Last week we talked about the neuroscience of sleep disruption in menopause, why CBT-I works when other approaches fall short, and how to interpret what your wearable is actually measuring. This week I want to tackle something that comes up in almost every appointment I have: supplements. The supplement industry has found a lucrative home in the menopause space. Globally, the menopause market is valued at over $17 billion and growing, with dietary supplements claiming the largest share....

This post builds on our earlier overview of sleep and menopause. If you haven't read that one, it's a good place to start. Here we go deeper into the neuroscience of what's disrupting your sleep, why CBT-I works when other approaches don't, and what your wearable is and isn't telling you. Sleep disruption is one of the most common and most undertreated problems in menopause. Most women are told it's normal, handed some sleep hygiene tips, and sent on their way. This post is for women who want...

Last week , we talked about why perimenopause can feel emotionally turbulent. Not because you're falling apart, but because your hormones are swinging wildly before they eventually settle. Mood symptoms tend to ease once women reach true postmenopause, when estrogen finds its new, lower baseline. Today I want to talk about something related but distinct: the stress system. Because here's what I see in my practice all the time. Women who handled high-pressure jobs, demanding families, and...