Menopause, perimenopause, aging, Metabolism Evelin Molina Dacker M.D Menopause, perimenopause, aging, Metabolism Evelin Molina Dacker M.D

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.

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Menopause, perimenopause, bone health, aging Evelin Molina Dacker M.D Menopause, perimenopause, bone health, aging Evelin Molina Dacker M.D

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.

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Menopause, Woman's Health, mental health, perimenopause Evelin Molina Dacker M.D Menopause, Woman's Health, mental health, perimenopause Evelin Molina Dacker M.D

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.

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Menopause, Woman's Health, UTIS, Pelvic health Evelin Molina Dacker M.D Menopause, Woman's Health, UTIS, Pelvic health Evelin Molina Dacker M.D

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.

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Sexual Health, Libido, Desire, Menopause Evelin Molina Dacker M.D Sexual Health, Libido, Desire, Menopause Evelin Molina Dacker M.D

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.

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Obesity, Weight loss, Menopause Evelin Molina Dacker M.D Obesity, Weight loss, Menopause Evelin Molina Dacker M.D

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.

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