Menopause, hormones, and thriving in midlife
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Dermatologist Erica Kelly tells Dr. Mary Claire Haver that menopausal skin needs lighter Botox doses, daily sunscreen, and realistic expectations for collagen and hair treatments. Hormone therapy may preserve skin firmness for decades, oral minoxidil treats hair loss but causes a two-month shed, and vaginal moisturizers differ from lubricants.
Menopause triggers a 30% collagen loss in skin within five years, driven by falling estrogen and steady testosterone levels. Dermatologist Erica Kelly explains the barrier breakdown behind dryness and jawline acne, and recommends sunscreen and retinoids as the best-evidenced treatments, with topical estriol and spironolactone for targeted fixes.
Dr. Gabrielle Lyon argues that skeletal muscle, not body fat, is the organ that determines how well women age. She explains that muscle drives glucose disposal, releases hormone-like myokines, and needs at least 100 grams of daily protein plus resistance training to stay healthy after midlife.
Dr. Gabrielle Lyon says women need 30 to 50 grams of protein in their first meal after an overnight fast to switch on muscle building. She explains why aging muscle grows resistant to protein and exercise, why resistance training beats hormone therapy for long-term independence, and why suppressing mTOR is the wrong longevity strategy.
