Beyond the Scale: Metabolic Health
Metabolic health is about so much more than your weight. During menopause, changes in estrogen, insulin sensitivity, muscle mass, and body fat distribution can quietly increase your risk of diabetes and cardiovascular disease, even when the number on the scale barely changes. I want to shift our attention away from trying to reclaim the bodies we had at 25 and toward understanding what our bodies need now. Let's explore how nutrition, strength training, sleep, and a few important health measurements can help you protect your metabolism and maintain your vitality for decades to come.
The Bone Bank: Strong Bones, Strong Future
Bone loss starts decades before most women think about osteoporosis, then accelerates rapidly around menopause as estrogen declines. The good news is that we can do a lot before bones become fragile. Learn how strength training, protein, calcium, vitamin D, hormones, and earlier screening can help protect your bones, mobility, and independence for decades.
Autism and Perimenopause: When the Mask Gets Harder to Hold
For some women, perimenopause is the first time a lifetime of autistic traits becomes harder to compensate for. The noise feels louder, social interactions take more energy, routines matter more, and the strategies that worked for decades suddenly aren't enough. Perimenopause doesn't cause autism, but it may make the mask much harder to hold.
Your Brain on Perimenopause
Brain fog, forgotten words, poor sleep, and trouble focusing can make perimenopause feel like you are losing yourself. Learn what changing hormones are doing to your brain, why ADHD symptoms may suddenly become harder to manage, and what you can do now to protect your brain health for the decades ahead.
Recurrent UTIs in Women: Why Hormones Matter More Than You've Been Told
Most physicians treating recurrent UTIs in women are missing half the picture. Estrogen gets some attention. Testosterone almost never does. And yet the female urethra is rich in androgen receptors, depends on testosterone for its resilience and thickness, and becomes significantly more vulnerable to bacterial colonization when those levels decline. This is not experimental medicine. This is physiology that has simply never made it into the standard of care.
Low Libido in Women: Exploring Options Beyond Testosterone
Low desire is one of the most common concerns I hear from women, especially during perimenopause and menopause. But low libido is not simply a hormone problem, and it is not a personal failure. Desire is shaped by hormones, stress, nervous system regulation, relationship dynamics, sleep, mental health, and overall wellbeing.
In this article, Dr. Evelin Dacker explores the complex roots of low desire in women and discusses evidence-based options that may help support arousal and sexual connection, including PT-141 (Bremelanotide), Addyi (Flibanserin), cannabis, and a more holistic approach to female sexual health and vitality.
GLP-1 Medications for Weight Loss: What GLP-1 Medications Are Actually Doing in the Body
GLP-1 medications are doing far more than simply suppressing appetite. These medications act on complex hormonal systems involving the brain, pancreas, stomach, fat tissue, insulin signaling, and energy expenditure. Understanding how semaglutide, tirzepatide, survodutide, and retatrutide actually work helps explain why they are changing the future of obesity and metabolic medicine.