Uploaded August 2026 | Updated September 2026, 1 week ago
Casey Stumpf is a nurse practitioner and my sister. Years in emergency medicine and hospice, a stretch inside military medicine at Camp Pendleton, and now her own practice in Montana treating hormones full time — perimenopause, menopause, testosterone for men and women. She is one of roughly 4,100 providers in the country holding the MSCP certification. There are 75 million American women in some phase of menopause. The math does not work.
She is back to answer listener questions and to explain why estrogen patches are disappearing. The FDA says there is no shortage. Pharmacists say otherwise. Best estimate on a fix is two to three years.
She lays out what the 2002 Women's Health Initiative did to an entire generation of women, and why the black box warning finally came off. Testosterone for women, prescribed off-label because no FDA-approved formulation exists. GLP-1s and what they pull out of you besides fat. Hormone therapy after breast cancer. Vaginal estrogen, UTIs, and hip fractures. The suicide risk in perimenopause that standard screening misses.
Contact Casey Here: theradiantwelltality.com
Today's Sponsors:
Ethos:
Get your free quote at ethos.com/clearedhot
Cash App:
Download Cash App Today:
https://cash.app/
Terms apply. Bitcoin services by Block, Inc. See the Bitcoin disclosures at cash.app/legal/podcast.
Timestamps:
0:00 Opening banter and show-and-tell props
2:52 Estrogen patch shortage and its causes
13:00 Military testosterone screening debate
21:25 Women’s health funding and provider shortages
24:26 HRT after breast cancer and during perimenopause
34:54 Testosterone, GLP-1s, and menopause symptoms
47:02 Long-term HRT and hormone myths
54:55 Perimenopause resources and specialized care
1:03:14 Access to testosterone treatment for women
1:16:35 Oral estrogen, libido, and cycle tracking
1:25:28 Addison’s, hair loss, prostate health, and UTIs
1:34:46 Peptide safety and thyroid testing
1:42:28 Family stories and advance care directives
1:51:34 Casey’s practice, coaching, and outreach
1:55:20 Female anatomy reveal and closing banter
Casey Stumpf is a nurse practitioner and my sister. Years in emergency medicine and hospice, a stretch inside military medicine at Camp Pendleton, and now her own practice in Montana treating hormones full time — perimenopause, menopause, testosterone for men and women. She is one of roughly 4,100 providers in the country holding the MSCP certification. There are 75 million American women in some phase of menopause. The math does not work.
She is back to answer listener questions and to explain why estrogen patches are disappearing. The FDA says there is no shortage. Pharmacists say otherwise. Best estimate on a fix is two to three years.
She lays out what the 2002 Women's Health Initiative did to an entire generation of women, and why the black box warning finally came off. Testosterone for women, prescribed off-label because no FDA-approved formulation exists. GLP-1s and what they pull out of you besides fat. Hormone therapy after breast cancer. Vaginal estrogen, UTIs, and hip fractures. The suicide risk in perimenopause that standard screening misses.
Contact Casey Here: theradiantwelltality.com
Today's Sponsors:
Ethos:
Get your free quote at ethos.com/clearedhot
Cash App:
Download Cash App Today:
https://cash.app/
Terms apply. Bitcoin services by Block, Inc. See the Bitcoin disclosures at cash.app/legal/podcast.
Timestamps:
0:00 Opening banter and show-and-tell props
2:52 Estrogen patch shortage and its causes
13:00 Military testosterone screening debate
21:25 Women’s health funding and provider shortages
24:26 HRT after breast cancer and during perimenopause
34:54 Testosterone, GLP-1s, and menopause symptoms
47:02 Long-term HRT and hormone myths
54:55 Perimenopause resources and specialized care
1:03:14 Access to testosterone treatment for women
1:16:35 Oral estrogen, libido, and cycle tracking
1:25:28 Addison’s, hair loss, prostate health, and UTIs
1:34:46 Peptide safety and thyroid testing
1:42:28 Family stories and advance care directives
1:51:34 Casey’s practice, coaching, and outreach
1:55:20 Female anatomy reveal and closing banter
