[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f1ykH-RJ9IlbV8UxJdFOdeXsNm9Je3WQiqFqIX0ySeSI":3,"journal-hrt-not-working":373,"accordion-request":775},[4,9,13,17,20,24,28,32,35,38,42,46,49,52,55,58,62,66,69,72,75,78,81,84,87,91,93,97,100,103,106,109,111,113,116,119,122,125,127,131,133,136,139,142,145,148,151,153,156,158,161,164,167,170,173,175,178,181,184,187,190,192,195,197,199,202,204,207,210,212,215,218,221,223,226,229,232,235,238,241,243,246,249,252,255,258,261,264,267,270,273,276,279,282,285,288,291,293,296,299,302,305,307,309,312,315,318,320,323,326,329,332,335,337,340,343,346,348,351,354,357,360,362,365,368,370],{"source":5,"target":6,"updated":7,"redirectType":8},"bywinona.com\u002Ffriends","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=FRIENDS&utm_source=podcast&htrafficsource=podcast&sl=friends-like-us","1775831170559","301",{"source":10,"target":11,"updated":12,"redirectType":8},"bywinona.com\u002Feligibilityyoutube","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?utm_source=youtube&utm_medium=social","1775831170553",{"source":14,"target":15,"updated":16,"redirectType":8},"bywinona.com\u002Fskinreport","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=SKINREPORT&utm_source=podcast&htrafficsource=podcast&sl=skinreport","1775831170539",{"source":18,"target":19,"updated":7,"redirectType":8},"https:\u002F\u002Fapp.bywinona.com\u002Feligibility\u002Ftwitter","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?utm_source=twitter&utm_medium=social",{"source":21,"target":22,"updated":23,"redirectType":8},"bywinona.com\u002Frosalita","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=ROSALITA20","1775831170542",{"source":25,"target":26,"updated":27,"redirectType":8},"bywinona.com\u002Fonboys","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=ONBOYS&utm_source=podcast&htrafficsource=podcast&sl=onboys","1775831170555",{"source":29,"target":30,"updated":31,"redirectType":8},"bywinona.com\u002Ffeminade","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=FEMINADE","1775831170543",{"source":33,"target":34,"updated":7,"redirectType":8},"bywinona.com\u002Frefer","https:\u002F\u002Fapp.bywinona.com\u002Freferral?utm_source=pharmacy-postcard",{"source":36,"target":37,"updated":27,"redirectType":8},"bywinona.com\u002Fliveqalinkedin","https:\u002F\u002Fbywinona.com\u002Fliveqa?utm_source=linkedin&utm_medium=social",{"source":39,"target":40,"updated":41,"redirectType":8},"bywinona.com\u002Ftestimonials","https:\u002F\u002Fbywinona.com\u002Fwinona-reviews","1775831170554",{"source":43,"target":44,"updated":45,"redirectType":8},"bywinona.com\u002Fliveqa-spotify","https:\u002F\u002Fbywinona.com\u002Fliveqa?utm_source=spotify&utm_medium=social","1775831170540",{"source":47,"target":48,"updated":23,"redirectType":8},"bywinona.com\u002Fbf40","https:\u002F\u002Fbywinona.com\u002Fblack-friday?utm_source=instagram&utm_content=bio-link",{"source":50,"target":51,"updated":27,"redirectType":8},"bywinona.com\u002Fkim","https:\u002F\u002Fbywinona.com?utm_source=kim&utm_campaign=affiliate&promocode=KIMREF25",{"source":53,"target":54,"updated":7,"redirectType":8},"bywinona.com\u002Fskincreambf","https:\u002F\u002Fapp.bywinona.com\u002Fhome?upsell=cream&utm_source=fb&utm_medium=social",{"source":56,"target":57,"updated":27,"redirectType":8},"bywinona.com\u002Fwinona-women","https:\u002F\u002Fwww.facebook.com\u002Fgroups\u002Fwinonawomen\u002F",{"source":59,"target":60,"updated":61,"redirectType":8},"bywinona.com\u002Fmenopause-symptoms\u002Ffacebook","https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fmenopause-symptoms?utm_medium=social&utm_source=fb","1775831170558",{"source":63,"target":64,"updated":65,"redirectType":8},"bywinona.com\u002Fproduct\u002Festrogen-tablets","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Festrogen-tablet","1775831170541",{"source":67,"target":68,"updated":61,"redirectType":8},"bywinona.com\u002Fproduct\u002Festriol-cream-with-tretinoin-galentines-wwg","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Festriol-cream-with-tretinoin-galentines?utm_source=fb&utm_medium=social",{"source":70,"target":71,"updated":65,"redirectType":8},"bywinona.com\u002Fperi-menopause-quiz-results","https:\u002F\u002Fbywinona.com\u002Fam-i-in-menopause",{"source":73,"target":74,"updated":61,"redirectType":8},"bywinona.com\u002Fwebinars","https:\u002F\u002Fbywinona.com\u002Fwebinar?sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=webinar",{"source":76,"target":77,"updated":45,"redirectType":8},"bywinona.com\u002Fv2\u002Fabout-us","https:\u002F\u002Fbywinona.com\u002Fabout-us",{"source":79,"target":80,"updated":65,"redirectType":8},"bywinona.com\u002Fhormonal-menopause-symptoms-ebook","https:\u002F\u002Fbywinona.com\u002Fultimate-guide-for-menopause-symptoms",{"source":82,"target":83,"updated":23,"redirectType":8},"bywinona.com\u002Fbf-new-patient","https:\u002F\u002Fbywinona.com\u002Fblack-friday?utm_source=facebook_group&utm_content=post-link",{"source":85,"target":86,"updated":12,"redirectType":8},"bywinona.com\u002Fmenopause-symptoms\u002Ftwitter","https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fmenopause-symptoms?utm_source=twitter&utm_medium=social",{"source":88,"target":89,"updated":90,"redirectType":8},"bywinona.com\u002Fwebinar","https:\u002F\u002Fbywinona.com\u002Fliveqa","1775831170544",{"source":92,"target":40,"updated":27,"redirectType":8},"bywinona.com\u002Freviews",{"source":94,"target":95,"updated":96,"redirectType":8},"bywinona.com\u002Fdhea-therapy","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Fdhea","1775831170557",{"source":98,"target":71,"updated":99,"redirectType":8},"bywinona.com\u002Fpost-quiz-not-in-menopause","1775831170556",{"source":101,"target":102,"updated":16,"redirectType":8},"bywinona.com\u002Ftreatments-spotify","https:\u002F\u002Fbywinona.com\u002Ftreatments?utm_source=spotify&utm_medium=social",{"source":104,"target":105,"updated":65,"redirectType":8},"bywinona.com\u002Frw25","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=REBELLIOUSWELLNESS25",{"source":107,"target":108,"updated":65,"redirectType":8},"bywinona.com\u002Ftelehealth-informed-consent","https:\u002F\u002Fbywinona.com\u002Ftelehealth-consent",{"source":110,"target":71,"updated":41,"redirectType":8},"bywinona.com\u002Fam-i-in-menopause-quiz-results",{"source":112,"target":57,"updated":96,"redirectType":8},"bywinona.com\u002Fwinonawomen",{"source":114,"target":115,"updated":41,"redirectType":8},"bywinona.com\u002Feligibility","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?utm_source=eligiblity-redirect",{"source":117,"target":118,"updated":61,"redirectType":8},"bywinona.com\u002Ftreatmentstwitter","https:\u002F\u002Fbywinona.com\u002Ftreatments?utm_source=twitter&utm_medium=social",{"source":120,"target":121,"updated":65,"redirectType":8},"bywinona.com\u002Fwebinar-secret-sale","https:\u002F\u002Fbywinona.com\u002F",{"source":123,"target":124,"updated":12,"redirectType":8},"bywinona.com\u002Fkathycote","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=KATHYCOTE",{"source":126,"target":121,"updated":41,"redirectType":8},"bywinona.com\u002Fblack-friday-existing-user",{"source":128,"target":129,"updated":130,"redirectType":8},"bywinona.com\u002Fproduct\u002Fblossom","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Fsildenafil-arousal-cream","1775831170552",{"source":132,"target":71,"updated":12,"redirectType":8},"bywinona.com\u002Fpost-menopause-quiz-results",{"source":134,"target":135,"updated":99,"redirectType":8},"bywinona.com\u002Fdoctor","https:\u002F\u002Fapp.bywinona.com\u002Fmessages\u002Fdoctor?utm_content=follow-up-letter",{"source":137,"target":138,"updated":12,"redirectType":8},"bywinona.com\u002Ftreatment-options","https:\u002F\u002Fbywinona.com\u002Ftreatments",{"source":140,"target":141,"updated":41,"redirectType":8},"bywinona.com\u002Fyoutube","https:\u002F\u002Fbywinona.com?utm_source=youtube&utm_medium=social",{"source":143,"target":144,"updated":61,"redirectType":8},"bywinona.com\u002Ftscitychic","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