top of page

Serene Lakeside View

Media

You can catch me as a regular guest on the Simply Soulful radio show on WRHU 88.7 FM and podcast, hosted by Sandy Lafazan, LCSW.

Listen in as we talk about menopause on Apple Podcasts or Spotify.

We took a deeper dive into menopause and your brain. Catch it on Apple Podcasts or Spotify.

Sign up for my email list to stay updated on new episodes.

Dr. Katie Rowan and Sandy Lafazan in studio seated behind a desk wearing headphones.

Do you have a group of women who want to know more about perimenopause and menopause?

I have done educational events for libraries, gyms, pilates studios, women's groups, and even clinicians. Reach out to me at katie@katierowanwellness.com if you'd like to connect to discuss educational workshops.

Dr. Katie Rowan smiling, wearing gold earrings and a maroon top.

We’ve been taught to think of estrogen as optional. Something you only consider if symptoms get “bad enough.”

But here’s the reality:

Estrogen is FDA-approved for:
• preventing bone loss
• treating vaginal dryness and genitourinary symptoms

And beyond that, many women experience improvement in:
• mood
• brain fog
• sleep
• joint pain

Perimenopause and menopause affect far more than periods and hot flashes.

And for the right person, estrogen can play a central role in feeling like yourself again in perimenopause and menopause.

Share with a friend who needs to hear this.

We’ve been taught to think of estrogen as optional. Something you only consider if symptoms get “bad enough.”

But here’s the reality:

Estrogen is FDA-approved for:
• preventing bone loss
• treating vaginal dryness and genitourinary symptoms

And beyond that, many women experience improvement in:
• mood
• brain fog
• sleep
• joint pain

Perimenopause and menopause affect far more than periods and hot flashes.

And for the right person, estrogen can play a central role in feeling like yourself again in perimenopause and menopause.

Share with a friend who needs to hear this.

I wish more people knew perimenopause starts long before hot flashes.

For a lot of women, it starts with:
✅sleep falling apart
✅new anxiety (that doesn’t feel like “you”)
✅brain fog
✅mood swings that come out of nowhere

And because your cycle might still look “normal”…
you’re told everything is fine.

Or that it’s stress, anxiety, or part of getting older.

Remember - common does not mean normal.

Share this someone who needs to hear it.

I wish more people knew perimenopause starts long before hot flashes.

For a lot of women, it starts with:
✅sleep falling apart
✅new anxiety (that doesn’t feel like “you”)
✅brain fog
✅mood swings that come out of nowhere

And because your cycle might still look “normal”…
you’re told everything is fine.

Or that it’s stress, anxiety, or part of getting older.

Remember - common does not mean normal.

Share this someone who needs to hear it.

Just a girl trying to help women be treated with the respect they deserve.

Just a girl trying to help women be treated with the respect they deserve.

Nothing is NSFW when you talk perimenopause & menopause all day.

Nothing is NSFW when you talk perimenopause & menopause all day.

We need to stop acting like perpetual exhaustion is just part of being a woman in your 40s. It’s a symptom, not a rite of passage.

Every week I sit with women who are running on empty.

They’ve gone to their doctors looking for answers and walked away with: “Your labs are normal. It’s probably stress. Sleep more, eat well, move your body.”

Don’t get me wrong. Those things matter. But that is not a plan.

We need to dig deeper and ask more questions:

What’s actually driving the exhaustion? Is something disrupting sleep quality? Are there signs of iron deficiency that look “normal” on a standard lab range but aren’t optimal? Are hormone shifts playing a role?

“Normal” on a lab report and feeling like yourself are not the same thing.

Share this with a woman in your life who needs to hear this.

We need to stop acting like perpetual exhaustion is just part of being a woman in your 40s. It’s a symptom, not a rite of passage.

Every week I sit with women who are running on empty.

They’ve gone to their doctors looking for answers and walked away with: “Your labs are normal. It’s probably stress. Sleep more, eat well, move your body.”

