PMDD is more than “just bad PMS”—it’s a hormone-driven disorder with deep roots in progesterone metabolism, not a mental health condition. Nico breaks down the conventional approach, including SSRIs, birth control, and even surgical castration, and explains why these treatments often miss the mark. You'll also learn how Big Pharma's $34,000-a-dose alternative ties back to a natural metabolite your body already makes—one we can support more effectively (and affordably) with HRT.