=TSCITYCHIC",{"source":146,"target":147,"updated":12,"redirectType":8},"bywinona.com\u002Ffearless-aging","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=FEARLESS25&utm_source=affiliate",{"source":149,"target":150,"updated":45,"redirectType":8},"bywinona.com\u002Fjourna","https:\u002F\u002Fbywinona.com\u002Fjournal",{"source":152,"target":71,"updated":23,"redirectType":8},"bywinona.com\u002Fpost-quiz-menopausev2",{"source":154,"target":155,"updated":130,"redirectType":8},"bywinona.com\u002Fadv\u002Fsymptom\u002Fcortisol","https:\u002F\u002Fbywinona.com",{"source":157,"target":71,"updated":12,"redirectType":8},"bywinona.com\u002Fmenopause-quiz-results",{"source":159,"target":160,"updated":12,"redirectType":8},"bywinona.com\u002Fxojacqui","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=XOJACQUI",{"source":162,"target":163,"updated":41,"redirectType":8},"bywinona.com\u002Fmodernmom","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=MODERNMOM&utm_source=podcast&htrafficsource=podcast&sl=modernmom",{"source":165,"target":166,"updated":96,"redirectType":8},"bywinona.com\u002Fbf2022","https:\u002F\u002Fapp.bywinona.com\u002Flogin?promocode=BLACKFRIDAY2022&utm_source=sms",{"source":168,"target":169,"updated":90,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-kerrie-spoonmore","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fdr-kerrie-spoonmore",{"source":171,"target":172,"updated":99,"redirectType":8},"bywinona.com\u002Fauthors\u002Fkerrie","https:\u002F\u002Fbywinona.com\u002Fauthors\u002Fdr-kerrie-spoonmore",{"source":174,"target":71,"updated":7,"redirectType":8},"bywinona.com\u002Fpost-quiz-perimenopause",{"source":176,"target":177,"updated":45,"redirectType":8},"bywinona.com\u002Ftreatmentsyoutube","https:\u002F\u002Fbywinona.com\u002Ftreatments?utm_source=youtube&utm_medium=social",{"source":179,"target":180,"updated":61,"redirectType":8},"bywinona.com\u002Fmorbidology","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=MORBIDOLOGY&utm_source=podcast&htrafficsource=podcast&sl=morbidology",{"source":182,"target":183,"updated":41,"redirectType":8},"bywinona.com\u002Fyour-fun-sister","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=YOURFUNSISTER&utm_source=affiliate",{"source":185,"target":186,"updated":90,"redirectType":8},"bywinona.com\u002Ftreatmentsfb","https:\u002F\u002Fbywinona.com\u002Ftreatments?utm_source=fb&utm_medium=social",{"source":188,"target":189,"updated":16,"redirectType":8},"bywinona.com\u002Fgood","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=GHK30&utm_source=good-house-keeping&utm_content=magazine",{"source":191,"target":138,"updated":90,"redirectType":8},"bywinona.com\u002Ftreatment",{"source":193,"target":194,"updated":12,"redirectType":8},"bywinona.com\u002Fjournal\u002Ffriendships-health-benefits\u002Ffacebook","https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fneurology-mental-health\u002Ffriendships-mental-health?utm_source=fb&utm_medium=social",{"source":196,"target":121,"updated":31,"redirectType":8},"bywinona.com\u002Fcyber-monday",{"source":198,"target":121,"updated":16,"redirectType":8},"bywinona.com\u002Fblack-friday",{"source":200,"target":201,"updated":99,"redirectType":8},"bywinona.com\u002Fsign-in","https:\u002F\u002Fapp.bywinona.com\u002Flogin?sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=login",{"source":203,"target":71,"updated":99,"redirectType":8},"bywinona.com\u002Fpost-quiz-menopause",{"source":205,"target":206,"updated":31,"redirectType":8},"bywinona.com\u002Flogin","https:\u002F\u002Fapp.bywinona.com\u002Flogin?utm_source=bywinona.com\u002Flogin",{"source":208,"target":209,"updated":99,"redirectType":8},"bywinona.com\u002Fsadler","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=SADLER&utm_source=podcast",{"source":211,"target":138,"updated":23,"redirectType":8},"bywinona.com\u002Fv2\u002Ftreatments",{"source":213,"target":214,"updated":23,"redirectType":8},"bywinona.com\u002Fliveqatwitter","https:\u002F\u002Fbywinona.com\u002Fliveqa?utm_source=twitter&utm_medium=social",{"source":216,"target":217,"updated":23,"redirectType":8},"bywinona.com\u002Freturn40","https:\u002F\u002Fapp.bywinona.com\u002Flogin?promocode=RETURN40&sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=onboarding40",{"source":219,"target":220,"updated":96,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-lee","https:\u002F\u002Fbywinona.com\u002Fauthors\u002Fdr-rebecca-lee",{"source":222,"target":121,"updated":41,"redirectType":8},"bywinona.com\u002Fcyber-monday-existing-user",{"source":224,"target":225,"updated":41,"redirectType":8},"bywinona.com\u002Fppl","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=PPL30&utm_source=people&utm_content=magazine",{"source":227,"target":228,"updated":7,"redirectType":8},"bywinona.com\u002Fauthors\u002Fnancy-belcher","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fnancy-belcher",{"source":230,"target":231,"updated":12,"redirectType":8},"https:\u002F\u002Fapp.bywinona.com\u002Feligibility\u002Flinkedin","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?utm_source=linkedin&utm_medium=social",{"source":233,"target":234,"updated":99,"redirectType":8},"bywinona.com\u002Fbon","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=BON30&utm_source=bon-appetit&utm_content=magazine",{"source":236,"target":237,"updated":65,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-michael-green","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fdr-michael-green",{"source":239,"target":240,"updated":7,"redirectType":8},"bywinona.com\u002Fmenopause-symptoms\u002Flinkedin","https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fmenopause-symptoms?utm_source=linkedin&utm_medium=social",{"source":242,"target":71,"updated":65,"redirectType":8},"bywinona.com\u002Fpost-quiz-postmenopause",{"source":244,"target":245,"updated":16,"redirectType":8},"bywinona.com\u002Fquiz","https:\u002F\u002Fbywinona.com\u002Fhealth-quiz?sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=quiz",{"source":247,"target":248,"updated":99,"redirectType":8},"bywinona.com\u002Fblossom","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Fblossom",{"source":250,"target":251,"updated":96,"redirectType":8},"bywinona.com\u002Fliveqafb","https:\u002F\u002Fbywinona.com\u002Fliveqa?utm_source=fb&utm_medium=social",{"source":253,"target":254,"updated":45,"redirectType":8},"bywinona.com\u002Fjournalyoutube","https:\u002F\u002Fbywinona.com\u002Fjournal?utm_source=youtube&utm_medium=social",{"source":256,"target":257,"updated":45,"redirectType":8},"bywinona.com\u002Fsupport","https:\u002F\u002Fapp.bywinona.com\u002Fsupport",{"source":259,"target":260,"updated":23,"redirectType":8},"bywinona.com\u002Fauthors\u002Fjohannah-gregg","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fjohannah-gregg",{"source":262,"target":263,"updated":96,"redirectType":8},"bywinona.com\u002Freturn30","https:\u002F\u002Fapp.bywinona.com\u002Flogin?promocode=RETURN30&sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=onboarding30",{"source":265,"target":266,"updated":45,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-saranne-perman","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fdr-saranne-perman",{"source":268,"target":269,"updated":99,"redirectType":8},"bywinona.com\u002Fbf-existing","https:\u002F\u002Fbywinona.com\u002Fblack-friday-existing-user?utm_source=facebook_group&utm_content=post-link",{"source":271,"target":272,"updated":45,"redirectType":8},"bywinona.com\u002Felle","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=ELLE30&utm_source=elle&utm_content=magazine",{"source":274,"target":275,"updated":45,"redirectType":8},"bywinona.com\u002Fhome","https:\u002F\u002Fbywinona.com?utm_source=\u002Fhome",{"source":277,"target":278,"updated":99,"redirectType":8},"bywinona.com\u002Fresume","https:\u002F\u002Fapp.bywinona.com\u002Flogin?sl=sms&utm_source=sms&utm_campaign=welcome-message&utm_content=login",{"source":280,"target":281,"updated":12,"redirectType":8},"bywinona.com\u002Fauthors\u002Fnancy","https:\u002F\u002Fbywinona.com