Menopause and HRT, with bone, sleep and symptoms in view.
Written for anyone on hormone therapy, menopause and perimenopause included. Loopa asks what you are on, never why. Resistance and impact work for bone, a week planned around your own strongest and roughest days, a lean-mass protection score, a sleep card and a sleep-quality slider, a symptom journal that leads with hot flashes and night sweats, an estrogen and a progestogen each on their own schedule, a lab log with no reference ranges, and a summary for your prescriber. It gives no medication advice.
Bone, sleep and symptoms, with the timing explained.
Switch hormone therapy on and the training side leans toward resistance and impact work, protein moves to the active end of a sourced range, recovery is given more room, and a sleep card appears on the protocol screen. The record runs alongside (doses across more than one compound, symptoms, a daily check-in and your labs) and it never suggests a dose, a timing or a lab window. Once your logs have a shape, the week is planned around it.
Bone
Resistance and impact work, with the timing explained
Where hormone therapy accompanies menopause, timing matters. Greendale and colleagues report from the SWAN cohort in Journal of Bone and Mineral Research (2012) that the rates and cumulative amounts of bone loss were greatest from one year before through two years after the final menstrual period, and in JCI Insight (2019) that at the start of the transition the rate of fat gain doubled while lean mass declined.
So the training side leans toward loading. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (2023) says resistance exercises put stress on bones, so they can make bones stronger as well, and Watson and colleagues concluded in Journal of Bone and Mineral Research (2018) that their brief, high-intensity resistance and impact program enhanced indices of bone strength and functional performance in postmenopausal women with low bone mass. Loopa shows the bias and the reason; the program itself is yours, or your coach’s. If you have a DEXA scan, its bone mineral density and T-score go in as lab markers, kept exactly as entered and never scored against a range.
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Training weighted toward resistance and impact work
The reason shown in the app, with its source
Recovery given more room
Bone mineral density and T-score among your lab markers
Works alongside the workout log and your routines
Your pattern, your week
The week planned around how you actually feel
After three complete dose cycles with daily check-ins, Loopa places every day by how many days it fell after a dose and averages what you logged there: energy, mood, sleep, symptoms and the sessions you finished. From that it names your own strongest days and your own roughest, in your own numbers (a line of the shape “your logs show days 2 and 3 after a dose are your strongest”) and says “still learning” until it has enough to say anything. It describes what you logged and never explains it. A protocol dosed every day has no cycle to learn, and runs from the check-in instead.
Then the week is built around it. Heavy sessions and protein-dense days land on your strongest days, mobility on your roughest, and the evening before a dose day is a prep day: fluids up, easy protein-forward meals planned, no new PR attempts. Dose days are calendar markers, and Loopa never moves one. A program of your own keeps its days and is only labeled; heavy days cap at two a week, because recovery is weighted up on hormone therapy. If you run more than one protocol and they disagree about a day, the more protective reading wins. Before the pattern is ready, the week runs from today’s check-in and last night’s sleep. And on a low day (energy at 2 or under, or a symptom at 4 or over) Loopa offers a 10 to 15 minute session instead: full body, upper, lower or mobility, each with a no-equipment version. It keeps your streak and counts in full.
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Your strongest and roughest days, from your own check-ins
Heavy work on strong days, mobility on rough ones, a prep day before a dose
Dose days are markers only, and never move
A 10 to 15 minute session on a low day, streak intact
Lean-mass protection
One number a week for the muscle you are keeping
Where hormone therapy accompanies menopause, Greendale and colleagues report from the SWAN cohort in JCI Insight (2019) that at the start of the transition the rate of fat gain doubled while lean mass declined. So each week Loopa scores what is in your own hands, from 0 to 100: the days you reached your protein goal (45% of the score), your resistance sessions against three a week (35%), and the direction of your lean-mass estimate over four weeks (20%), counted once two body-composition points exist. One line says what moved it, and seven weeks of history sit underneath. It is about protecting your own training results, it says nothing about your medication, and every input shows its source in the app.
The protein input counts the days you reached your goal, not how far past it you went: Morton and colleagues found in British Journal of Sports Medicine (2018) that gains in fat-free mass from resistance training plateau above total intakes of about 1.62 g/kg a day. The resistance input rests on the ACSM position stand by Donnelly and colleagues in Medicine & Science in Sports & Exercise (2009): resistance training does not enhance weight loss but may increase fat-free mass and the loss of fat mass. A DEXA panel counts as a body-composition point. The score starts after two weeks of both food logs and completed sessions, and a short session on a low day counts.
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Protein-goal days 45%, resistance sessions 35%, lean-mass direction 20%
One reason line, and seven weeks of history
Every input sourced, with the source shown in the app
Starts after two weeks of food logs and completed sessions
Sleep
A sleep card, and a slider for how it went
The National Institute on Aging (2024) says hot flashes and night sweats are among the most common symptoms of menopause, and that around midlife some women start having trouble getting a good night’s sleep. On a hormone therapy profile Loopa puts a sleep card on the protocol screen: hours from your sleep log beside the quality you rated on the daily check-in, one to five, so a run of bad nights is a shape you can see and take to your appointment rather than a feeling you half remember.
