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, 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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Evelin Molina Dacker M.D Evelin Molina Dacker M.D

Bioidentical Hormone Therapy: What Women Deserve to Understand About Hormones, Menopause, and the “Natural” Hormone Myth

Most women have been taught to think of hormones in simplistic categories: natural versus synthetic, safe versus unsafe, good versus bad. But the reality is far more nuanced. In this article, I break down what “bioidentical” hormones actually mean, why so-called natural estrogen was historically made from pregnant mare urine, and why progesterone and progestins are not interchangeable. Because women deserve more honest, evidence-informed conversations about menopause and hormone therapy.

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