You Good, Hormones?

We’ve made it to the Season 1 finale of You Good, Hormones? — and we’re closing it out with your most frequently asked questions.

In this Q&A episode, I’m diving into the real-life questions you’ve sent in about hormone therapy, perimenopause, menopause, PCOS, postpartum, birth control, testosterone, lab testing, and more. This episode is packed with clarity, nuance, and practical takeaways for every stage of womanhood.

I'll be back in the fall for season 2 where we'll continuing diving in!

If you're in DE or MD and want to work with me - visit www.offcoastwellness.com to book a consultation or a free discovery call

IG: @offcoastwellness / @yourhormoneNP

FB: Off Coast Wellness

TikTok: @yourhormoneNP

Confused about where you are in your hormone journey? You’re not alone — and no, it’s not always obvious. In this episode, we’re breaking down the differences between perimenopause, menopause, and postmenopause so you can understand what your body is actually going through.

This episode is your permission slip to stop second-guessing your symptoms and start taking action — wherever you are in the journey.

Next week is Episode 15 — our Season One finale!
It’ll be a special Q&A episode where I’ll be answering YOUR questions.
Have something you’ve been wanting to ask about hormones, hormoen therapy, weight gain, testing, nutrition, mental health, or any of the topics we’ve covered this season?

📩 Send your question by email ([email protected]) or DM me on social media, and I’ll cover as much as I can!

If you're in DE or MD and want to book a discovery call or initial consult, visit www.offcoastwellness.com 

Facebook: Off Coast Wellness

IG: @offcoastwellness AND @yourhormoneNP

TikTok: @yourhormoneNP

What I’d Tell My 35-Year-Old Self About Hormones — If I Didn’t Know What I Know

(Why Perimenopause Starts Earlier Than You Think — and Why Sooner is Better When It Comes to Prevention)

In this week’s episode of You Good, Hormones?, I’m sharing exactly what I’d want to tell my 35-year-old self — and any woman in her 30s or 40s — about hormones, perimenopause, and prevention.

If you are in DE or MD and want to book a free discovery call or consultation: www.offcoastwellness.com

Facebook: Off Coast Wellness

IG: @offcoastwellness AND @yourhormonenp

TikTok: @yourhormoneNP

Resources & Mentions:

• The North American Menopause Society (NAMS)
• Manson JE et al. Menopausal Hormone Therapy and Long-term Health Outcomes. JAMA. 2017.
• Stuenkel CA et al. Treatment of Symptoms of Menopause: Endocrine Society Guidelines. J Clin Endocrinol Metab. 2015.
• Thurston RC et al. Vasomotor Symptoms and Cardiovascular Risk. J Womens Health. 2018.

Learn more or work with us: offcoastwellness.com
Follow @offcoastwellness on Instagram

Menopause Isn’t a Diagnosis — It’s a Wake-Up Call
How Hormone Shifts Reveal What Your Body’s Been Compensating For & Why HRT is Prevention, Not Just Symptom Management

In this episode, we’re reframing menopause — not as an illness, but as an opportunity.

 We’ll dive into:

• What menopause really is (and what it isn’t)
• The science behind hot flashes, joint pain, and brain fog
• How hormone loss affects cardiovascular risk, insulin resistance, and inflammation
• The connection between estrogen and autoimmune disease
• Why perimenopause is the ideal time to act
• How to approach hormone support from a prevention-first lens

Whether you’re navigating symptoms or thinking long-term, this episode breaks down the why behind what you’re feeling — and empowers you to take the next right step for your health.

If you are in DE or MD and would like to dive into a discovery call or consultation you can book at www.offcoastwellness.com or call/text our office

Facebook/IG: @offcoastwellness / @yourhormoneNP

Tiktok: @yourhormoneNP

Resources Mentioned:

• Thurston RC, et al. Vasomotor symptoms and cardiovascular disease risk. J Womens Health. 2018.
• Manson JE, et al. Menopausal hormone therapy and long-term health outcomes. JAMA. 2017.
• Stuenkel CA, et al. Treatment of Symptoms of the Menopause: Endocrine Society Clinical Guidelines. J Clin Endocrinol Metab. 2015.
• Santoro N, et al. The menopausal transition and cardiovascular risk. Endocr Rev. 2020.
• Faubion SS, et al. Hormone therapy in breast cancer survivors. Menopause. 2022.
• The North American Menopause Society (NAMS): www.menopause.org
• Dr. Avrum Bluming, Estrogen Matters (book)

Struggling with belly fat, bloating, or weight gain that wasn't a problem a few years ago?

