188: Jennifer Block is following the estrogen money

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Welcome back to the Hotflash inc podcast, hosted by journalist and founder Ann Marie McQueen – the only reader-supported, evidence, expert opinion and human experience-based platform dedicated to all aspects of menopause and midlife. Today’s guest is Jennifer Block, an independent investigative journalist based in the United States. who reports on medicine, health, science and power. In this episode, Ann Marie and Jennifer explore the rising tide of estrogen-focused messaging in menopause care – and how it might not be as organic or evidence-based as it seems. Jennifer has just published three major articles — in The Free Press, The British Medical Journal and on her Substack Unpopular Science — that connect long-suspected dots between pharma-backed advocacy, conflicts of interest and the shifting tone around hormone therapy. Together, these pieces paint a picture of an industry-backed campaign influencing policy, public opinion, and clinical guidance. If you’ve been wondering why estrogen is suddenly everywhere, this is the conversation you’ve been waiting for.

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Highlights

• How Jennifer’s recent reporting was sparked by the FDA black box warning change
• The behind-the-scenes forces pushing for estrogen’s big comeback
• Why the “menopause awareness movement” isn’t as grassroots as it seems
• What Jennifer uncovered about the industry ties behind the Menopause Society
• Why many doctors may not be aware of their own industry entanglements
• How these dynamics affect everyday women making decisions about HRT
• What informed consent really means in this climate
• The importance of journalistic scrutiny in medical debates

Fact check:

• Addyi (flibanserin) offers a modest benefit for certain premenopausal women with HSDD (hypoactive sexual desire disorder), averaging 0.5 to 1 additional satisfying sexual event per month compared to placebo.
• Compounded hormones typically do not carry standardized FDA boxed warnings or package inserts. These customized medications are exempt from federal labeling regulations, meaning key risk information may not be included.

About Jennifer

• Website: www.jenniferblock.com
• Substack: Unpopular Science

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