Don’t get me wrong. Those things matter. But that is not a plan.

We need to dig deeper and ask more questions:

What’s actually driving the exhaustion? Is something disrupting sleep quality? Are there signs of iron deficiency that look “normal” on a standard lab range but aren’t optimal? Are hormone shifts playing a role?

“Normal” on a lab report and feeling like yourself are not the same thing.

Share this with a woman in your life who needs to hear this.

You know something is wrong. You’ve seen multiple specialists without answers. You’ve been told it’s just anxiety.

Here are commonly underrecognized conditions that often go undiagnosed for years:

Sleep Apnea
Women don’t always snore or stop breathing. Instead: insomnia, morning headaches, fatigue after a full night of sleep. Screening tools were designed for men so it often gets missed in women.

Endometriosis/Adenomyosis
Average time to diagnosis: 7+ years. Fatigue is often overlooked. GI symptoms, bladder pain, and burning with urination are frequently misattributed to IBS or UTIs. Back pain is common and often written off as musculoskeletal.
Follow @drliu_endometriosis_surgeon or @mallorystuparichmd for more info.

ME/CFS (Myalgic Encephalomyelitis)
Not just “tired.” Post-exertional malaise means mild activity triggers crashes—profound fatigue, brain fog, and pain that rest doesn’t fix.

Hypermobility Spectrum Disorders/Ehlers-Danlos
Chronic pain, fatigue, brain fog, GI issues, dizziness, just to name a few. Often told “you’re too young for this” or “you’re just anxious.”

POTS (Postural Orthostatic Tachycardia Syndrome)
A nervous system condition causing dizziness, rapid heart rate, exercise intolerance, and exhaustion—often mislabeled as panic disorder.

Perimenopause
Hormone fluctuations can amplify fatigue, sleep disruption, pain, mood swings, brain fog, GI symptoms, and inflammation long before periods stop.

If your specialists aren’t connecting these dots, it doesn’t mean the dots aren’t there. If you know something isn’t right, keep pressing for answers.

💬 Have you been told “it’s just anxiety” when something else was going on? You’re not alone.

⚠️For informational purposes only. Not intended to be personalized medical advice.

You know something is wrong. You’ve seen multiple specialists without answers. You’ve been told it’s just anxiety.

Here are commonly underrecognized conditions that often go undiagnosed for years:

Sleep Apnea
Women don’t always snore or stop breathing. Instead: insomnia, morning headaches, fatigue after a full night of sleep. Screening tools were designed for men so it often gets missed in women.

Endometriosis/Adenomyosis
Average time to diagnosis: 7+ years. Fatigue is often overlooked. GI symptoms, bladder pain, and burning with urination are frequently misattributed to IBS or UTIs. Back pain is common and often written off as musculoskeletal.
Follow @drliu_endometriosis_surgeon or @mallorystuparichmd for more info.

ME/CFS (Myalgic Encephalomyelitis)
Not just “tired.” Post-exertional malaise means mild activity triggers crashes—profound fatigue, brain fog, and pain that rest doesn’t fix.

Hypermobility Spectrum Disorders/Ehlers-Danlos
Chronic pain, fatigue, brain fog, GI issues, dizziness, just to name a few. Often told “you’re too young for this” or “you’re just anxious.”

POTS (Postural Orthostatic Tachycardia Syndrome)
A nervous system condition causing dizziness, rapid heart rate, exercise intolerance, and exhaustion—often mislabeled as panic disorder.

Perimenopause
Hormone fluctuations can amplify fatigue, sleep disruption, pain, mood swings, brain fog, GI symptoms, and inflammation long before periods stop.

If your specialists aren’t connecting these dots, it doesn’t mean the dots aren’t there. If you know something isn’t right, keep pressing for answers.

💬 Have you been told “it’s just anxiety” when something else was going on? You’re not alone.

⚠️For informational purposes only. Not intended to be personalized medical advice.

What peri/menopause advice have you gotten that sounds more like an April Fool’s joke?

