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How Hormones Took Over Your Feed

Oct 16, 2026 · 24m

Summary

Wired senior writer Kate Nibbs joins Lizzie O'Leary to discuss the explosive growth of the "perimenopause industrial complex," a market driven by telehealth startups like Midi and Hims. The episode explores how flawed historical studies and the recent removal of black box warnings have fueled a surge in online hormone therapy, often bypassing traditional medical oversight. Nibbs examines the tension between improved accessibility for ignored patients and the risks of predatory, asynchronous prescribing models that lack continuity of care. The conversation also highlights the political compl…

Topics discussed

Host shares perimenopause-focused social media feed The explosive growth of the perimenopause industry Defining menopause and perimenopause symptoms The legacy of the 2002 Women's Health Initiative study Recent shifts in medical guidelines and GLP-1 influence Frustrations with traditional healthcare providers Major players in the online hormone therapy market Market size and the changing lives of middle-aged women Biohacking culture and the nuance of new treatments Regulatory oversight and the risks of asynchronous care The intersection of MAHA and evidence-based hormone therapy Political contradictions regarding trans healthcare and birth control The future of commercialized telehealth and care continuity Closing remarks and show credits
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