estrogen, histamine, gut health, and the body’s incredible ability to regulate itself, I decided that supporting my body naturally aligned better with my long-term health goals.
I believe God designed our bodies with an incredible capacity to adapt and heal.
My job isn’t to control every hormone.
My job is to nourish my body, strengthen it, care for it, and trust the amazing design God created.
For me…
That’s the healthiest path forward. ❤️