What peri/menopause advice have you gotten that sounds more like an April Fool’s joke?

Please make sure you are getting your hormones from someone who has specialized training in prescribing hormone therapy.

Please make sure you are getting your hormones from someone who has specialized training in prescribing hormone therapy.

You’re not imagining it. And you’re definitely not broken.

Estrogen affects more than your cycle. It’s active in your brain every single day.

Estrogen boosts serotonin (mood) and dopamine (focus + motivation).

So when estrogen starts fluctuating in perimenopause, your brain feels those swings.

It can look like:
• anxiety out of nowhere
• low mood or loss of motivation
• brain fog / forgetfulness
• trouble focusing (hello, “is this ADHD?”)

When your labs come back “normal,” you get told it’s stress… or burnout… or being in your 40s… or just life.

This is why so many women feel like they’re unraveling in their 40s.

It’s not in your head, and you are definitely not alone.

Drop a comment below if perimenopause has made you wonder if you’re losing your mind.

You’re not imagining it. And you’re definitely not broken.

Estrogen affects more than your cycle. It’s active in your brain every single day.

Estrogen boosts serotonin (mood) and dopamine (focus + motivation).

So when estrogen starts fluctuating in perimenopause, your brain feels those swings.

It can look like:
• anxiety out of nowhere
• low mood or loss of motivation
• brain fog / forgetfulness
• trouble focusing (hello, “is this ADHD?”)

When your labs come back “normal,” you get told it’s stress… or burnout… or being in your 40s… or just life.

This is why so many women feel like they’re unraveling in their 40s.

It’s not in your head, and you are definitely not alone.

Drop a comment below if perimenopause has made you wonder if you’re losing your mind.

Allow me to reintroduce myself.

I’m Katie, an internal medicine physician, former primary care doctor, women’s hormone health enthusiast, and Menopause Society Certified Practitioner.

Allow me to reintroduce myself.

I’m Katie, an internal medicine physician, former primary care doctor, women’s hormone health enthusiast, and Menopause Society Certified Practitioner.

Note that this is referring to the risk of initial breast cancer diagnosis. This does not apply to risk of progression or recurrence after a breast cancer diagnosis. That’s a different story for another day.

Note that this is referring to the risk of initial breast cancer diagnosis. This does not apply to risk of progression or recurrence after a breast cancer diagnosis. That’s a different story for another day.

Let’s clear this one up, because this one has done a LOT of damage.

Back in 2002, the Women’s Health Initiative (WHI) study dropped and the headlines basically said:

“Hormones cause breast cancer.”

And just like that, an entire generation of women (and doctors) got scared off hormone therapy.

Here’s what actually happened:
→ The formulation used was conjugated equine estrogen + a synthetic progestin (MPA)
—not the same as the estradiol + progesterone most commonly used today
→ It was a small absolute increase, presented in a way that made it sound a lot bigger.

The risk is due to MPA, not the hormones we commonly use today, and it resulted in 1 additional breast cancer case per 1000 women, roughly equal to the breast cancer risk from a nightly large glass of wine.

In women who took estrogen alone (after hysterectomy), there was actually a decreased risk of breast cancer

What that original messaging did?
It left women:
• under-treated
• dismissed
• struggling through symptoms they were told to just “deal with”

All because of fear that wasn’t fully grounded in the actual data.

Comment below if thiss surprised you.

Let’s clear this one up, because this one has done a LOT of damage.

Back in 2002, the Women’s Health Initiative (WHI) study dropped and the headlines basically said:

“Hormones cause breast cancer.”

And just like that, an entire generation of women (and doctors) got scared off hormone therapy.

Here’s what actually happened:
→ The formulation used was conjugated equine estrogen + a synthetic progestin (MPA)
—not the same as the estradiol + progesterone most commonly used today
→ It was a small absolute increase, presented in a way that made it sound a lot bigger.

The risk is due to MPA, not the hormones we commonly use today, and it resulted in 1 additional breast cancer case per 1000 women, roughly equal to the breast cancer risk from a nightly large glass of wine.