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Sleep hours and sleep quality side by side
Quality: one slider, once a day
14-day averages for energy, mood, sleep quality and motivation
The symptom journal
Hot flashes and night sweats first, by days since your dose
The hormone therapy list leads with hot flashes and night sweats, then mood change, sleep disturbance, breast tenderness, bloating, headache and spotting, and ends in Other, in your own words, each with a severity from one to five. The pattern view groups the last 90 days by how many days after a dose each entry happened, day 0 through 7 or more, with the count and the average severity in each group, and the protocol screen carries a 30-day lead card for hot flashes and night sweats. It describes what you logged and stops there: no interpretation, no conclusion, nothing about the medication. It is a picture to take to your prescriber.
Beside it, Loopa counts the foods you logged in the three hours before a symptom, by food and by category, and shows a pattern only once it has appeared five times and in at least half of that symptom’s entries: “Night sweats logged within 3 hours of alcohol, 5 of 9 times.” Counts, never a cause. And any symptom can carry a question in your own words for your next appointment; Loopa never writes one for you.
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Hot flashes and night sweats at the top of the list
Severity one to five, and a note
Counts and average severity by days since dose
Symptom-food patterns as counts, from five co-occurrences
A question in your own words, saved beside the entry
A 30-day lead card on the protocol screen
Compounds and schedules
An estrogen and a progestogen, on independent cadences
A hormone therapy profile takes more than one compound, each named by you, each on its own cadence: daily, every other day, twice weekly, weekly, every two weeks, every N days, set days of the week, on-and-off cycles with an anchor date, or as needed. A compound you take every day and one you take in cycles sit side by side without either bending to the other. Pens, vials, tablets and patches are all supply units, so a run-out date works whatever the form.
Reminders come in three tiers per compound (the day before, an hour before and on the day) and name the protocol and the tier, never the compound. Supply is per compound too, and it counts the doses you logged. Add a refill date and your pharmacy’s lead time and the supply card gives you a reorder-by date, with a reminder on the day; it is on unless you switch it off.
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Daily, weekly, every N days, set days, cycles, or as needed
Pens, vials, tablets and patches as supply units
Reminders that name the protocol, never the compound
Supply per compound, counting doses you logged
A reorder-by date from your refill date and pharmacy lead time, with a reminder
Protein
At least 1.2 g/kg for active older adults, and a top of the range explained
Protein moves to the active end of a sourced range. Bauer and colleagues, for the PROT-AGE Study Group in Journal of the American Medical Directors Association (2013), recommend an average daily intake at least in the range of 1.0 to 1.2 g of protein per kilogram of body weight for older people, and at least 1.2 g/kg for those who are exercising and otherwise active. The top of Loopa’s range is the resistance-training plateau: Morton and colleagues found in British Journal of Sports Medicine (2018) that protein beyond total intakes of about 1.62 g/kg a day brought no further gains in fat-free mass from resistance training. That figure is a training finding, not a PROT-AGE one, and the app says which is which under the number. The target is yours to set, anywhere from 1.2 to 6 g per kilogram; the default sits inside the sourced range.
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A protein target at the active end of a sourced range, adjustable from 1.2 to 6 g/kg
Every number sourced, with the source shown in the app
Nothing here is a dose, a timing or a change to your medication
Labs
Your results, as entered, with no reference ranges
Type in a lab result (the marker, the value, the unit you used) and watch it over time. On iPhone, if you grant it, results already in Apple Health’s clinical records can be read in for the markers you approve; nothing is ever written back. Loopa keeps what you entered and converts nothing; if a trend mixes two units, the chart says so instead of quietly reconciling them. And there are no reference ranges: no green zone, no red zone, no in range or out of range. A range belongs to the laboratory that ran the test and to the clinician reading it, and it is not Loopa’s to publish. A DEXA scan goes in as four markers (lean mass, fat mass, bone mineral density and T-score) kept exactly as entered and drawn on your body-composition trend, and a lab can carry a question in your own words for your next appointment.
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Per-marker trends, values exactly as entered
Read from Apple Health’s clinical records on iPhone, if you grant it
No reference ranges, by design
DEXA: lean mass, fat mass, bone density and T-score, as entered
A question for your appointment, saved with the result
A lab reminder that never names a test
For your appointment
A summary your prescriber can read in two minutes
Pick a window of up to 400 days and Loopa lays out what you logged: doses and their sites, the symptom pattern, the wellbeing trend, your labs exactly as you entered them, and your weight and body-composition trend, as a PDF or a spreadsheet. It is a record of what you reported and makes no recommendation about your medication. It is built when you ask and handed straight to you; no copy is kept, and the fact that you made one is written into your own access record.
Your questions come first. A question you attached to a symptom, a check-in or a lab is listed in order on the summary’s first page, in your own words, so the appointment opens with what you wanted to ask. And between appointments, Progress keeps the record the scale does not: strength records, measurements, your energy and sleep trend, streaks and the lean-mass history. When your weight’s seven-day average has held within about one percent for three weeks, Loopa leads with that ledger.
