Dr. Rachel Rubin

And the box labelings are there for life-threatening harm.

Okay?

Life-threatening harm.

Hormone therapy.

It's like cyanide.

We can talk about the risks and the benefits and who should use it and who shouldn't use it and the nuances, but a box label that is like, this will kill you immediately, give me a break.

It was never supposed to be on there in the first place.

And the reason it was on there for 20 years, oh my God.

20 years is not because of the science.

It is not because science said it was true.

It's not because your doctor knows something that you and I do not know.

It is because of inertia.

It is because of bureaucracy.

It is because there were always more important issues to tackle.

And so nobody did it.

They were asked, right?

The Menopause Society asked in 2014.

The FDA took two years to respond and just said, no, we don't want to deal with it right now.

We went back in 2024 and they said, you

yeah, it's going to take, you know, there's policy, there's bureaucracy, all of this stuff.