Dr. Tati's Cooking and Lifestyle Page

Dr. Tati's Cooking and Lifestyle Page I’m med/peds functional and culinary medicine doc who helps women feel like themselves again through personalized functional evaluation, and hormone balancing.

https://go.pestanawellness.com/webinar-3355 As a primary MD specializing in MED/PEDS, my main interests are in nutrition and lifestyle for the prevention of disease, here I will post related topics.

08/15/2026

As my following has grown, I've noticed something in my comments section. Some of you leave a general reaction or question. And some of you leave something very personal — a specific symptom, a diagnosis, a "this happened to me too, what do I do?"

I see all of it. And there's a reason I can't respond to that second kind the way you might want me to.

Think about walking up to a doctor at a dinner party and saying "hey, I've had this weird chest tightness for two weeks, what do you think it is?" A good doctor isn't going to diagnose you between the appetizers and the main course. Not because they don't care. Because they don't know your history, your medications, your labs, or the ten other questions they'd need to ask before saying anything useful — and getting it wrong could actually hurt you.

My comments section is that dinner party. It's public, it's brief, and I can't ask follow-up questions there. I can't dig into your medical history in a comment thread. I'm not your doctor unless you're an established patient of mine — and even then, your care happens in the office, not in a DM.

So here's the honest version of what's happening when I don't respond to a symptom comment: I'm not avoiding you. I'm protecting you. Giving medical guidance without a real evaluation isn't just unhelpful, it can be unsafe, and it's not something I'm licensed to do outside of an actual patient relationship.

What I will always do is reply to comments that are general questions, reactions, or things I can speak to without stepping into individual medical advice. And what you can always do if something is actually bothering you is stop typing it into a comment box and get it in front of someone who can actually help.

If that's new to you, book a discovery call and let's talk about what's really going on. If you're already my patient, call the office — that's exactly what we're here for.

954-755-8844 | pestanawellness.com

08/13/2026

Tonight at 6pm, I'm teaching Unstoppable: Metabolic Mastery in Midlife, live.

This is the one where I explain why the scale stops cooperating in your 40s and 50s even when you're doing everything right, and what actually works instead. It's back by popular demand, and after tonight I'm not sure when I'll teach it live again.

If you registered, I'll see you at 6. If you haven't yet, there's still time.

Tonight, 6pm. Link in bio to join.

08/12/2026

This Thursday at 6pm, I'm teaching something I only teach live once a year.

Unstoppable: Metabolic Mastery in Midlife is happening this week. If you're in your 40s or 50s and the scale won't move no matter what you do, this is where I break down what's actually changed in your metabolism, why the old advice stops working, and what to do instead.
It's back by popular demand after women asked for the replay last time, and I'm capping the spots so I can actually answer questions live.

Thursday, August 13th at 6pm. If you haven't grabbed your seat yet, link in bio, this is the reminder to do it now.

08/10/2026

If one more person says "empty nest" to me, I'm going to lose it. Not because it's not true. Because it's not the whole truth.

I am a full-blown helicopter mom. I have never been quiet about that. So watching my youngest walk into their own life next week isn't a small thing for me — it's a total identity shift, from managing everything to... trusting.

Here's the thing nobody says out loud: getting to feel this sad is a privilege. It means I got 18 years with them. The ache isn't a sign something went wrong — it's a sign something went right, over and over, for almost two decades.

So yes, I'm sad. My baby is leaving. And I'm also aware that this exact kind of sadness is something to be grateful for, not just endured.

Here's what I also know: this grief-that's-actually-gratitude is landing on a body going through its own transition. Perimenopause doesn't wait for a convenient time — it often shows up right as your kids are leaving, right as estrogen and progesterone are already destabilizing your mood and sleep. So if you feel like you're unraveling a little right now, it's not weakness and it's not "just" sentimentality. Your hormones are shifting at the exact same time your identity is.

If you're a helicopter parent standing at your own launch pad right now — I see you. And if your hormones are making this harder than it needs to be, that's not something you have to white-knuckle through.

Schedule a discovery call (link in bio), or drop a comment telling me what stage you're in.

08/08/2026

Your metabolism used to run on cruise control. Nobody told you it turned off.

In your 20s and 30s, you could eat a little more, skip a workout, sleep badly for a week, and your body corrected itself automatically. Perimenopause turns cruise control off. Now you're driving manual, in traffic, without knowing the car changed.

That's exactly why the old plan, less food, more cardio, stops working. It's not a willpower problem. It's a strategy problem.

I'm teaching the new rules in Unstoppable: Metabolic Mastery in Midlife. Live, Thursday August 13th at 6pm. It's back by popular demand, link in bio to grab your seat.

08/05/2026

If you have ADHD, your perimenopause might already be underway in your late 30s and nobody told you.

A new study followed over 5,300 women, ages 35 to 55, in Iceland. Women with ADHD hit peak perimenopausal symptoms between 35 and 39. Women without ADHD didn't peak until 45 to 49, a full decade later. And 54% of women with ADHD reported debilitating symptoms, versus about a third of women without it.

Quick science note: this is a cross-sectional, self-reported study in a fairly homogeneous population, so it shows a strong association, not proof of cause. I'd rather tell you that than oversell it.

Here's why it happens. Estrogen isn't just reproductive, it stabilizes dopamine, the same chemical behind focus and impulse control. In perimenopause that supply starts flickering. If your dopamine system was already thin because of ADHD, that flicker doesn't feel like an inconvenience. It feels like everything falling apart at once.

I see it constantly: women whose coping systems worked for 20 years suddenly stop working, and they think they're failing. They're not. Their hormonal floor moved.

If this is you, don't just adjust your ADHD management, get your hormones evaluated too. Book a discovery call and let's look at the whole picture.

Source: Jakobsdóttir Smári et al., European Psychiatry, 2025 (Icelandic SAGA cohort study)

08/02/2026

I did not plan on doing this webinar again this year.

After the last Unstoppable: Metabolic Mastery in Midlife, five different women messaged me asking for the replay because they couldn’t make it live. That was enough for me. I’d rather teach it again than let people miss it.

If you’re in your 40s or 50s and the scale won’t move even though you’re doing everything right, this is the class where I explain what actually changed in your metabolism, and what to do about it.

Unstoppable: Metabolic Mastery in Midlife
Live, Thursday August 13th at 6pm
Link in bio to save your seat. Spots are limited so I can answer questions live.

08/01/2026

So excited to participate!!!

07/28/2026

Things I eat for breakfast as a culinary medicine specialist.

Every plate you just saw has the same three non-negotiables: protein, fiber, and color. Fried egg and sourdough with smashed avocado and kiwi. A "fake" egg McMuffin with provolone, sugar snap peas, and blueberries. Yogurt with chia, raw muesli, raspberries, and honey. Different meals, same formula.

Think of breakfast like the foundation of a house. It doesn't have to be fancy, but if the foundation is just sugar and simple carbs, everything you build on top of it that day (energy, focus, blood sugar) is shakier.

You don't have to overhaul your whole morning. Just add one thing to what you already eat: an egg, a handful of berries, a spoon of chia seeds. Protein and fiber first, and the rest follows.

Save this for your next grocery run, and tell me in the comments what your go-to breakfast is.

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