Considering some of the side effects of HRT, and considering that sometimes it exacerbates symptoms, I do think that it is wrongly suggested as a simple, failsafe, straightforward treatment with no downsides.
The list of symptoms of meno are very, very long. It's very hard to parse out what is ageing, what is hormones, what are the life-stresses of middle age, and to consider what balance we need of potential risks and potential benefits. I have friends who have found it very complex and difficult to balance the right dosage, added testosterone/progesterone, and some for whom it hasn't helped at all. And some for whom its contraindicated for various reasons. I'm sure it has helped others, too.
Lifestyle changes that can help include diet, exercise, weight management, stress management, nutrition, sleep, etc. Can probably help with many of those issues at least to an extent. Weight bearing exercise is wonderful for strengthening bones, from what I hear. Which isn't to say that HRT is wrong, either! Just that it shouldn't be automatically suggested as the only cure all for everything.
This 'decision tree' seems pretty sensible to me:
https://www.menopausematters.co.uk/tree.php