In women who took estrogen alone (after hysterectomy), there was actually a decreased risk of breast cancer

What that original messaging did?
It left women:
• under-treated
• dismissed
• struggling through symptoms they were told to just “deal with”

All because of fear that wasn’t fully grounded in the actual data.

Comment below if thiss surprised you.

If you’re looking for medical advice, look for a degree, not just a ring light.

If you’re looking for medical advice, look for a degree, not just a ring light.

Tip from a dermatologist to keep you and your stinky teenagers smelling fresh as a daisy.

🚫Not medical advice

Tip from a dermatologist to keep you and your stinky teenagers smelling fresh as a daisy.

🚫Not medical advice

Birth control and menopausal hormone therapy are both hormone therapy. In short, menopausal hormone therapy is a lower dose, and it won’t prevent pregnancy.

What questions do you have about hormone therapy? Drop them below 👇

Birth control and menopausal hormone therapy are both hormone therapy. In short, menopausal hormone therapy is a lower dose, and it won’t prevent pregnancy.

What questions do you have about hormone therapy? Drop them below 👇

Most people think it’s an ‘either/or’ situation, but here’s the truth: Systemic and Vaginal estrogen are actually a powerhouse duo.

Systemic Estrogen is for the big picture. It travels through your bloodstream to tackle hot flashes, night sweats, mood swings, and bone health.

Vaginal Estrogen is your “localized specialist.” It’s the gold standard for treating the Genitourinary Syndrome of Menopause (GSM)—that means dryness, burning, itching, and those pesky repeat UTIs.

They are different medications with different jobs. Using them together isn’t “too much.” For many, it’s exactly enough.

Are you using one, both, or still weighing your options? Let’s chat in the comments. 👇

Most people think it’s an ‘either/or’ situation, but here’s the truth: Systemic and Vaginal estrogen are actually a powerhouse duo.

Systemic Estrogen is for the big picture. It travels through your bloodstream to tackle hot flashes, night sweats, mood swings, and bone health.

Vaginal Estrogen is your “localized specialist.” It’s the gold standard for treating the Genitourinary Syndrome of Menopause (GSM)—that means dryness, burning, itching, and those pesky repeat UTIs.

They are different medications with different jobs. Using them together isn’t “too much.” For many, it’s exactly enough.

Are you using one, both, or still weighing your options? Let’s chat in the comments. 👇

Menopause affects half the population, yet historically it has received limited attention in medical training.

In one survey, only 7% of OB/GYN residents reported feeling adequately trained to manage menopause.

The good news is that this is changing.
More clinicians are pursuing additional education and certification in menopause care.

Women deserve to understand what’s happening in their bodies in midlife.

Side note - does anyone else still wear their vintage 1999 college sweatshirt?

Menopause affects half the population, yet historically it has received limited attention in medical training.

In one survey, only 7% of OB/GYN residents reported feeling adequately trained to manage menopause.

The good news is that this is changing.
More clinicians are pursuing additional education and certification in menopause care.

Women deserve to understand what’s happening in their bodies in midlife.

Side note - does anyone else still wear their vintage 1999 college sweatshirt?

We need to change the conversation around exercise in midlife.

This is not about:
💪getting jacked
💪 getting smaller
💪 proving something to anyone

It’s about building a body that supports you as you age.

Because starting in your 30s and accelerating in your 40s and beyond:
→ muscle mass declines
→ bone density drops
→ stability and balance change

And that’s where strength training comes in.

✔️ Build muscle to protect against muscle loss
✔️ Strengthen bones to reduce fracture risk
✔️ Improve stability to prevent falls
✔️ Maintain independence for decades to come

This is long-game training.

It’s being able to:
🛒 carry your own groceries
🐒 get up off the floor
✈️ travel, move, live fully

Start where you are. Stay consistent.
Your future self is paying attention.

What have you done for your future self today? 👇

We need to change the conversation around exercise in midlife.

