A new review published in Climacteric in October 2026 lays out the biological case for why women in perimenopause and menopause so often need metabolic support beyond lifestyle changes alone. And it is one of the clearest explanations I have seen in the literature for something I see in my practi... View Post

A new study just published in Nature Medicine analyzed over 300 million laboratory tests and that is exactly what they found. A cliff. A sudden, step-like change right at the final menstrual period. Not a gradual decline over years. A step change that touches nearly every system in the body all a... View Post

If you've been trying to fill your estrogen patch prescription and keep hitting a wall, you're not alone. Estradiol patches have been on national shortage since early 2026, and while supply has improved, availability still varies widely by pharmacy. Here's a step-by-step guide on what to do. Step... View Post

Testosterone does not fall off a cliff at menopause and it does not suddenly disappear in your 40s. According to a study just published in the Journal of Endocrinological Investigation out of University College London, testosterone declines at a steady, linear rate of approximately 1.4% per year... View Post

When most people think about hormone replacement therapy, they think about hot flashes and night sweats. But mood disturbances during the menopause transition affect up to 68% of women. Depressed mood. Anxiety. Irritability. Mental exhaustion. And for most of those women, nobody has connected tho... View Post

Most conversations about hormone therapy start the same way: a patient is miserable from hot flashes, night sweats, or mood swings, and hormone therapy comes up as a way to feel better. That conversation is important — but it's incomplete. A growing body of research suggests that hormone therapy ... View Post

If you're in menopause and gaining weight despite eating the same way you've always have, exercising consistently, and doing everything you've been told to do — you're not failing. The advice is failing you. The standard guidance around diet and exercise was largely developed in research populati... View Post

If you have been researching hormone therapy online or have friends who are on hormones, there is a good chance you have heard about testosterone pellets. They are heavily marketed, they have enthusiastic advocates, and the pitch sounds appealing — a small implant inserted under the skin every fe... View Post