The Skin Science of Menopause | Dr. Doris Day on Estrogen, mTOR, and Collagen After 50

Your body isn’t “working against you”. It’s responding to hormonal changes you were never properly taught about. 🤍 During perimenopause, oestrogen starts to fluctuate. Not just drop — fluctuate. Up one day. Down the next. And that hormonal chaos changes where your body prefers to store fat. Instead of your hips and thighs, more weight gathers around your middle. Your belly feels softer. Your waist thickens. Your clothes fit differently — even if you’re eating the same. 😩 It’s frustrating. And

A new paper found the estradiol level tied to protecting your heart and bones, and the guidelines haven't caught up. Piette and Simon (Gynecological Endocrinology, 2026) lined up serum estradiol from transdermal trials against KEEPS and ELITE. The protective range landed near 60 pg/mL. The twist: the most popular patch dose already delivers about 57. Women and their prescribers arrived there on their own. The honest catch: hormone therapy is guideline-approved for bone (osteoporosis) prevention,