This is not about:
💪getting jacked
💪 getting smaller
💪 proving something to anyone

It’s about building a body that supports you as you age.

Because starting in your 30s and accelerating in your 40s and beyond:
→ muscle mass declines
→ bone density drops
→ stability and balance change

And that’s where strength training comes in.

✔️ Build muscle to protect against muscle loss
✔️ Strengthen bones to reduce fracture risk
✔️ Improve stability to prevent falls
✔️ Maintain independence for decades to come

This is long-game training.

It’s being able to:
🛒 carry your own groceries
🐒 get up off the floor
✈️ travel, move, live fully

Start where you are. Stay consistent.
Your future self is paying attention.

What have you done for your future self today? 👇

It��’s rough out there for women.

If you are a woman in midlife, find a menopause literate clinician.

It’s rough out there for women.

If you are a woman in midlife, find a menopause literate clinician.

☘️The luck of the Irish is great for finding four-leaf clovers.

☘️It should not be required to get good menopause care.

☘️Too many women are told their symptoms are normal, stress, or just aging.

☘️Education about menopause is still missing from much of medical training.

☘️Find a clinician who understands hormones in midlife.

☘️Tag a friend who deserves better menopause care.

☘️The luck of the Irish is great for finding four-leaf clovers.

☘️It should not be required to get good menopause care.

☘️Too many women are told their symptoms are normal, stress, or just aging.

☘️Education about menopause is still missing from much of medical training.

☘️Find a clinician who understands hormones in midlife.

☘️Tag a friend who deserves better menopause care.

A lot of women come to me after being told:

“Your labs are normal.”

But in perimenopause, hormone levels can fluctuate dramatically from week to week. A single lab test doesn’t capture the bigger picture.

Understanding what’s happening physiologically is the first step toward making sense of symptoms that suddenly feel unfamiliar.

If you’ve ever been told your labs are “normal” but you knew something wasn’t right, you’re not alone.

A lot of women come to me after being told:

“Your labs are normal.”

But in perimenopause, hormone levels can fluctuate dramatically from week to week. A single lab test doesn’t capture the bigger picture.

Understanding what’s happening physiologically is the first step toward making sense of symptoms that suddenly feel unfamiliar.

If you’ve ever been told your labs are “normal” but you knew something wasn’t right, you’re not alone.

Birth control is hormone therapy. It typically contains synthetic hormones that act like estrogen and/or progesterone at doses higher than we make naturally in order to shut down ovulation.

Menopausal hormone therapy may include hormones that are almost identical to what is made naturally, or they may be synthetic hormones. The key is that these are given at doses much closer to what the body makes naturally.

While they are both hormone therapy, they behave very differently. Women tend to respond very differently to menopausal hormone therapy than to birth control.

There is no need to wait until periods stop to take menopausal hormone therapy.

Save this for your next visit.

⚠️Educational purposes only. Not personal medial advice.

Birth control is hormone therapy. It typically contains synthetic hormones that act like estrogen and/or progesterone at doses higher than we make naturally in order to shut down ovulation.

Menopausal hormone therapy may include hormones that are almost identical to what is made naturally, or they may be synthetic hormones. The key is that these are given at doses much closer to what the body makes naturally.

While they are both hormone therapy, they behave very differently. Women tend to respond very differently to menopausal hormone therapy than to birth control.

There is no need to wait until periods stop to take menopausal hormone therapy.

Save this for your next visit.

⚠️Educational purposes only. Not personal medial advice.

Something I see happen a lot is women being scheduled for hysterectomy without anyone really talking through what menopause might look like afterward.

A hysterectomy can absolutely be a major hormonal turning point for a lot of women, especially depending on age and whether the ovaries are removed. Even when the ovaries aren’t removed, it can accelerate the process.

And yet many women tell me no one explained how it could affect things like hormones, symptoms, or long-term health.

That’s why I believe every woman deserves a conversation with someone who understands menopause before it hits them like a ton of bricks while they are trying to recover from surgery.

