MORE BLOG POSTS — Hormones

 If you’re considering bioidentical hormone replacement therapy (BHRT), finding the right practitioner matters just as much as the therapy itself. BHRT isn’t just about writing a prescription. It’s about understanding physiology, timing, metabolism, delivery methods, and how your body uniquely processes hormones. The wrong provider can leave you under-dosed, over-dosed, or simply confused. Here’s how to find someone who actually knows what they’re doing.   1. Look for the Right Training (Not Just the Right Letters) A general OB/GYN or primary care doctor can prescribe hormones, but that doesn’t mean they’re deeply trained in nuanced BHRT management. Look for practitioners with additional education...

One of the most common questions I’m asked is how to properly get baseline levels of estrogen,  progesterone, and testosterone—and even more importantly, how to monitor those levels once  bioidentical hormone replacement therapy (BHRT) has been started.If you’re confused, you’re not alone. This topic stumps many health care practitioners as well.  Hormones don’t behave in neat little boxes. They fluctuate. They bind. They convert. They exit  stage left when you least expect it. But here’s the truth: BHRT can be both safe and effective when it’s properly dosed and thoughtfully monitored. The key is using the right test at the right...

Last week, I received a call from a compounding pharmacy with a very apologetic pharmacist on  the other end. After taking a closer look, he realized they had been filling one of my patient’s  hormone prescriptions incorrectly—for six months. That explained a lot. This patient had been doing everything right. She applied her hormones consistently and  correctly. She completed appropriate testing at regular intervals. Yet her symptoms never fully resolved, and her lab results never quite matched what they should have been showing. Even as I  adjusted her doses, it felt like we were chasing our tails. As it turned...

Freedom from Menopause Prison After 25 years Menopausal women rejoice! We’ve finally been unshackled. All that unnecessary suffering-- navigating hot flashes, weight gain, brain fog, and that stubborn fatigue that makes you feel like gum on the bottom of a shoe—was completely unnecessary. For more than two decades, women have been denied release from “menopause prison”—told it was safer to stay locked in even while the key dangled inches from our fingers.  But now, twenty-five long years later, the cell doors have finally swung open. On November 10, 2025, the FDA announced it will remove the black-box warning—the most severe caution...

Let’s be honest. By the time we hit our forties and beyone, we begin to realize with a few unpleasant truths: Gravity is rude, caffeine is non-negotiable, and our metabolism’s permanently cut back to part-time. But here’s one plot twist that doesn’t get nearly enough airtime — your liver may be the quiet saboteur behind your fatigue, bloating, and stubborn scale. Yes, that underappreciated organ you probably only think about when you’re debating whether that second glass of wine is “worth it” — or reaching for the Ibuprofen to soothe all those new midlife aches and pains. Spoiler: Your liver’s doing a whole lot...