TODAY'S AJENDA #104

Table of Contents

• “I’m over 60. Am I too late for HRT?”

• The Honest Truth About Alcohol (And What I Actually Do About It

• Vibration Plates: Helpful or Hokey?

• Seared Ahi Tuna Bowl

If you’re over 60 and still experiencing hot flashes, sleep problems, mood changes, or a general sense that your body has shifted in ways you don’t fully recognize, these symptoms can persist for years after menopause. Many women deal with this, and it can feel isolating, but it is a recognized and treatable pattern. We know that these symptoms can persist for 10 or more years in women AFTER they officially enter menopause; that’s a lot of time spent suffering! The bright side is you’re definitely not “too late” to ask about hormone therapy. The key is that you are in a category where the conversation has to be more individualized, more risk-aware, and frankly, more grown-up. Despite what is shown on social media, there is no one ‘hook’ or answer that is right for everyone. The reality is that there is a huge gray zone when it comes to this issue, and that often doesn’t fit well on an Instagram reel or a Facebook post.

Here’s the core evidence-based idea: age and time since menopause matter. The North American Menopause Society (NAMS) states that for women who start hormone therapy under 60 or within 10 years of menopause, the benefit-risk balance is generally favorable for bothersome symptoms and bone protection. For women who start over 60, or more than 10 years from menopause, that balance becomes less favorable because absolute risks (heart disease, stroke, blood clots, dementia) rise with age. 

If you’re over 60 or past the 10-year threshold, that doesn’t mean “no.” It means “let’s do this thoughtfully.”