Did anyone talk to you about menopause before your hysterectomy?

Something I see happen a lot is women being scheduled for hysterectomy without anyone really talking through what menopause might look like afterward.

A hysterectomy can absolutely be a major hormonal turning point for a lot of women, especially depending on age and whether the ovaries are removed. Even when the ovaries aren’t removed, it can accelerate the process.

And yet many women tell me no one explained how it could affect things like hormones, symptoms, or long-term health.

That’s why I believe every woman deserves a conversation with someone who understands menopause before it hits them like a ton of bricks while they are trying to recover from surgery.

Did anyone talk to you about menopause before your hysterectomy?

Appointments available:

📍 In person: West Islip, NY
💻 Virtual: anywhere in New York State

You don’t have to live in NY for a virtual visit — but you must be located in NY during the appointment.

More details at www.katierowanwellness.com
or via the link in bio.

Appointments available:

📍 In person: West Islip, NY
💻 Virtual: anywhere in New York State

You don’t have to live in NY for a virtual visit — but you must be located in NY during the appointment.

More details at www.katierowanwellness.com
or via the link in bio.

How many times have you complained about your brain fog, insomnia, or sudden anxiety only to be told to “get more sleep” or “lower your stress levels”?

In my clinical experience, women in perimenopause are often the most dismissed demographic in healthcare. We’re told our symptoms are a “normal part of aging” or that it’s all in our heads.

There are clinical solutions that go beyond “waiting it out.”

I built my platform to bridge the gap between feeling ignored and feeling empowered. You deserve to understand the “why” behind what you’re feeling.

Which symptom has been the hardest for you to get answers for? Tell me in the comments—I’ll be picking one to deep-dive into for my next video.

How many times have you complained about your brain fog, insomnia, or sudden anxiety only to be told to “get more sleep” or “lower your stress levels”?

In my clinical experience, women in perimenopause are often the most dismissed demographic in healthcare. We’re told our symptoms are a “normal part of aging” or that it’s all in our heads.

There are clinical solutions that go beyond “waiting it out.”

I built my platform to bridge the gap between feeling ignored and feeling empowered. You deserve to understand the “why” behind what you’re feeling.

Which symptom has been the hardest for you to get answers for? Tell me in the comments—I’ll be picking one to deep-dive into for my next video.

The alliance every post menopausal woman needs.

The alliance every post menopausal woman needs.

I sat down again with Sandy Lafazan on the Simply Soulful show to do a deep dive into what happens in the female brain during perimenopause and menopause. Can’t catch it on the radio? Comment
“podcast” below and I’II DM you the link to listen.

I sat down again with Sandy Lafazan on the Simply Soulful show to do a deep dive into what happens in the female brain during perimenopause and menopause. Can’t catch it on the radio? Comment
“podcast” below and I’II DM you the link to listen.

She had no idea she’d grow up to live out her wildest dreams and help women feel good in their bodies in midlife.

She had no idea she’d grow up to live out her wildest dreams and help women feel good in their bodies in midlife.

There is nothing more frustrating than being told
“everything looks good” when you know your body is screaming otherwise.

Here are some common things that get missed:

1️⃣ Sleep apnea
It’s wildly underdiagnosed. About 1 in 3 adults has it, and most don’t know.
In women, it doesn’t always look like loud snoring.
It becomes much more common in women after menopause.
Possible signs:
👉 Waking up gasping or choking
👉 Racing heart or panic at night
👉 Morning headaches
👉 Fatigue or brain fog
👉 Trouble staying asleep
👉 Anxiety or depression
👉 Acid reflux
👉 Getting up to pee at night

2️⃣ Ferritin (iron storage)
Ferritin is the first sign of low iron.
If your ferritin is under ~50 and you feel lousy, it’s a sign of iron deticiency.

