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Hormone Replacement Therapy (HRT): Restoring Whats Missing During perimenopause and menopause, estrogen, progesterone, and testosterone levels decline, often leading to: Weight gain or body composition changes Hot flashes, night sweats, and sleep disturbances Mood swings, brain fog, and fatigue Decreased libido and vaginal dryness Loss of skin elasticity and muscle tone HRT replenishes these key hormones to restore balance