Jen Gunter Instagram – There has been a lot of discussion on my feed the last few days about what menopause hormone therapy can and can’t do, and some people got very upset when I mentioned we don’t recommend MHT for prevention of cardiovascular disease and dementia. Which shocked me a little, but I suppose if someone has gained your trust by selling fear about your brain or heart, seeing beliefs challenged could feel uncomfortable.
I decided to take a deep dive into MHT and dementia for my latest post on TheVajenda.com. Like some of my posts that take many, many hours to put together, this is behind the paywall. I looked at the clinical trials for cognition and for dementia, and wrote about the observational studies and put that together with guidelines from multiple societies.
For those who don’t want the deep dive into the data, I am happy to share the summary here: no menopause society recommends MHT for prevention of dementia.
Some people then reply about “guidelines being out of date,” which is not true. In addition, not once has anyone provided any actual data to support that claim. And an observational study is not that evidence! I can easily cherry pick one as well. If you have real data that suggests all these medical societies have it wrong, please share it below.
Swipe to see the various salient points for several guidelines/experts and the year written so you can get a full picture.
The question is not why am I saying MHT is not indicated for prevention of dementia based on what we know, the question is, why are some providers ignoring the guidelines and scaring people? My guess is it’s fear that feeds the algorithm, not facts. But it is just a guess.
Guidelines are created when multiple experts sit down and sift through the evidence. They must disclose financial biases. Many of the people who write these guidelines are brilliant researchers dedicated to facts. Remember, these are the same people who have been instrumental in changing the narrative to get hormones to those who need them for symptoms or bone health, they are most definitely NOT gate keeping. They are just trying to use the science that we have to do best by women. | Posted on 07/Aug/2024 04:38:32