Signs of low iron:
👉 Fatigue
👉 Brain fog
👉 Thinning hair
👉 Restless legs

3️⃣ Perimenopause
Hormone fluctuations can amplify fatigue, sleep disruption, pain, mood swings, brain fog, GI symptoms, and inflammation long before periods stop.

4️⃣ Vitamin B12
The reference range is very wide, which means that normal according to the lab may not be normal for you.
If your B12 is on the low end of the normal range (~350 or lower), symptoms can show up.

👉 Ask about checking methylmalonic acid for a clearer picture.

5️⃣Hypermobility
If your joints are extra bendy, your connective tissue doesn’t stabilize well.
That means your muscles are working overtime just to keep you upright → chronic fatigue, pain, and brain fog.

Normal labs don’t always mean nothing is wrong.
They mean we may not be asking the right questions yet.

Save this. Share it with someone who’s been told
“everything looks fine” but doesn’t feel fine.

⚠️ For informational purposes only. Not intended to be personalized medical advice.

There is nothing more frustrating than being told
“everything looks good” when you know your body is screaming otherwise.

Here are some common things that get missed:

1️⃣ Sleep apnea
It’s wildly underdiagnosed. About 1 in 3 adults has it, and most don’t know.
In women, it doesn’t always look like loud snoring.
It becomes much more common in women after menopause.
Possible signs:
👉 Waking up gasping or choking
👉 Racing heart or panic at night
👉 Morning headaches
👉 Fatigue or brain fog
👉 Trouble staying asleep
👉 Anxiety or depression
👉 Acid reflux
👉 Getting up to pee at night

2️⃣ Ferritin (iron storage)
Ferritin is the first sign of low iron.
If your ferritin is under ~50 and you feel lousy, it’s a sign of iron deticiency.

Signs of low iron:
👉 Fatigue
👉 Brain fog
👉 Thinning hair
👉 Restless legs

3️⃣ Perimenopause
Hormone fluctuations can amplify fatigue, sleep disruption, pain, mood swings, brain fog, GI symptoms, and inflammation long before periods stop.

4️⃣ Vitamin B12
The reference range is very wide, which means that normal according to the lab may not be normal for you.
If your B12 is on the low end of the normal range (~350 or lower), symptoms can show up.

👉 Ask about checking methylmalonic acid for a clearer picture.

5️⃣Hypermobility
If your joints are extra bendy, your connective tissue doesn’t stabilize well.
That means your muscles are working overtime just to keep you upright → chronic fatigue, pain, and brain fog.

Normal labs don’t always mean nothing is wrong.
They mean we may not be asking the right questions yet.

Save this. Share it with someone who’s been told
“everything looks fine” but doesn’t feel fine.

⚠️ For informational purposes only. Not intended to be personalized medical advice.

If you’ve noticed your sleep getting worse in your 40s, this is why, but no one told you.

Estrogen and progesterone don’t just affect your reproductive system. They regulate your airway muscles, your breathing drive, your body temperature, your serotonin, and your ability to fall asleep in the first place.

When those levels start fluctuating in perimenopause, sleep is affected.
Swipe to understand what’s actually happening — and what to ask your doctor about.

💬 Drop a 😴 below if your sleep has changed and no one’s connected it to your hormones yet.

🔁 Share this with the friend who’s exhausted but keeps being told her labs are “normal.”

If you’ve noticed your sleep getting worse in your 40s, this is why, but no one told you.

Estrogen and progesterone don’t just affect your reproductive system. They regulate your airway muscles, your breathing drive, your body temperature, your serotonin, and your ability to fall asleep in the first place.

When those levels start fluctuating in perimenopause, sleep is affected.
Swipe to understand what’s actually happening — and what to ask your doctor about.

💬 Drop a 😴 below if your sleep has changed and no one’s connected it to your hormones yet.

🔁 Share this with the friend who’s exhausted but keeps being told her labs are “normal.”

.pro-gallery-wix-wrapper {display: block !important;} .pro-gallery-wix-wrapper .gallery-item-container {opacity: 1 !important; display: block !important;}

Follow me on Instagram

bottom of page