\u002Fauthors\u002Fnancy-belcher",{"source":283,"target":284,"updated":99,"redirectType":8},"bywinona.com\u002Fprogesterone-therapy","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Fprogesterone-body-cream",{"source":286,"target":287,"updated":45,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-green","https:\u002F\u002Fbywinona.com\u002Fauthors\u002Fdr-michael-green",{"source":289,"target":290,"updated":41,"redirectType":8},"bywinona.com\u002Freturn20","https:\u002F\u002Fapp.bywinona.com\u002Flogin?promocode=RETURN20&sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=onboarding20",{"source":292,"target":77,"updated":65,"redirectType":8},"bywinona.com\u002Fabout",{"source":294,"target":295,"updated":7,"redirectType":8},"bywinona.com\u002Ftreatmentslinkedin","https:\u002F\u002Fbywinona.com\u002Ftreatments?utm_source=linkedin&utm_medium=social",{"source":297,"target":298,"updated":7,"redirectType":8},"bywinona.com\u002Fbazaar","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=BZR30&utm_source=people&utm_content=magazine",{"source":300,"target":301,"updated":90,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-brown","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fdr-cathleen-brown",{"source":303,"target":304,"updated":23,"redirectType":8},"bywinona.com\u002Fstart-now","https:\u002F\u002Fapp.bywinona.com\u002Feligibility",{"source":306,"target":71,"updated":45,"redirectType":8},"bywinona.com\u002Fpost-quiz-perimenopausev2",{"source":308,"target":71,"updated":45,"redirectType":8},"bywinona.com\u002Fam-i-in-menopause-quiz",{"source":310,"target":311,"updated":99,"redirectType":8},"bywinona.com\u002Febook","https:\u002F\u002Fdrive.google.com\u002Ffile\u002Fd\u002F1frNlyw0MpBxstEAIQPZRQYCfqSRW76qi\u002Fview",{"source":313,"target":314,"updated":65,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-perman","https:\u002F\u002Fbywinona.com\u002Fauthors\u002Fdr-saranne-perman",{"source":316,"target":317,"updated":7,"redirectType":8},"bywinona.com\u002Fsecret-sale","https:\u002F\u002Fbywinona.com\u002Fwebinar-secret-sale?promocode=SECRET40&utm_source=webinar&utm_content=secret-sale",{"source":319,"target":301,"updated":7,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-cathleen-brown",{"source":321,"target":322,"updated":27,"redirectType":8},"bywinona.com\u002Fmessage","https:\u002F\u002Fapp.bywinona.com\u002Fmessage?sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=message",{"source":324,"target":325,"updated":96,"redirectType":8},"bywinona.com\u002Ffaq","https:\u002F\u002Fhelp.bywinona.com\u002Fen\u002F",{"source":327,"target":328,"updated":65,"redirectType":8},"bywinona.com\u002Fproduct\u002Festriol-cream-with-tretinoin-bfcm","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Festriol-cream-with-tretinoin",{"source":330,"target":331,"updated":41,"redirectType":8},"bywinona.com\u002Fproduct\u002Fprogesterone-capsules","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Fprogesterone-capsule",{"source":333,"target":334,"updated":96,"redirectType":8},"bywinona.com\u002Fnicole","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?promocode=NICOLE20",{"source":336,"target":155,"updated":31,"redirectType":8},"bywinona.com\u002Fv2",{"source":338,"target":339,"updated":23,"redirectType":8},"bywinona.com\u002Festrogen-therapy","https:\u002F\u002Fbywinona.com\u002Fproduct\u002Festrogen-body-cream",{"source":341,"target":342,"updated":23,"redirectType":8},"bywinona.com\u002Fcall","https:\u002F\u002Fcalendly.com\u002Fwinona-patient-care\u002Fmeet-winona-call?utm_source=sms",{"source":344,"target":345,"updated":23,"redirectType":8},"bywinona.com\u002Fauthors\u002Fdr-rebecca-lee","https:\u002F\u002Fbywinona.com\u002Fphysicians\u002Fdr-rebecca-lee",{"source":347,"target":71,"updated":31,"redirectType":8},"bywinona.com\u002Fpost-quiz-postmenopausev2",{"source":349,"target":350,"updated":130,"redirectType":8},"bywinona.com\u002Fbfblossom22","https:\u002F\u002Fapp.bywinona.com\u002Flogin?promocode=BFBLOSSOM40",{"source":352,"target":353,"updated":23,"redirectType":8},"https:\u002F\u002Fapp.bywinona.com\u002Feligibility\u002Ffacebook","https:\u002F\u002Fapp.bywinona.com\u002Feligibility?utm_source=fb&utm_medium=social",{"source":355,"target":356,"updated":23,"redirectType":8},"bywinona.com\u002Fcommunity","https:\u002F\u002Fsso.auth.bywinona.com\u002Fsign-up?utm_source=\u002Fcommunity",{"source":358,"target":359,"updated":27,"redirectType":8},"bywinona.com\u002Fcm2022","https:\u002F\u002Fapp.bywinona.com\u002Flogin?promocode=CYBERMONDAY2022&utm_source=sms",{"source":361,"target":121,"updated":65,"redirectType":8},"bywinona.com\u002Fhot-flash-event",{"source":363,"target":364,"updated":90,"redirectType":8},"bywinona.com\u002Fcorporate","https:\u002F\u002Fbywinona.com\u002Femployers?utm_source=\u002Fcorporate",{"source":366,"target":367,"updated":41,"redirectType":8},"bywinona.com\u002Ftrustpilot","https:\u002F\u002Fwww.trustpilot.com\u002Freview\u002Fbywinona.com?sl=sms&utm_source=sms&utm_campaign=abandoned-onboarding&utm_content=trustpilot",{"source":369,"target":325,"updated":12,"redirectType":8},"bywinona.com\u002Fjournal\u002Ffaq-winona",{"source":371,"target":372,"updated":27,"redirectType":8},"bywinona.com\u002Flive","https:\u002F\u002Fbywinona.com\u002Fwebinar?sl=sms&utm_source=sms&utm_campaign=welcome-message&utm_content=webinars",{"journalCollection":374},{"items":375},[376],{"__typename":377,"sys":378,"bottomLine":382,"referencesList":451,"title":767,"slug":768,"slugV2":768,"categoryV2":769,"seo":773,"tagsCollection":810,"thumbnail":842,"author":845,"physicianReviewersCollection":850,"content":861,"faqs":1717},"Journal",{"id":379,"publishedAt":380,"firstPublishedAt":381},"3TwHCRGkyVP5J0h50Opu9w","2026-04-09T16:08:13.775Z","2025-06-25T01:50:30.777Z",{"json":383},{"data":384,"content":385,"nodeType":450},{},[386,443],{"data":387,"content":388,"nodeType":442},{},[389,402,412,422,432],{"data":390,"content":391,"nodeType":401},{},[392],{"data":393,"content":394,"nodeType":400},{},[395],{"data":396,"marks":397,"value":398,"nodeType":399},{},[],"If hot flashes, mood changes, or other bothersome menopausal symptoms persist after starting hormone replacement therapy (HRT), it may indicate that the treatment is not working as effectively as desired.","text","paragraph","list-item",{"data":403,"content":404,"nodeType":401},{},[405],{"data":406,"content":407,"nodeType":400},{},[408],{"data":409,"marks":410,"value":411,"nodeType":399},{},[],"Women respond to HRT differently, and one common reason treatment may not be working is that the dose or form of HRT needs adjustment.",{"data":413,"content":414,"nodeType":401},{},[415],{"data":416,"content":417,"nodeType":400},{},[418],{"data":419,"marks":420,"value":421,"nodeType":399},{},[],"It can take up to three months to experience the full benefits of HRT, as the body needs time for hormone levels to reach a steady state in the blood.",{"data":423,"content":424,"nodeType":401},{},[425],{"data":426,"content":427,"nodeType":400},{},[428],{"data":429,"marks":430,"value":431,"nodeType":399},{},[],"Smoking and interactions with other medications or supplements may also impact the effectiveness of HRT.",{"data":433,"content":434,"nodeType":401},{},[435],{"data":436,"content":437,"nodeType":400},{},[438],{"data":439,"marks":440,"value":441,"nodeType":399},{},[],"A doctor can help determine why HRT may not be providing adequate symptom relief and recommend adjustments to the treatment, lifestyle modifications, or alternative medications that may be a better fit.  ","unordered-list",{"data":444,"content":445,"nodeType":400},{},[446],{"data":447,"marks":448,"value":449,"nodeType":399},{},[],"","document",{"json":452},{"data":453,"content":454,"nodeType":450},{},[455,461,761],{"data":456,"content":457,"nodeType":400},{},[458],{"data":459,"marks":460,"value":449,"nodeType":399},{},[],{"data":462,"content":463,"nodeType":760},{},[464,487,508,529,550,571,592,613,634,655,676,697,718,739],{"data":465,"content":466,"nodeType":401},{},[467],{"data":468,"content":469,"nodeType":400},{},[470,473,484],{"data":471,"marks":472,"value":449,"nodeType":399},{},[],{"data":474,"content":476,"nodeType":483},{"uri":475},"https:\u002F\u002Fmenopause.org\u002Fwp-content\u002Fuploads\u002Fprofessional\u002Fnams-2022-hormone-therapy-position-statement.pdf",[477],{"data":478,"marks":479,"value":482,"nodeType":399},{},[480],{"type":481},"underline","The 2022 hormone therapy position statement of The North American Menopause Society","hyperlink",{"data":485,"marks":486,"value":449,"nodeType":399},{},[],{"data":488,"content":489,"nodeType":401},{},[490],{"data":491,"content":492,"nodeType":400},{},[493,496,505],{"data":494,"marks":495,"value":449,"nodeType":399},{},[],{"data":497,"content":499,"nodeType":483},{"uri":498},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F11949965\u002F",[500],{"data":501,"marks":502,"value":504,"nodeType":399},{},[503],{"type":481},"Mechanisms of action of estrogen and progesterone",{"data":506,"marks":507,"value":449,"nodeType":399},{},[],{"data":509,"content":510,"nodeType":401},{},[511],{"data":512,"content":513,"nodeType":400},{},[514,517,526],{"data":515,"marks":516,"value":449,"nodeType":399},{},[],{"data":518,"content":520,"nodeType":483},{"uri":519},"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC11312103\u002F",[521],{"data":522,"marks":523,"value":525,"nodeType":399},{},[524],{"type":481},"Unraveling the Dynamics of Estrogen and Progesterone Signaling in the Endometrium: An Overview",{"data":527,"marks":528,"value":449,"nodeType":399},{},[],{"data":530,"content":531,"nodeType":401},{},[532],{"data":533,"content":534,"nodeType":400},{},[535,538,547],{"data":536,"marks":537,"value":449,"nodeType":399},{},[],{"data":539,"content":541,"nodeType":483},{"uri":540},"https:\u002F\u002Fwww.nhs.uk\u002Fmedicines\u002Fhormone-replacement-therapy-hrt\u002Fcontinuous-combined-hormone-replacement-therapy-hrt-tablets-capsules-and-patches\u002Fabout-continuous-combined-hrt\u002F",[542],{"data":543,"marks":544,"value":546,"nodeType":399},{},[545],{"type":481},"About continuous combined HRT",{"data":548,"marks":549,"value":449,"nodeType":399},{},[],{"data":551,"content":552,"nodeType":401},{},[553],{"data":554,"content":555,"nodeType":400},{},[556,559,568],{"data":557,"marks":558,"value":449,"nodeType":399},{},[],{"data":560,"content":562,"nodeType":483},{"uri":561},"https:\u002F\u002Fwww.nhs.uk\u002Fmedicines\u002Fhormone-replacement-therapy-hrt\u002Foestrogen-tablets-patches-gel-and-spray\u002Fabout-oestrogen-tablets-patches-gel-and-spray\u002F#:~:text=HRT%20can%20take%20up%20to,symptoms%2C%20talk%20to%20a%20doctor",[563],{"data":564,"marks":565,"value":567,"nodeType":399},{},[566],{"type":481},"About oestrogen tablets, patches, gel and spray",{"data":569,"marks":570,"value":449,"nodeType":399},{},[],{"data":572,"content":573,"nodeType":401},{},[574],{"data":575,"content":576,"nodeType":400},{},[577,580,589],{"data":578,"marks":579,"value":449,"nodeType":399},{},[],{"data":581,"content":583,"nodeType":483},{"uri":582},"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC10325598\u002F",[584],{"data":585,"marks":586,"value":588,"nodeType":399},{},[587],{"type":481},"Prescribing hormone replacement therapy: key considerations for primary care physicians",{"data":590,"marks":591,"value":449,"nodeType":399},{},[],{"data":593,"content":594,"nodeType":401},{},[595],{"data":596,"content":597,"nodeType":400},{},[598,601,610],{"data":599,"marks":600,"value":449,"nodeType":399},{},[],{"data":602,"content":604,"nodeType":483},{"uri":603},"https:\u002F\u002Fwww.nia.nih.gov\u002Fhealth\u002Fmenopause\u002Fwhat-menopause#:~:text=Most%20women%20begin%20the%20menopausal,52%20in%20the%20United%20States",[605],{"data":606,"marks":607,"value":609,"nodeType":399},{},[608],{"type":481},"What Is Menopause?",{"data":611,"marks":612,"value":449,"nodeType":399},{},[],{"data":614,"content":615,"nodeType":401},{},[616],{"data":617,"content":618,"nodeType":400},{},[619,622,631],{"data":620,"marks":621,"value":449,"nodeType":399},{},[],{"data":623,"content":625,"nodeType":483},{"uri":624},"https:\u002F\u002Fwww.ncbi.nlm.nih.gov\u002Fbooks\u002FNBK493191\u002F#:~:text=Vulvovaginal%20Therapy&text=All%20FDA%2Dapproved%20low%2Ddose,%22Genitourinary%20Syndrome%20of%20Menopause.%22",[626],{"data":627,"marks":628,"value":630,"nodeType":399},{},[629],{"type":481},"Hormone Replacement Therapy",{"data":632,"marks":633,"value":449,"nodeType":399},{},[],{"data":635,"content":636,"nodeType":401},{},[637],{"data":638,"content":639,"nodeType":400},{},[640,643,652],{"data":641,"marks":642,"value":449,"nodeType":399},{},[],{"data":644,"content":646,"nodeType":483},{"uri":645},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F15638743\u002F",[647],{"data":648,"marks":649,"value":651,"nodeType":399},{},[650],{"type":481},"Smoking, estradiol metabolism and hormone replacement therapy",{"data":653,"marks":654,"value":449,"nodeType":399},{},[],{"data":656,"content":657,"nodeType":401},{},[658],{"data":659,"content":660,"nodeType":400},{},[661,664,673],{"data":662,"marks":663,"value":449,"nodeType":399},{},[],{"data":665,"content":667,"nodeType":483},{"uri":666},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F25166453\u002F",[668],{"data":669,"marks":670,"value":672,"nodeType":399},{},[671],{"type":481},"Interactions between preparations containing female sex hormones and dietary supplements",{"data":674,"marks":675,"value":449,"nodeType":399},{},[],{"data":677,"content":678,"nodeType":401},{},[679],{"data":680,"content":681,"nodeType":400},{},[682,685,694],{"data":683,"marks":684,"value":449,"nodeType":399},{},[],{"data":686,"content":688,"nodeType":483},{"uri":687},"https:\u002F\u002Fwww.nccih.nih.gov\u002Fhealth\u002Fst-johns-wort#:~:text=Currently%2C%20St.,compulsive%20disorder%2C%20and%20other%20conditions",[689],{"data":690,"marks":691,"value":693,"nodeType":399},{},[692],{"type":481},"St. John’s Wort",{"data":695,"marks":696,"value":449,"nodeType":399},{},[],{"data":698,"content":699,"nodeType":401},{},[700],{"data":701,"content":702,"nodeType":400},{},[703,706,715],{"data":704,"marks":705,"value":449,"nodeType":399},{},[],{"data":707,"content":709,"nodeType":483},{"uri":708},"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC10241482\u002F",[710],{"data":711,"marks":712,"value":714,"nodeType":399},{},[713],{"type":481},"Combined effect of physical exercise and hormone replacement therapy on cardiovascular and metabolic health in postmenopausal women: A systematic review and meta-analysis",{"data":716,"marks":717,"value":449,"nodeType":399},{},[],{"data":719,"content":720,"nodeType":401},{},[721],{"data":722,"content":723,"nodeType":400},{},[724,727,736],{"data":725,"marks":726,"value":449,"nodeType":399},{},[],{"data":728,"content":730,"nodeType":483},{"uri":729},"https:\u002F\u002Fwww.sciencedirect.com\u002Fscience\u002Farticle\u002Fabs\u002Fpii\u002FS0378512210002197",[731],{"data":732,"marks":733,"value":735,"nodeType":399},{},[734],{"type":481},"Alternative and complementary therapies for the menopause",{"data":737,"marks":738,"value":449,"nodeType":399},{},[],{"data":740,"content":741,"nodeType":401},{},[742],{"data":743,"content":744,"nodeType":400},{},[745,748,757],{"data":746,"marks":747,"value":449,"nodeType":399},{},[],{"data":749,"content":751,"nodeType":483},{"uri":750},"https:\u002F\u002Fwww.sciencedirect.com\u002Fscience\u002Farticle\u002Fabs\u002Fpii\u002FS1521693421001693",[752],{"data":753,"marks":754,"value":756,"nodeType":399},{},[755],{"type":481},"Alternative and non-hormonal treatments to symptoms of menopause",{"data":758,"marks":759,"value":449,"nodeType":399},{},[],"ordered-list",{"data":762,"content":763,"nodeType":400},{},[764],{"data":765,"marks":766,"value":449,"nodeType":399},{},[],"Why Is Your HRT Not Working Anymore? Key Signs and Solutions","hrt-not-working",{"title":770,"pageTitle":771,"slug":772},"Menopause Treatments","Understanding Menopause Treatments","treatments",{"metaTitle":767,"metaDescription":774,"metaKeywords":775,"jsonLd":776},"Struggling with menopause symptoms despite HRT? Discover