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PDF or CSV, over a window you choose
Doses, sites, symptoms, wellbeing, labs and body trend
Your own questions on the first page
Progress beyond the scale: records, measurements, trends, streaks
Nothing stored on our side
Coach sharing
A pattern, and nothing else
If you have a Loopa coach, hormone therapy support is its own switch on your consent screen, and it starts off. Switched on, it shows your coach exactly three things: the symptom pattern as counts, which days of the week your doses fall on, and your 14-day wellbeing averages. It never shows the compound name, any amount, any lab value, a note, your supply figures or your calculator results. Once you confirm the updated sharing list for that coach, it can also place your dose days as markers on the calendar your coach sees and label your strongest and roughest days, two words, with nothing behind them. A switch you set before the list changed keeps exactly what it had until you confirm.
Off until you switch it on
Symptom pattern as counts, dose days, wellbeing averages
Dose-day markers and strongest/roughest labels, once you confirm
Never a name, an amount, a lab value or a note
The boundary
Loopa gives no medication advice
It records what you report and reflects it back. Every medication screen in the app carries the same line: questions about your medication belong with your prescriber.
No dose, timing or lab-window suggestions
Nothing in Loopa tells you to start, stop, skip or change anything, when to take it, or which tests to ask for. A reminder fires on the schedule you set. A lab nudge says only that it has been a while. Dose days on the week plan are calendar markers, and never move.
The chart and the calculators are your own numbers
The estimated level chart is drawn from the doses you logged and a published half-life, in percent of its own peak, labeled as an estimate, with no annotations. The two calculators convert what you typed and carry no defaults.
There is no compound library
Nothing to browse, nothing that describes what anything does, and nothing that checks a name against a dosing reference. Every name in your protocol is text you typed, encrypted with your own key.
Descriptive, never interpretive
The symptom pattern, the food patterns, the week plan, the lean-mass score, the wellbeing trend and the prescriber summary describe what you recorded and stop there. They do not conclude, they never say why, and they make no recommendation about your medication.
What people ask before they switch the protocol on.
Does Loopa give advice about my hormone therapy?
No. Loopa gives no medication advice. It never suggests a dose, a timing or a lab window, and nothing in it tells you to start, stop, skip or change anything. It records what you report and reflects it back, and every medication screen says the same thing: questions about your medication belong with your prescriber.
Is this free?
Medication protocols are part of Loopa Premium, all of it: setting a protocol up and naming what is in it, the dashboard and goal targets, the dose log with the body map, reminders and supply, the calculators and the estimated level chart, symptoms, the wellbeing check-in, labs, the trends, your pattern, your week, the lean-mass protection score, the protein-gap options, the summary for your prescriber and the Off-Ramp. Everything you record stays yours.
Is this only for menopause?
No. The hormone therapy profile is written for anyone on hormone therapy, whether that is menopause, perimenopause or another reason. Loopa asks what you are on, never why.
Why does the training lean toward impact work?
Because of when bone is lost and what loading does about it. Greendale and colleagues report from the SWAN cohort in Journal of Bone and Mineral Research (2012) that the rates and cumulative amounts of bone loss were greatest from one year before through two years after the final menstrual period, and Watson and colleagues concluded in Journal of Bone and Mineral Research (2018) that a brief, high-intensity resistance and impact program enhanced indices of bone strength and functional performance in postmenopausal women with low bone mass. Loopa shows you the bias and its source; it does not prescribe the program.
Can I track an estrogen and a progestogen separately?
Yes. Each compound in a hormone therapy profile has its own name, its own schedule, its own reminders and its own supply, so one taken daily and one taken in cycles sit side by side without either bending to the other.
Do my labs get a normal range?
No. Loopa keeps every value exactly as you entered it, converts nothing, and publishes no reference ranges of any kind: no green zone, no red zone, no in range or out of range. A range belongs to the laboratory that ran the test and to the clinician reading it.
What does “still learning your pattern” mean?
That Loopa does not yet have enough of your own logs to say anything. The pattern needs three complete dose cycles with daily check-ins before it names your strongest and roughest days, and each days-since-dose group needs three check-ins before it scores. Until then the screen says so, and the week runs from today’s check-in and last night’s sleep. A protocol dosed every day has no cycle to learn and stays on that path. Nothing is guessed to fill the gap.
Does Loopa tell me when to take my dose?
No. Dose days on the week plan are calendar markers, taken from the schedule you set and the doses you logged, and Loopa never moves one, suggests one or adds one. It plans training, meals and rest around them; the days themselves are yours and your prescriber’s.
Can I record a DEXA scan?
Yes. A DEXA result goes in as four lab markers: lean mass, fat mass, bone mineral density and T-score. Each is kept exactly as you entered it with no reference range, the two masses are drawn on your body-composition trend, and a panel with both counts as a body-composition point for the lean-mass protection score. What a result means is a conversation for you and your clinician.
Set the protocol up tonight.
Part of Loopa Premium, and everything you record stays yours.