39: The Menopause Hormone Options No One Explained to You with Pharmacist Peter Koshland

Most women are told there are only a handful of options when it comes to hormone therapy for perimenopause and menopause. But what if that’s not the full story?

In this episode, I sit down with Dr. Peter Koshland, a UCSF-trained pharmacist and founder of Koshland Pharm, San Francisco’s only PCAB-accredited compounding pharmacy. Peter pulls back the curtain on what compounding really is, how safety and testing work, and why it can open up a world of options beyond the standard prescriptions.

We cover:

•Why one-size-fits-all menopause hormone therapy isn't for everyone

•Safe, smart delivery methods for progesterone, estradiol, and testosterone

•What compounding pharmacies do to ensure safety, potency, and precision

•The misunderstood role of progesterone in midlife women’s health

•The potential of low-dose naltrexone for women with autoimmune conditions like Hashimoto’s

💌 Share this episode with a friend who’s navigating menopause hormones. These conversations aren’t happening enough, and the more we spread the word, the more women will know they have choices.

Chapters:

02:27 Why Peter Is "The Hormone Guy"

06:50 What is a Compounding Pharmacy?

08:55 Who is Best Served by Compounding Pharmacies?

10:23 A Compounded Drug That Helps Hypothyroidism

13:32 Why Don't All Doctors Prescribe Compounded Hormones?

16:26 Compounded Hormones: Safety and Regulation

20:55 Compounded Hormones for Menopause Hormone Therapy

33:26 Why Blood Tests Can Be Misleading

37:13 Peter's Preferred Delivery Methods for Menopause Hormones

41:55 Trends in Menopause Hormone Therapy

45:39 The Importance of Compounding in Hormone Therapy

47:04 Key Takeaways

Connect with Dr. Peter Koshland:

➡️ koshlandpharm.com

➡️ @koshlandpharm

I want to hear from you. Send me a text!

Let's stay in touch:
Join my email list and I will send you my three favorite protein-rich smoothie recipes!

Follow me on Instagram: @belongwellness
Check out my website: belongwellness.com