why it might not be working & learn how to adjust your dose with expert help for lasting relief. ",null,{"@context":777,"@type":778,"mainEntity":779},"https:\u002F\u002Fschema.org","FAQPage",[780,786,790,794,798,802,806],{"@type":781,"name":782,"acceptedAnswer":783},"Question","Can HRT suddenly stop working?",{"@type":784,"text":785},"Answer","It can sometimes feel like HRT has suddenly stopped working because women’s hormone needs often change over time. This can happen as symptoms progress during perimenopause while the dose remains too low. Adjusting the dose of HRT or switching delivery methods can help restore relief.",{"@type":781,"name":787,"acceptedAnswer":788},"Why am I still tired on HRT?",{"@type":784,"text":789},"Persistent fatigue while using HRT may mean that the dose needs to be increased or the delivery method may need to be changed. Other common menopausal symptoms, like sleep disruptions or heightened stress, can also make women continue to feel tired even if they’re using HRT.",{"@type":781,"name":791,"acceptedAnswer":792},"Why isn’t my estrogen patch or gel working properly?",{"@type":784,"text":793},"Estrogen patches or gels may feel less effective for some women because skin absorption can vary between individuals. Application technique and the delivery method itself can affect how much hormone enters the bloodstream. Switching to a different route of administration may help improve symptoms.",{"@type":781,"name":795,"acceptedAnswer":796},"Can you build a tolerance to HRT over time?",{"@type":784,"text":797},"Some women may notice that symptoms return after an initial period of improvement, which may feel like their body has built a tolerance to HRT. In many cases, this reflects changing hormone needs rather than true resistance to treatment.",{"@type":781,"name":799,"acceptedAnswer":800},"Could progesterone be causing my symptoms to worsen on HRT?",{"@type":784,"text":801},"Some women who are sensitive to progesterone may discover that certain physical or psychological symptoms feel more intense after starting combined HRT. However, most women tolerate bioidentical progesterone well, and reactions can vary depending on the type and dose of progesterone used.",{"@type":781,"name":803,"acceptedAnswer":804},"Does perimenopause make HRT feel less effective?",{"@type":784,"text":805},"Yes, unpredictable hormonal fluctuations during perimenopause can make it feel like HRT is less effective. This is because a stronger dose may be required to stabilize the sharp rise and fall of hormone levels, compared to lower doses that are often sufficiently effective during postmenopause, when hormone levels remain at a consistent low.",{"@type":781,"name":807,"acceptedAnswer":808},"Do I need testosterone if my HRT isn’t working?",{"@type":784,"text":809},"A doctor may prescribe testosterone therapy off-label in cases where HRT is not effectively relieving specific menopausal symptoms like low libido. However, DHEA supplementation is often recommended as an alternative to gently raise women’s testosterone levels because the body naturally converts DHEA into androgens.",{"items":811},[812,818,824,830,836],{"sys":813,"title":815,"pageTitle":816,"slug":817},{"id":814},"6w9ZfMzf3A52vGveKain4g","Bioidentical Hormones","Bioidentical Hormones for Menopause","bioidentical-hormones",{"sys":819,"title":821,"pageTitle":822,"slug":823},{"id":820},"4iTKLe3v2XahRwbkrdz9zq","HRT","HRT for Menopause","hrt",{"sys":825,"title":827,"pageTitle":828,"slug":829},{"id":826},"2SjEg68BT7bmkYatW5LFv9","Hormone Balance","Balancing Hormones During Menopause","hormone-balance",{"sys":831,"title":833,"pageTitle":834,"slug":835},{"id":832},"7nlD8ko6PfNfHW8drgZxpJ","Estrogen","Estrogen Therapy for Menopause","estrogen",{"sys":837,"title":839,"pageTitle":840,"slug":841},{"id":838},"43oKu242SU6lJU1Fo3pGFI","Progesterone","Progesterone Therapy for Menopause","progesterone",{"url":843,"title":844,"description":449},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F2E45ISxMUc0IvNAk8vqG1r\u002Fdc2a7573e3c4811ff055fbb7ef1312e3\u002Fmid-shot-worried-woman-counselor-office.webp","mid-shot-worried-woman-counselor-office",{"name":846,"slug":847,"image":848},"Erin Marie McCluskey","erin-marie-mccluskey",{"url":849,"title":846,"description":846},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F6mp7H8mWpadkT8SlNrcem7\u002F740399f376ba194ad51be63a475b69a7\u002Funnamed.jpg",{"items":851},[852],{"sys":853,"slug":855,"name":856,"credentials":857,"image":858},{"id":854},"GBBEsSai93cfIpQHIp4jE","dr-saranne-perman","Saranne Perman","MD",{"url":859,"title":860},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F7GrmBQwlnGqRw6Rq7vRDRO\u002F436c4e33e599a1aa3179db053e2211b5\u002FGroup_2745.png","Dr. Saranne Perman",{"json":862,"links":1681},{"data":863,"content":864,"nodeType":450},{},[865,897,906,914,959,978,985,992,1000,1033,1040,1092,1099,1107,1140,1147,1167,1174,1219,1226,1246,1309,1327,1411,1418,1424,1431,1438,1445,1452,1471,1478,1497,1504,1536,1543,1601,1608,1615,1622,1629,1636,1667,1674],{"data":866,"content":867,"nodeType":400},{},[868,871,879,883,893],{"data":869,"marks":870,"value":449,"nodeType":399},{},[],{"data":872,"content":873,"nodeType":483},{"uri":138},[874],{"data":875,"marks":876,"value":878,"nodeType":399},{},[877],{"type":481},"Hormone replacement therapy (HRT)",{"data":880,"marks":881,"value":882,"nodeType":399},{},[]," is considered the most effective treatment for two of the most common symptoms of menopause: hot flashes and vaginal changes.",{"data":884,"content":885,"nodeType":483},{"uri":475},[886],{"data":887,"marks":888,"value":892,"nodeType":399},{},[889,891],{"type":890},"superscript",{"type":481},"(1)",{"data":894,"marks":895,"value":896,"nodeType":399},{},[]," However, some women may feel that their prescription is not reducing symptoms as expected. There are a number of reasons why HRT may not initially produce the desired results. This article explores why HRT may not be working and how women can work with their doctor to increase the effectiveness of treatment.",{"data":898,"content":904,"nodeType":905},{"target":899},{"sys":900},{"id":901,"type":902,"linkType":903},"3YC5gL6FrtDmAIjeYRE6Al","Link","Entry",[],"embedded-entry-block",{"data":907,"content":908,"nodeType":913},{},[909],{"data":910,"marks":911,"value":912,"nodeType":399},{},[],"Why It May Feel Like HRT Isn’t Working","heading-2",{"data":915,"content":916,"nodeType":400},{},[917,921,930,934,943,946,955],{"data":918,"marks":919,"value":920,"nodeType":399},{},[],"HRT may be ineffective if the treatment regimen is not sufficiently tailored to a patient’s individual needs. HRT works by replenishing the estrogen and progesterone levels that decline during and after menopause. Both hormones support various aspects of reproductive health, including healthy uterine function, the menstrual cycle, puberty, fertility, and ",{"data":922,"content":924,"nodeType":483},{"uri":923},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fcan-you-get-pregnant-after-menopause",[925],{"data":926,"marks":927,"value":929,"nodeType":399},{},[928],{"type":481},"pregnancy",{"data":931,"marks":932,"value":933,"nodeType":399},{},[],".",{"data":935,"content":936,"nodeType":483},{"uri":498},[937],{"data":938,"marks":939,"value":942,"nodeType":399},{},[940,941],{"type":890},{"type":481},"(2)",{"data":944,"marks":945,"value":449,"nodeType":399},{},[],{"data":947,"content":948,"nodeType":483},{"uri":519},[949],{"data":950,"marks":951,"value":954,"nodeType":399},{},[952,953],{"type":890},{"type":481},"(3)",{"data":956,"marks":957,"value":958,"nodeType":399},{},[]," ",{"data":960,"content":961,"nodeType":400},{},[962,966,974],{"data":963,"marks":964,"value":965,"nodeType":399},{},[],"Hormonal imbalances can cause bothersome perimenopause and menopause symptoms, including hot flashes and night sweats. HRT has been shown to effectively reduce weekly vasomotor symptoms in menopausal women by 75%.",{"data":967,"content":968,"nodeType":483},{"uri":475},[969],{"data":970,"marks":971,"value":892,"nodeType":399},{},[972,973],{"type":890},{"type":481},{"data":975,"marks":976,"value":977,"nodeType":399},{},[]," However, there