Normal bloodwork doesn't always mean your iron is fine. In perimenopause, heavy periods are often why you're still exhausted.

The internet is full of warnings about muscle loss on GLP-1s, and most of them get the clinical picture only half right. A patient who loses 15 pounds of fat and 2 pounds of muscle has a better body composition outcome than they started with, even though their absolute muscle dropped.

Many women in their forties and early fifties walk into the clinic with the same story. Their weight has only shifted by a few pounds, but their body feels unfamiliar. The shape is different. Pants fit differently. Strength feels different. Sleep is different. They have not changed how they eat or how they move, and yet something has clearly changed.

Menstrual migraines are tied to hormonal shifts, but hormones can also help prevent them. Learn the connection, how perimenopause changes the picture, and treatment options including transdermal estrogen.

If you've been told your iron is low, you've probably been handed a recommendation for iron pills and sent on your way. But here's what most people don't know: oral iron supplements aren't your only option. And depending on your situation, they might not even be the best option.

Iron deficiency is the most common nutritional deficiency in the world. Women are especially at risk during certain seasons of life - heavy periods, pregnancy, breastfeeding, postpartum and perimenopause all increase demand. Unfortunately, most conventional labs are designed to detect disease, not dysfunction. So you can feel awful while still being told everything looks “normal.”