Hormone Therapy Heart Risk: The Truth About Timing I’ve had the same conversation more times than I can count. A woman comes in, she is 52 years old, she has hot flashes that are disrupting her sleep every night, her cardiologist told her she “absolutely cannot” take hormone therapy because of her heart, and she […]
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Estrogen Brain Protection and the Timing Window Two thirds of all Alzheimer’s patients are women. Let that sit for a moment. This is not a rounding error or a footnote buried in a research paper. It is the single most important fact in women’s health that almost no routine gynecology visit addresses. I see women
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Menopause Sleep Quality: Why Your Rest Keeps Getting Worse Women come to me exhausted. Not tired, not sluggish. Exhausted in a way that builds up over months and years of disrupted sleep, and nobody has treated the cause. Doctors told them it’s the hot flashes. Try melatonin, they hear next. Someone writes a
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HRT and Bone Density: 137,484 Women Make the Case You’ve been told hormones are risky. Protect your bones with calcium and vitamin D, they said. Your doctor handed you a DEXA scan result, sent you home with a prescription for a bisphosphonate, a drug with its own serious side effect profile, and the
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Perimenopause Heart Health: Your Critical Window for Change You’ve been told menopause is the health risk. Get through menopause, the story goes, and then start thinking about your heart. That is exactly backwards. And a new study from the Journal of the American Heart Association, published in May 2026, just put a number on
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Menopause Sleep Gut Health: The Connection No One Explains More than half of women in menopause cannot sleep through the night. I am not talking about the occasional bad night. I am talking about structural, relentless sleep disruption that leaves women exhausted, unable to think clearly, emotionally depleted, and gaining weight despite doing
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Hormone Therapy Dementia Risk: What 1 Million Women Show Women come to me afraid of two things when hormone therapy comes up: cancer and dementia. The cancer conversation has shifted considerably in the last decade, and I’ve addressed it at length in other posts. The dementia conversation has been murkier, louder, and less honest.
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Hormone Therapy Heart Risk: Why Age Changes Everything I’ve had this exact conversation more times than I can count. A woman in her early 50s is suffering through relentless hot flashes, night sweats that soak through her sheets, and sleep disruption that leaves her exhausted and foggy. She asks about hormone therapy. Her
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Testosterone Therapy for Women: The Evidence, the Controversy, and What Actually Works Testosterone therapy for women is one of the most common questions I hear. It still surprises me how rarely it comes up in the standard menopause workup. Women in their 40s and 50s describe the same pattern. No interest in sex. Flat energy
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Menopause Gut Health: The Bacteria-Estrogen Connection Your Doctor Probably Skipped I’ve had this conversation more times than I can count. A woman comes in at 50 with worsening hot flashes, a gut that stopped behaving the way it used to, and a mood that feels like it belongs to someone else. Her primary
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