are many factors that can influence the effectiveness of HRT, particularly the dose and formulation. Certain doses and types of HRT may be effective for some women, but not as effective for others. ",{"data":979,"content":980,"nodeType":913},{},[981],{"data":982,"marks":983,"value":984,"nodeType":399},{},[],"Common Reasons Why HRT Might Not Be Working",{"data":986,"content":987,"nodeType":400},{},[988],{"data":989,"marks":990,"value":991,"nodeType":399},{},[],"The following are potential reasons why HRT may not be effectively reducing menopausal symptoms:",{"data":993,"content":994,"nodeType":999},{},[995],{"data":996,"marks":997,"value":998,"nodeType":399},{},[],"Duration of HRT Use","heading-3",{"data":1001,"content":1002,"nodeType":400},{},[1003,1007,1016,1019,1029],{"data":1004,"marks":1005,"value":1006,"nodeType":399},{},[],"It can take up to three months after starting HRT to experience a significant reduction in menopausal symptoms.",{"data":1008,"content":1009,"nodeType":483},{"uri":540},[1010],{"data":1011,"marks":1012,"value":1015,"nodeType":399},{},[1013,1014],{"type":890},{"type":481},"(4)",{"data":1017,"marks":1018,"value":449,"nodeType":399},{},[],{"data":1020,"content":1022,"nodeType":483},{"uri":1021},"https:\u002F\u002Fwww.nhs.uk\u002Fmedicines\u002Fhormone-replacement-therapy-hrt\u002Foestrogen-tablets-patches-gel-and-spray\u002Fabout-oestrogen-tablets-patches-gel-and-spray\u002F#:~:text=HRT%20can%20take%20up%20to,symptoms%2C%20talk%20to%20a%20doctor.",[1023],{"data":1024,"marks":1025,"value":1028,"nodeType":399},{},[1026,1027],{"type":890},{"type":481},"(5)",{"data":1030,"marks":1031,"value":1032,"nodeType":399},{},[]," For women who have just started treatment, more time may be needed to feel the full effects.",{"data":1034,"content":1035,"nodeType":999},{},[1036],{"data":1037,"marks":1038,"value":1039,"nodeType":399},{},[],"Ineffective Dosage",{"data":1041,"content":1042,"nodeType":400},{},[1043,1047,1056,1060,1069,1074,1078,1088],{"data":1044,"marks":1045,"value":1046,"nodeType":399},{},[],"Depending on a woman’s age and menopause status, different ",{"data":1048,"content":1050,"nodeType":483},{"uri":1049},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fhrt-dosage",[1051],{"data":1052,"marks":1053,"value":1055,"nodeType":399},{},[1054],{"type":481},"doses of HRT",{"data":1057,"marks":1058,"value":1059,"nodeType":399},{},[]," may be needed to effectively relieve symptoms. Research has shown that women under 50 tend to respond favorably to higher doses of HRT, while low or medium doses may effectively relieve symptoms in women aged 50 to 59.",{"data":1061,"content":1062,"nodeType":483},{"uri":582},[1063],{"data":1064,"marks":1065,"value":1068,"nodeType":399},{},[1066,1067],{"type":890},{"type":481},"(6)",{"data":1070,"marks":1071,"value":1073,"nodeType":399},{},[1072],{"type":890}," ",{"data":1075,"marks":1076,"value":1077,"nodeType":399},{},[],"Most women enter perimenopause between the ages of 45 and 55.",{"data":1079,"content":1081,"nodeType":483},{"uri":1080},"https:\u002F\u002Fwww.nia.nih.gov\u002Fhealth\u002Fmenopause\u002Fwhat-menopause",[1082],{"data":1083,"marks":1084,"value":1087,"nodeType":399},{},[1085,1086],{"type":890},{"type":481},"(7)",{"data":1089,"marks":1090,"value":1091,"nodeType":399},{},[]," If HRT isn’t working, it may be because the dose is too low for a patient’s needs. ",{"data":1093,"content":1094,"nodeType":999},{},[1095],{"data":1096,"marks":1097,"value":1098,"nodeType":399},{},[],"Formulation Issues",{"data":1100,"content":1105,"nodeType":1106},{"target":1101},{"sys":1102},{"id":1103,"type":902,"linkType":1104},"6rDDM2oxRWor08keGxbf21","Asset",[],"embedded-asset-block",{"data":1108,"content":1109,"nodeType":400},{},[1110,1114,1123,1127,1136],{"data":1111,"marks":1112,"value":1113,"nodeType":399},{},[],"Oral, transdermal, and localized HRT are all effective forms of treatment. However, some women may experience greater improvement with certain types of HRT, depending on their symptoms. Women experiencing symptoms of genitourinary syndrome of menopause (GSM), like vaginal dryness or painful sex, may benefit from ",{"data":1115,"content":1117,"nodeType":483},{"uri":1116},"https:\u002F\u002Fbywinona.com\u002Fproduct\u002Fvaginal-estrogen-cream",[1118],{"data":1119,"marks":1120,"value":1122,"nodeType":399},{},[1121],{"type":481},"localized vaginal estrogen therapy",{"data":1124,"marks":1125,"value":1126,"nodeType":399},{},[],". While systemic treatments can also relieve vulvovaginal symptoms, localized HRT may be more effective because it’s applied directly to the vagina.",{"data":1128,"content":1129,"nodeType":483},{"uri":624},[1130],{"data":1131,"marks":1132,"value":1135,"nodeType":399},{},[1133,1134],{"type":890},{"type":481},"(8)",{"data":1137,"marks":1138,"value":1139,"nodeType":399},{},[]," If HRT is ineffective, the formulation may not be the best fit.",{"data":1141,"content":1142,"nodeType":999},{},[1143],{"data":1144,"marks":1145,"value":1146,"nodeType":399},{},[],"Smoking",{"data":1148,"content":1149,"nodeType":400},{},[1150,1154,1163],{"data":1151,"marks":1152,"value":1153,"nodeType":399},{},[],"It’s recommended that women quit smoking if they are using HRT, as it may increase the risk of health issues. Smoking may also interfere with the effectiveness of oral HRT.",{"data":1155,"content":1156,"nodeType":483},{"uri":645},[1157],{"data":1158,"marks":1159,"value":1162,"nodeType":399},{},[1160,1161],{"type":890},{"type":481},"(9)",{"data":1164,"marks":1165,"value":1166,"nodeType":399},{},[]," For this reason, transdermal HRT is recommended for women who smoke in order to maintain treatment benefits. ",{"data":1168,"content":1169,"nodeType":999},{},[1170],{"data":1171,"marks":1172,"value":1173,"nodeType":399},{},[],"Starting New Medications or Supplements",{"data":1175,"content":1176,"nodeType":400},{},[1177,1181,1190,1193,1203,1207,1216],{"data":1178,"marks":1179,"value":1180,"nodeType":399},{},[],"Certain medications or supplements can interact with HRT, such as St. John’s wort. While research is limited, the supplement may help relieve menopausal symptoms. However, taking St. John’s wort while using HRT may reduce the effectiveness of treatment by altering the body’s hormone metabolism.",{"data":1182,"content":1183,"nodeType":483},{"uri":666},[1184],{"data":1185,"marks":1186,"value":1189,"nodeType":399},{},[1187,1188],{"type":890},{"type":481},"(10)",{"data":1191,"marks":1192,"value":449,"nodeType":399},{},[],{"data":1194,"content":1196,"nodeType":483},{"uri":1195},"https:\u002F\u002Fwww.nccih.nih.gov\u002Fhealth\u002Fst-johns-wort#:~:text=Currently%2C%20St.,compulsive%20disorder%2C%20and%20other%20conditions.",[1197],{"data":1198,"marks":1199,"value":1202,"nodeType":399},{},[1200,1201],{"type":890},{"type":481},"(11)",{"data":1204,"marks":1205,"value":1206,"nodeType":399},{},[]," It’s important to consult with a doctor before starting any new medications or ",{"data":1208,"content":1210,"nodeType":483},{"uri":1209},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fotc-estrogen-vs-prescribed",[1211],{"data":1212,"marks":1213,"value":1215,"nodeType":399},{},[1214],{"type":481},"supplements",{"data":1217,"marks":1218,"value":933,"nodeType":399},{},[],{"data":1220,"content":1221,"nodeType":913},{},[1222],{"data":1223,"marks":1224,"value":1225,"nodeType":399},{},[],"Key Signs Your HRT May Need to Be Adjusted",{"data":1227,"content":1228,"nodeType":400},{},[1229,1233,1242],{"data":1230,"marks":1231,"value":1232,"nodeType":399},{},[],"If any of the following menopausal ",{"data":1234,"content":1236,"nodeType":483},{"uri":1235},"https:\u002F\u002Fbywinona.com\u002Fsymptoms-tracker",[1237],{"data":1238,"marks":1239,"value":1241,"nodeType":399},{},[1240],{"type":481},"symptoms do not improve",{"data":1243,"marks":1244,"value":1245,"nodeType":399},{},[]," or return after starting HRT, it may be a sign that the treatment regimen needs adjustment: ",{"data":1247,"content":1248,"nodeType":442},{},[1249,1259,1269,1279,1289,1299],{"data":1250,"content":1251,"nodeType":401},{},[1252],{"data":1253,"content":1254,"nodeType":400},{},[1255],{"data":1256,"marks":1257,"value":1258,"nodeType":399},{},[],"Hot flashes",{"data":1260,"content":1261,"nodeType":401},{},[1262],{"data":1263,"content":1264,"nodeType":400},{},[1265],{"data":1266,"marks":1267,"value":1268,"nodeType":399},{},[],"Night sweats",{"data":1270,"content":1271,"nodeType":401},{},[1272],{"data":1273,"content":1274,"nodeType":400},{},[1275],{"data":1276,"marks":1277,"value":1278,"nodeType":399},{},[],"Mood swings",{"data":1280,"content":1281,"nodeType":401},{},[1282],{"data":1283,"content":1284,"nodeType":400},{},[1285],{"data":1286,"marks":1287,"value":1288,"nodeType":399},{},[],"Sleep disturbances",{"data":1290,"content":1291,"nodeType":401},{},[1292],{"data":1293,"content":1294,"nodeType":400},{},[1295],{"data":1296,"marks":1297,"value":1298,"nodeType":399},{},[],"Vaginal symptoms",{"data":1300,"content":1301,"nodeType":401},{},[1302],{"data":1303,"content":1304,"nodeType":400},{},[1305],{"data":1306,"marks":1307,"value":1308,"nodeType":399},{},[],"Low libido",{"data":1310,"content":1311,"nodeType":400},{},[1312,1316,1324],{"data":1313,"marks":1314,"value":1315,"nodeType":399},{},[],"HRT may also need to be adjusted if a patient experiences treatment side effects, such as the following:",{"data":1317,"content":1318,"nodeType":483},{"uri":624},[1319],{"data":1320,"marks":1321,"value":1135,"nodeType":399},{},[1322,1323],{"type":890},{"type":481},{"data":1325,"marks":1326,"value":449,"nodeType":399},{},[],{"data":1328,"content":1329,"nodeType":442},{},[1330,1351,1361,1371,1381,1391,1401],{"data":1331,"content":1332,"nodeType":401},{},[1333],{"data":1334,"content":1335,"nodeType":400},{},[1336,1339,1348],{"data":1337,"marks":1338,"value":449,"nodeType":399},{},[],{"data":1340,"content":1342,"nodeType":483},{"uri":1341},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fbleeding-during-menopause",[1343],{"data":1344,"marks":1345,"value":1347,"nodeType":399},{},[1346],{"type":481},"Abnormal uterine bleeding",{"data":1349,"marks":1350,"value":449,"nodeType":399},{},[],{"data":1352,"content":1353,"nodeType":401},{},[1354],{"data":1355,"content":1356,"nodeType":400},{},[1357],{"data":1358,"marks":1359,"value":1360,"nodeType":399},{},[],"Nausea ",{"data":1362,"content":1363,"nodeType":401},{},[1364],{"data":1365,"content":1366,"nodeType":400},{},[1367],{"data":1368,"marks":1369,"value":1370,"nodeType":399},{},[],"Mood shifts",{"data":1372,"content":1373,"nodeType":401},{},[1374],{"data":1375,"content":1376,"nodeType":400},{},[1377],{"data":1378,"marks":1379,"value":1380,"nodeType":399},{},[],"Breast tenderness",{"data":1382,"content":1383,"nodeType":401},{},[1384],{"data":1385,"content":1386,"nodeType":400},{},[1387],{"data":1388,"marks":1389,"value":1390,"nodeType":399},{},[],"Headaches",{"data":1392,"content":1393,"nodeType":401},{},[1394],{"data":1395,"content":1396,"nodeType":400},{},[1397],{"data":1398,"marks":1399,"value":1400,"nodeType":399},{},[],"Bloating",{"data":1402,"content":1403,"nodeType":401},{},[1404],{"data":1405,"content":1406,"nodeType":400},{},[1407],{"data":1408,"marks":1409,"value":1410,"nodeType":399},{},[],"Fluid retention",{"data":1412,"content":1413,"nodeType":913},{},[1414],{"data":1415,"marks":1416,"value":1417,"nodeType":399},{},[],"What to Do If HRT Isn’t Working: Key Solutions",{"data":1419,"content":1423,"nodeType":905},{"target":1420},{"sys":1421},{"id":1422,"type":902,"linkType":903},"6NFfPxnFfhcl9YrMFxUHZp",[],{"data":1425,"content":1426,"nodeType":400},{},[1427],{"data":1428,"marks":1429,"value":1430,"nodeType":399},{},[],"The following are steps that women can take to potentially increase the effectiveness of HRT:",{"data":1432,"content":1433,"nodeType":999},{},[1434],{"data":1435,"marks":1436,"value":1437,"nodeType":399},{},[],"Consulting with a Doctor",{"data":1439,"content":1440,"nodeType":400},{},[1441],{"data":1442,"marks":1443,"value":1444,"nodeType":399},{},[],"Women should talk with their doctor if their HRT prescription isn’t working for them. A healthcare provider can offer individualized solutions based on factors like the patient’s age, menopause status, medication use, and other relevant considerations.",{"data":1446,"content":1447,"nodeType":999},{},[1448],{"data":1449,"marks":1450,"value":1451,"nodeType":399},{},[],"Changing the Form of HRT",{"data":1453,"content":1454,"nodeType":400},{},[1455,1459,1467],{"data":1456,"marks":1457,"value":1458,"nodeType":399},{},[],"Depending on a patient’s symptoms or medication side effects, a doctor may recommend switching between ",{"data":1460,"content":1461,"nodeType":483},{"uri":138},[1462],{"data":1463,"marks":1464,"value":1466,"nodeType":399},{},[1465],{"type":481},"systemic and localized HRT",{"data":1468,"marks":1469,"value":1470,"nodeType":399},{},[],". They may also recommend changing the route of administration, which can include tablets, capsules, patches, or creams. Some patients may also respond more favorably to bioidentical hormones, which are chemically identical to the hormones produced in the female body.",{"data":1472,"content":1473,"nodeType":999},{},[1474],{"data":1475,"marks":1476,"value":1477,"nodeType":399},{},[],"Adjusting HRT Dose",{"data":1479,"content":1480,"nodeType":400},{},[1481,1485,1493],{"data":1482,"marks":1483,"value":1484,"nodeType":399},{},[],"Recommended starting ",{"data":1486,"content":1487,"nodeType":483},{"uri":1049},[1488],{"data":1489,"marks":1490,"value":1492,"nodeType":399},{},[1491],{"type":481},"doses vary depending on the form of HRT",{"data":1494,"marks":1495,"value":1496,"nodeType":399},{},[],". A healthcare provider may increase the dose if a patient is not benefiting from treatment.",{"data":1498,"content":1499,"nodeType":999},{},[1500],{"data":1501,"marks":1502,"value":1503,"nodeType":399},{},[],"Making Lifestyle Modifications",{"data":1505,"content":1506,"nodeType":400},{},[1507,1511,1520,1524,1533],{"data":1508,"marks":1509,"value":1510,"nodeType":399},{},[],"Menopause is associated with cardiovascular risk factors, such as ",{"data":1512,"content":1514,"nodeType":483},{"uri":1513},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fblood-pressure",[1515],{"data":1516,"marks":1517,"value":1519,"nodeType":399},{},[1518],{"type":481},"increased blood pressure",{"data":1521,"marks":1522,"value":1523,"nodeType":399},{},[]," and cholesterol levels. While HRT is not a preventive treatment for cardiovascular issues, it has been shown to benefit heart health. Maintaining healthy habits while using HRT may enhance these benefits. Results of one study found that engaging in aerobic exercise while using oral HRT yielded greater improvements in postmenopausal women’s systolic blood pressure (SBP) compared to exercise alone without HRT.",{"data":1525,"content":1526,"nodeType":483},{"uri":708},[1527],{"data":1528,"marks":1529,"value":1532,"nodeType":399},{},[1530,1531],{"type":890},{"type":481},"(12)",{"data":1534,"marks":1535,"value":958,"nodeType":399},{},[],{"data":1537,"content":1538,"nodeType":999},{},[1539],{"data":1540,"marks":1541,"value":1542,"nodeType":399},{},[],"Trying Alternatives",{"data":1544,"content":1545,"nodeType":400},{},[1546,1550,1559,1563,1572,1576,1585,1588,1597],{"data":1547,"marks":1548,"value":1549,"nodeType":399},{},[],"If a woman and their doctor decide that HRT is not a good fit, alternative treatments may be recommended. Evidence supporting the efficacy of these alternative practices is limited, but yoga, acupuncture, and weight-bearing ",{"data":1551,"content":1553,"nodeType":483},{"uri":1552},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fexercise",[1554],{"data":1555,"marks":1556,"value":1558,"nodeType":399},{},[1557],{"type":481},"exercises",{"data":1560,"marks":1561,"value":1562,"nodeType":399},{},[]," may help reduce menopausal symptoms. Certain ",{"data":1564,"content":1566,"nodeType":483},{"uri":1565},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fvitamins-for-menopause-important",[1567],{"data":1568,"marks":1569,"value":1571,"nodeType":399},{},[1570],{"type":481},"vitamins, herbs, or