11/12/2025
At Iron DPC we are proud to be ahead of the curve and on the right side of medical history once again. It has taken the FDA over 70 years to remove the black box warning labels for estrogen replacement in women. This week it finally happened and it is all over the mainstream media. All female members of Iron DPC, of course, have been benefiting from years of bioidentical estradiol replacement therapy when their levels have been found to decline.
FDA chief suggests estradiol should be primary prevention for osteoporosis, Alzheimer’s and even divorces! This is a seismic shift for the medical system. Conventional medical training has zero education on BHRT and it is not considered primary prevention in primary care. In fact, Iron DPC is a pioneer in making anti-aging medicine a routine part of primary care. Typically you have to go to specialized HRT clinics for that or have to pay an additional charge for a “higher level of care” at a DPC clinic.
All providers at Iron DPC; Jason, Lauren and Stefan apply hormone optimization for all their patients as easily as other providers might prescribe a blood pressure drug. We test hormones as routinely as a CBC because hormones are the foundation of health. We start testing early, ideally in teenage years, so that the patient has a personalized lifetime reference range. This is also a concept pioneered at Iron DPC. The old thinking is to only test if there are symptoms. How antiquated!
Human Performance and Optimization is about tracking your lab data over time. What better time to test all the important makers when you feel invincible at age 18!
If you are a clinician shocked by this FDA change and worried about having to go back to school or taking time off to study then scroll no further. DM me for a link to the Learn Functional Medicine course where I can teach hormones to you in under 10 hours.