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Danielle Kepics

Danielle Kepics

Board-certified physician assistant and founder of Empowered Medicine in St. George, Utah, specializing in perimenopause, hormone replacement therapy, and women's metabolic health; host of the Strong + Unfiltered podcast.

Aug 25, 2026

11:06
Yeah, yeah.
11:06
And so I started kind of transitioning that plan.
11:09
And then this was, I remember this clear as day, I tell this story a lot, Easter weekend 2022, I went and got certified as a fertility educator.
11:20
For people who don't know, that's like helping prevent pregnancy, achieving pregnancy, cycle health, yada, yada.
11:25
It was like a nine-month process.
11:27
It wasn't like a weekend cert, like wham bam, thank you ma'am kinda thing.
11:30
The place I was working at paid for it at the time.

5 MINS LATER

16:33
Yeah
10:06
So what was it about that study, I'm guessing you know because you're so deep into the HRT, what was it about that study that was actually debunked, and like, why are we still operating from the old information?
10:19
Yes.
10:19
On a high level, because I don't have the study in front of me or notes about it, what they found was that the problems were with the synthetic hormone replacement, so the equine estrogens.
10:29
I went to a conference and the, the pharmacist was so funny, and she kept calling it, like, the horsey estrogens, and I was like, "Yeah," because you know what synthetic estrogens are fucking made from? Horse pee, you guys.
10:39
Horse pee.
10:40
That's why you need to get the bioidentical stuff, and you don't need to be at a compounding pharmacy for that.
10:44
Like, the standard issue estrogen patches are bioidentical.
14:39
So the one thing that you kinda hinted to I think is great to talk about is what about the birth control? So in this series previously, Nicole Jardim was on to talk about birth control, so now we can tie the two together here, and can you clarify what the actual difference is between synthetic hormones and birth control, how birth control is not actually HRT, and what HRT actually is? What are the impacts that's gonna have on a woman's health?

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