Perimenopause - The Sneak Attack

Irritability, insomnia and overall lack of well-being.  Could it be Perimenopause?

It’s the stuff that flies under the radar that ultimately takes us down.  Perimenopause is the classic stealth life-wrecker.  Why?  Because the symptoms seem so vague, sometimes come on so slowly and are so often ignored by our gynecologists and primary care docs that we simply don’t know any better.

Worse… although Perimenopause strikes at “a certain time” in our lives… the age of onset varies so much, how are we to know that it’s the culprit in our woes?

When I teach all-things hormonal, and I get to this section of the material… I call it the “everything goes phase”  Why?  Periods are closer together, or further apart, heavier or lighter, maybe more headaches, maybe night sweats… maybe not.  Mood changes can vary from irritability, to anxiety to mild depression.  All subtle changes to our otherwise great life, or worse… come on during a particularly challenging time in our life… and nothing stands out as an obvious reason to reach out for support, get the help we need and take back our balance.

So… what happens when we reach out?  Often it ranges from “you are just getting older” to “here’s a prescription for birth control or an anti-depressant… or both”.  In any case… you are not getting to the underlying reason for your “ick” and therefore you end up facing weight imbalances and sexual dysfunction, secondary to the “help” you received.

Sound familiar?

There’s a better way… use the best of science and nature to balance the hormone disruption specific to your body at this stage and take back normal.  There’s more to this time in our lives than ducking down and giving in… but natural balance is key to a vital walk down the path of our 40’s, and beyond. 

Am I in Perimenopause?

  • Age 36 - 50+ and still having periods

  • Irritability – Anxiety – Depression

  • Sleep Challenges

  • Headaches – Migraines

  • Night Sweats – Night Heat

  • Weight Imbalances without Lifestyle Changes

  • Fatigue

  • Joint Pain

  • Period Changes

What do I do about it?

  • Have your case really taken!

  • Consider plant based bio-identical hormone balancing, when it is a fit for your case

  • Help your liver handle your estrogen in a healthier way

What can I expect?

  • Mood balance

  • Sleep Quality

  • Energy and Vitality (Enthusiasm and Motivation)

  • Weight Balance

  • Headache Resolution

  • Period Regularity

  • Better Sense of Well-Being

The Truth is in the Story

The Truth is in the Story...


They teach us in medical school that 80% of the diagnosis comes from listening to the patient.


That's fairly low-tech in these times of amazing diagnostic techniques!

Listening to the patient.  When a doctor applies the details of a person's "story" to their education, training and experience... 80% of the time, an accurate diagnosis pops out.  So the doctor is the diagnostic device. 

Lets compare that to the fact that the third-party-payer system (insurance) which drives healthcare trends, policies and practices... they don't pay for listening.  Hmmm.  That's a real disconnect.  In fact, if an insurance-covered doctor were to listen (i.e., spend more than 7 minutes with a patient) all day long... and not get paid for that time... soon the math wouldn't work on paying the rent, nurses and administrative staff salaries and the doors would quickly close. 

I know what you are thinking - "just call it a procedure and bill for that."  First... that is an integrity breech because it is lying.  Moreover... did you know that when charting and charging don't match - that is a criminal offense associated with jail time for the doctor?  Yeah - that is serious and seriously why, while I believe in my heart of hearts that all doctors went into their profession to take care of and help people, that is why they don't "listen" and why they simply can not spend more than that 7 minutes with you.

So they order labs, conduct procedures and they do the best they can with what they have.  No doubt you have experienced them stretching that 7 minutes to 10 or, gasp, 15 minutes.  You probably felt like you won the doctor-lottery that day!  You did, trust me, it cost them in more ways than you know.  Why do they do it?  Because they really do care.  Of course they do.

Now - to be fair... I appreciate the labs and high-tech diagnostic techniques.  I love information.  The more the better when I am trying solve a medical mystery in my patient's case.  However, some situation require more labs than others. 

Hormone prescribing and labs:  Here's the thing... people like labs.  Cash-based bio-identical medical doctor practices designed to move the doctor out of the insurance-covered rat-race love labs too.  It is just that as these patients eventually end up in my office I see a trend.  EVERY woman gets the labs... they all show that their hormones are some variation of low and they are often routinely prescribed the same "hormone coctail" that was likely taught at the seminar their doctor attended, on the hopes of breaking out of the insurance game and getting into something more satisfying. 

This makes me wonder... why the labs?  At the end of the day... any bio-identical prescriber that is worth their "salt" in prescribing knows that while the labs are all virtually the same, the women are all unique and it is in the listening that you can truly choose the most accurate starting place and through the listening that you make the necessary prescription adjustments in order to return that woman to the place she deserves to be... herself again.

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Now Available! Find Hormone Health Support when you click on "Shop".

Hormone support that me and my patients use in my practice - game changing hormonal advantage that allows women to have their "menopausal cake" and eat it too... safety and satisfaction.  Who wouldn't want that?

Simply click on the "Shop" button and look for your support there.  (Note: presently all the products are simply shown on the store's homepage... soon they will be neatly organized in handy categories... thank you for your patience as I build this site into a better and better resource over time.)

Estrogen – Fights Cancer and Alzheimers?!

Estrogen – Fights Cancer and Alzheimers?!

“Estrogen can fight cancer?  I thought it caused cancer.”

This is the puzzled question I get from my patients when we discuss healthy estrogen metabolism.  When you figure out how estrogen breaks down in the liver, you quickly learn that while the type of estrogen you take makes a big difference - what your body does with that estrogen, makes all difference in the world.

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Estrogen Dominance

Estrogen Dominance

Symptoms Associated with Estrogen Dominance and Poor Estrogen Processing

Common symptoms of estrogen dominance and/or poor estrogen processing might include:  PMS, irregular or heavy menses, breast tenderness, fibrocystic or lumpy breasts, endometriosis, ovarian cysts, and uterine fibroids.   

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