Dr. Mary Claire Haver's 2026 Menopause Toolkit: Hormone Therapy & Supplements

Hormone Replacement Strategy

• 🎯 Dr. Haver outlines her personal 2026 toolkit for hormone replacement and supporting her body in full menopause, aiming to optimize health and increase her "menspan" (healthy years).
• 💡 Systemic estrogen is replaced via a generic transdermal estradiol patch (0.1) and a low dose of oral estradiol taken at night to ensure maximum bone protection and alleviate hot flashes and brain fog.
• 🏥 Topical vaginal estrogen is recommended for all menopausal women to increase blood flow, addressing issues like orgasm difficulties and pain.
• ✨ A topical estriol cream is used on the face and neck for aesthetic reasons, with all topical estrogen requiring a prescription.

Progesterone and Testosterone

• 😴 Oral micronized progesterone (Prometrium) at 200 mg nightly is crucial for Dr. Haver's sleep quality.
• 🚀 AndroGel, a prescription testosterone gel, is micro-dosed daily (pea-sized amount) to maintain female physiologic ranges, with regular lab monitoring.
• 🧪 A vulvar serum is applied to the labia majora and minora to convert DHEA into estradiol and testosterone, enhancing tissue health and blood flow in the vestibule area.

Hair Support and Supplements

• 💊 For hair retention, Dr. Haver uses an oral minoxidil (2.5 mg tablet cut in half daily), having switched from topical application due to messiness.
• 🥣 Daily smoothies at home include protein and creatine, with added fiber and a skin and bone collagen supplement.
• ☀️ An omega-3, vitamin D (4000 IU), and vitamin K combo pill is taken daily, noting that 80% of her patients are vitamin D deficient.

Multi-Layered Nutritional Support

• 🧠 The Menow Multi supplement contains methylated B vitamins (thiamin, riboflavin, niacin, B6, folate, B12) to address elevated homocysteine levels.
• ❤️ It also includes genistein (an anti-inflammatory antioxidant studied in menopausal women) and co-enzyme Q10 for heart health benefits in menopausal women.
• 🌙 A sleep supplement, formulated with a sleep medicine specialist, is taken nightly to calm the body and mind and support the circadian rhythm.