This week, I’m unpacking exactly what’s going on with your body in perimenopause and menopause that’s making weight loss feel impossible… and how to actually shift that.

We’re breaking down:

• What’s really going on with your hormones and metabolism
• Why visceral fat increases (and why it matters)
• The role of insulin resistance, cortisol, and muscle loss
• Why "eat less, move more" is outdated advice — and what to do instead
• The science-backed ways to actually support fat loss in midlife (hint: it's not starvation)

Plus: I’m talking about the real role of HRT, protein, strength training, supplements, and nutrition — and how to stop fighting your body and start working with it.

This one’s part education, part myth-busting, and all about helping you feel better, get stronger, and finally understand what your body is doing — and why it’s not your fault.

To book an appointment if you're in DE or MD visit:
www.offcoastwellness.com or call/text 302-947-8388

IG/FB: @offcoastwellness / @yourhormoneNP

TikTok: @yourhormoneNP

Fullscript Link for Supplements: https://us.fullscript.com/welcome/offcoastwellness/store-start

Referenced Research & Resources:

1. Visceral Fat & Estrogen Decline:
   • Lizcano F, Guzmán G. Estrogen deficiency and the origin of obesity during menopause. BioMed Res Int. 2014. https://doi.org/10.1155/2014/757461
2. Insulin Resistance & Menopause:
   • Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab. 2003. https://doi.org/10.1210/jc.2003-030242
3. Cortisol & Adrenal Compensation:
   • Prior JC. Progesterone for symptomatic perimenopause treatment. Endocrine. 2018. https://doi.org/10.1007/s12020-018-1722-4
4. Creatine for Midlife Women:
   • Forbes SC et al. Effects of creatine supplementation on brain function and health. Nutrients. 2021. https://doi.org/10.3390/nu13030875
5. Vitamin D & K2 Synergy for Bone Health:
   • Karp JK et al. Vitamin K2: a neglected player in bone health? Front Endocrinol. 2022. https://doi.org/10.3389/fendo.2022.928556
6. Berberine and Blood Sugar:
   • Dong H et al. Berberine in the treatment of type 2 diabetes mellitus: a systemic review and meta-analysis. Evid Based Complement Alternat Med. 2012. https://doi.org/10.1155/2012/591654
7. Myo-Inositol & PCOS/Insulin Resistance:
   • Unfer V et al. Myo-inositol and D-chiro-inositol in PCOS: a review. Gynecol Endocrinol. 2012. https://doi.org/10.3109/09513590.2011.650660
8. Menopause Muscle Loss & Resistance Training:
   • Maltais ML et al. Sarcopenia, muscle function, and resistance training in older women. J Aging Res. 2010. https://doi.org/10.4061/2010/569830

Hormones don’t just affect your period, fertility, or hot flashes. They deeply impact your mood, motivation, mental clarity, and resilience. In this episode, we dive into how hormonal changes — from PMS to perimenopause — can influence anxiety, depression, irritability, and more.

We'll talk about:

• How estrogen, progesterone, and testosterone influence neurotransmitters like serotonin, dopamine, and GABA
• Why so many women are prescribed SSRIs when what they may need is hormone evaluation and support
• The mental health toll of hormonal transitions like PMS, PMDD, PCOS, postpartum, perimenopause, and menopause
• The difference between treating symptoms with medications vs. getting to the root cause
• Treatment options, including progesterone, estradiol, and testosterone — and how they can support mood and cognition
• How to advocate for testing and treatment if you’re feeling dismissed or gaslit about your symptoms

Whether you're 25 or 55, this episode gives you the language, validation, and information to take control of your mental and hormonal health.

Resources & References:

• ACOG: Mental Health Conditions Common in Perimenopause
• JAMA Psychiatry (2020): SSRI Prescriptions in Midlife Women
• NIH: Hormones and Mood in Women
• VHA (2024): HRT and Suicide Risk Reduction in Midlife Women
• Endocrine Society: Hormones and Mental Health
• The Centre for Menstrual Cycle and Ovulation Research
• Postpartum Support International
• PMDD: IAPMD - International Association for Premenstrual Disorders

Want to connect?

• Book a Free Discovery Call or Consult if you're in DE or MD at www.offcoastwellness.com
• IG, FB, TikTok: @offcoastwellness

BONUS EPISODE!

After a recent podcast episode featuring Lauryn Bosstick and her guest Shannon went viral for all the wrong reasons, I knew I had to sit down and talk about it — not just to respond, but to educate, advocate, and support the women who deserve better.

