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

Can Estrogen Protect Your Brain? What We Actually Know in 2026

Can estrogen protect your brain or prevent dementia? The answer is more complicated than social media would have you believe. Here’s what current research tells us about menopause hormone therapy, cognitive health, Alzheimer’s risk, and what we can actually do to support our brains as we age.

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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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