supplements",{"data":1573,"marks":1574,"value":1575,"nodeType":399},{},[]," may also provide symptom relief.",{"data":1577,"content":1578,"nodeType":483},{"uri":729},[1579],{"data":1580,"marks":1581,"value":1584,"nodeType":399},{},[1582,1583],{"type":890},{"type":481},"(13)",{"data":1586,"marks":1587,"value":449,"nodeType":399},{},[],{"data":1589,"content":1590,"nodeType":483},{"uri":750},[1591],{"data":1592,"marks":1593,"value":1596,"nodeType":399},{},[1594,1595],{"type":890},{"type":481},"(14)",{"data":1598,"marks":1599,"value":1600,"nodeType":399},{},[]," However, it’s critical that women speak with their doctor before discontinuing HRT or trying any new medications or supplements",{"data":1602,"content":1603,"nodeType":913},{},[1604],{"data":1605,"marks":1606,"value":1607,"nodeType":399},{},[],"When Women May Need More Than Just a Dosage Change",{"data":1609,"content":1610,"nodeType":400},{},[1611],{"data":1612,"marks":1613,"value":1614,"nodeType":399},{},[],"An HRT dosage change may not always be the most effective treatment approach if other factors like underlying health conditions or medication changes are involved.",{"data":1616,"content":1617,"nodeType":999},{},[1618],{"data":1619,"marks":1620,"value":1621,"nodeType":399},{},[],"Underlying Health Conditions",{"data":1623,"content":1624,"nodeType":400},{},[1625],{"data":1626,"marks":1627,"value":1628,"nodeType":399},{},[],"If symptoms persist after adjustments have been made to the HRT dosage or route of administration, a doctor may recommend hormone testing to assess for any underlying endocrine disorders that could be affecting treatment. ",{"data":1630,"content":1631,"nodeType":999},{},[1632],{"data":1633,"marks":1634,"value":1635,"nodeType":399},{},[],"Different Medications May Be More Appropriate",{"data":1637,"content":1638,"nodeType":400},{},[1639,1643,1652,1656,1664],{"data":1640,"marks":1641,"value":1642,"nodeType":399},{},[],"A doctor may recommend a different medication altogether if it may be more effective in treating specific symptoms. For example, there may be cases in which ",{"data":1644,"content":1646,"nodeType":483},{"uri":1645},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fantidepressants-for-menopause",[1647],{"data":1648,"marks":1649,"value":1651,"nodeType":399},{},[1650],{"type":481},"antidepressants",{"data":1653,"marks":1654,"value":1655,"nodeType":399},{},[]," may be more appropriate for a patient experiencing increased depression during menopause. There is also evidence suggesting that selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may help alleviate hot flashes.",{"data":1657,"content":1658,"nodeType":483},{"uri":750},[1659],{"data":1660,"marks":1661,"value":1596,"nodeType":399},{},[1662,1663],{"type":890},{"type":481},{"data":1665,"marks":1666,"value":958,"nodeType":399},{},[],{"data":1668,"content":1669,"nodeType":913},{},[1670],{"data":1671,"marks":1672,"value":1673,"nodeType":399},{},[],"Finding the Right Solution for HRT Needs",{"data":1675,"content":1676,"nodeType":400},{},[1677],{"data":1678,"marks":1679,"value":1680,"nodeType":399},{},[],"While some women may feel the effects of hormone replacement therapy within weeks, it may take longer for others to experience the benefits. Age, stage of menopause, and factors related to dosage or formulation can all influence treatment. For this reason, it’s important to stay in communication with a healthcare provider about what’s working and what isn’t. Adjusting the route of administration, changing the dose, or adopting healthy habits are potential solutions that may help increase the effectiveness of treatment. However, it may take a little experimentation before finding the right HRT regimen unique to each patient.",{"assets":1682,"entries":1689},{"hyperlink":1683,"block":1684},[],[1685],{"sys":1686,"url":1687,"title":1688,"description":449},{"id":1103},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F6rDDM2oxRWor08keGxbf21\u002F70321b1ab01b70369b850d704a9c1e77\u002FAdobeStock_670051664.webp","woman sitting in kitchen counter with computer",{"inline":1690,"block":1691},[],[1692,1705],{"sys":1693,"__typename":1694,"title":1695,"slug":1696,"altText":1697,"url":1698,"desktopImage":1699,"mobileImage":1702},{"id":901},"ImageAds","HRT Ad 4","hrt-ad-4","Finally, get the menopause relief you've been searching for. Try Winona and say goodbye to your symptoms. Try Winona Today.","\u002Fshop",{"url":1700,"title":1701,"description":449},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F5NKVLb1IJR8j9r7FKdjp9U\u002F43822b04d5d7b49955f5d4af84c35910\u002Fhrt-ad-4-desktop.webp?fm=webp","hrt-ad-4-desktop",{"url":1703,"title":1704,"description":449},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F4S7EU685SLwynjXjwLi7Wp\u002F38af10fd1677d17716342e66d347ed7f\u002Fhrt-ad-4-mobile.png?fm=webp","hrt-ad-4-mobile",{"sys":1706,"__typename":1694,"title":1707,"slug":1708,"altText":1709,"url":1710,"desktopImage":1711,"mobileImage":1714},{"id":1422},"HRT Ad 1","hrt-ad-1","Did you know there are over 100 menopause symptoms? Say goodbye to all of them with Winona. Try Winona Today.","\u002Fhealth-quiz",{"url":1712,"title":1713,"description":449},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F5w9moCtYPV6oZi49KMJWcX\u002Fb3e8d2f6c05f7973b8f2ade517cbcaba\u002Fhrt-ad-1-desktop.webp?fm=webp","hrt-ad-1-desktop",{"url":1715,"title":1716,"description":449},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F3InkAOP1iZ1cTmjZCLENTg\u002Fa834563a8d6dae0cdd134046a7d4e6d9\u002Fhrt-ad-1-mobile.png?fm=webp","hrt-ad-1-mobile",{"symptomName":775,"pageForV2":768,"name":1718,"itemsCollection":1719},"Frequently Asked Questions (FAQs) About HRT Not Working",{"items":1720},[1721,1732,1744,1755,1766,1777,1788],{"content":1722,"entryTitle":782,"title":782},{"json":1723},{"nodeType":450,"data":1724,"content":1725},{},[1726],{"nodeType":400,"data":1727,"content":1728},{},[1729],{"nodeType":399,"value":785,"marks":1730,"data":1731},[],{},{"content":1733,"entryTitle":787,"title":787},{"json":1734},{"nodeType":450,"data":1735,"content":1736},{},[1737],{"nodeType":400,"data":1738,"content":1739},{},[1740],{"nodeType":399,"value":1741,"marks":1742,"data":1743},"Persistent fatigue while using HRT may mean that the dose needs to be increased or the delivery method may need to be changed. Other common menopausal symptoms, like sleep disruptions or heightened stress, can also make women continue to feel tired even if they’re using HRT. ",[],{},{"content":1745,"entryTitle":791,"title":791},{"json":1746},{"nodeType":450,"data":1747,"content":1748},{},[1749],{"nodeType":400,"data":1750,"content":1751},{},[1752],{"nodeType":399,"value":793,"marks":1753,"data":1754},[],{},{"content":1756,"entryTitle":795,"title":795},{"json":1757},{"nodeType":450,"data":1758,"content":1759},{},[1760],{"nodeType":400,"data":1761,"content":1762},{},[1763],{"nodeType":399,"value":797,"marks":1764,"data":1765},[],{},{"content":1767,"entryTitle":799,"title":799},{"json":1768},{"nodeType":450,"data":1769,"content":1770},{},[1771],{"nodeType":400,"data":1772,"content":1773},{},[1774],{"nodeType":399,"value":801,"marks":1775,"data":1776},[],{},{"content":1778,"entryTitle":803,"title":803},{"json":1779},{"nodeType":450,"data":1780,"content":1781},{},[1782],{"nodeType":400,"data":1783,"content":1784},{},[1785],{"nodeType":399,"value":805,"marks":1786,"data":1787},[],{},{"content":1789,"entryTitle":1800,"title":1800},{"json":1790},{"nodeType":450,"data":1791,"content":1792},{},[1793],{"nodeType":400,"data":1794,"content":1795},{},[1796],{"nodeType":399,"value":1797,"marks":1798,"data":1799},"A doctor may prescribe testosterone therapy off-label in cases where HRT is not effectively relieving specific menopausal symptoms like low libido. However, DHEA supplementation is often recommended as an alternative to gently raise women’s testosterone levels because the body naturally converts DHEA into androgens. ",[],{}," Do I need testosterone if my HRT isn’t working?"]