We’re breaking down:

• Why positivity does not cure infertility
• The harm in suggesting mindset is the root of fertility struggles
• Why raw milk in pregnancy is a real, evidence-based risk
• Her wild comparison to cavemen and maternal “intuition” (including a reality check on Paleolithic life expectancy)
• A deeper look at hormones, ovulation, and actual fertility physiology
• What to do if you’re struggling to conceive — and how fertility specialists help
• Why women who are doing everything right need compassion, not condescension
• And how to hold space for others, even if you’ve personally been blessed

This episode is passionate, explicit, and deeply honest — because women navigating fertility deserve real information, real support, and real respect.

Polycystic Ovary Syndrome (PCOS) is one of the most common yet misunderstood hormonal conditions in women — and chances are, if you’ve been diagnosed, misdiagnosed, or dismissed altogether… you’re not alone.

In this episode, I break down:

• What PCOS actually is — and what it isn’t
• How the diagnosis is made
• Why insulin resistance is the most under-addressed root cause
• What your LH:FSH ratio and progesterone levels reveal
• The real risks of untreated PCOS: metabolic syndrome, NAFLD, heart disease, and more
• Why birth control can help symptoms but doesn’t fix the root
• How to approach treatment beyond prescriptions — and build a real plan
• And yes — why you can have PCOS even if your labs are “normal”

In DE or MD? Book a free 15 minute discovery call: www.offcoastwellness.com

TikTok, IG & FB: @offcoastwellness

Resources:

 https://www.nichd.nih.gov/health/topics/pcos/conditioninfo/diagnosed

 https://www.nichd.nih.gov/sites/default/files/publications/pubs/Documents/PCOS_Factsheet.pdf

 https://pcosaa.org

 https://academic.oup.com/jcem/article/90/7/3867/2836642

 https://journals.sagepub.com/doi/full/10.1177/1179558120913035

 https://www.sciencedirect.com/science/article/pii/S0960076019302110

 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094182/

 https://aasldpubs.onlinelibrary.wiley.com/doi/10.1002/hep.30986

 https://rbej.biomedcentral.com/articles/10.1186/1477-7827-6-38

 https://academic.oup.com/edrv/article/41/4/538/5826467

 https://onlinelibrary.wiley.com/doi/abs/10.1111/cen.13398

In 2002, the Women’s Health Initiative (WHI) triggered mass panic over hormone therapy — claiming it caused breast cancer, blood clots, and heart disease. The media jumped on it. Providers backed away. And women? They suffered

This episode is for every woman who was told to just deal with it — and every provider who needs to catch up.

Resources & References:

• JAMA Oncology – Vaginal Estrogen Use & Mortality
• PubMed – HRT Safety in Breast Cancer
• Climacteric – Bioidentical HRT
• CA: Cancer Journal for Clinicians – WHI Breast Cancer Data Reanalysis
• Balance Menopause – WHI Fallout Overview
• RealHealthMD – HRT After Breast Cancer
• NIH RePORTER – Gender Disparities in Research Funding
• Fortune – Erectile Dysfunction Market
• NAMS 2022 Position Statement on HRT

Book a 15-minute discovery call (if you're in DE or MD):
www.offcoastwellness.com

Disclaimer: This episode is for educational purposes only and is not medical advice. Always consult with a qualified provider before making any changes to your medication or treatment plan.

If your sex drive has disappeared and you feel like you’re the only one wondering “what’s wrong with me?” — this episode is for you.

This week on You Good, Hormones? we’re getting real about libido — how it changes through your 30s, 40s, 50s and beyond, and why it’s not your fault if it’s gone missing. 

We also unpack:

• Why libido shifts happen (it’s not just “getting older”)
• What breastfeeding, birth control, and stress do to sex drive
• Why women are constantly dismissed when they bring this up
• The massive funding gap between male and female sexual health
• What treatment options actually work (and how to get them)
• Real ways to talk to your partner when this gets hard
• Common side effects, delivery options, and where to start safely

This is your no-shame, no-fluff, all-facts conversation about sex, hormones, and what’s possible when you stop settling.

🔗 Links & Resources:

• 💻 Book a free 15-minute discovery call if you're in MD or DE: www.offcoastwellness.com
• 📲 Follow on IG, FB, and TikTok: @offcoastwellness
• 📚 Source: Erectile Dysfunction Market Report – Fortune Business Insights
• 📚 NIH Funding Database: NIH RePORTER
• 📚 JAMA Article: “Sexual Health in the U.S.: The Neglected Female Libido” (2021)
• 📄 Addyi Prescribing Info: FDA.gov