Cristina Sciavolino-Day, MD, LLC

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Cristina Sciavolino-Day, MD, LLC Prevention does save lives. It is important to be proactive. My mission is to work as a team with you to optimize your health and wellness.

Internal medicine concierge practice with a focus on prevention and wellness. Limiting membership to only 300 patients, office visits are 1-2 hours and thorough. Availability to Dr. Sciavolino-Day will be optimized with each patient by cell phone, email and text. Also included are longer appointments in a relaxed setting, wellness planning, hospital overview, and telecommunication visits when you are away. Patient oriented care as it should be. Wellness, it all starts with you.

You’re doing everything “right.”Smaller portions, more walks, and maybe even skipping dessert.Yet somehow, your jeans ke...
10/10/2026

You’re doing everything “right.”

Smaller portions, more walks, and maybe even skipping dessert.

Yet somehow, your jeans keep getting tighter around the middle, and you can’t figure out why.

I heard some version of this almost every week during my 30 years of practicing medicine.

Here’s what I wish more people understood. After 40, changes in hormones, muscle mass, sleep, and daily activity can affect where your body stores fat and how easily you manage your weight. During menopause, declining estrogen also contributes to a shift in fat storage toward the abdomen.

So the habits that worked for you at 30 may not give you the same results at 50.

That doesn’t mean you need to eat less and exercise harder. It means you may need a different approach.

The good news is that abdominal fat, including the deeper visceral fat associated with higher risks of heart disease and diabetes, can respond to changes in nutrition, strength training, physical activity, and sleep.

The key is knowing what to focus on first.

That’s why I put together a free, week-by-week plan to help you understand which habits actually matter, what to prioritize, and how to make changes you can maintain without feeling like you’re constantly starting over.

👉 Comment HONEST and I’ll send it to you.

🔴 If you’re tired of trying to figure this out alone, I’d also love to welcome you into Thrive After 40, my completely free health and wellness community. You’ll find physician-led educational modules, recipes, exercise resources, and a place to ask questions about the changes that happen as we get older.

The link is in my bio.

🫶, Cristina Sciavolino-Day, MD

This post is for educational purposes only and is not medical advice. Please consult your own healthcare professional about your individual health needs.

For years I heard the same sentence in my exam room.“My toes just tingle sometimes. I figured it was my age.”Sometimes i...
10/09/2026

For years I heard the same sentence in my exam room.

“My toes just tingle sometimes. I figured it was my age.”

Sometimes it was, but often it was the first clue to something we could actually do something about.

Your feet sit at the end of your longest nerves, so they often notice trouble before the rest of you does. That buzzing, burning, or “wearing socks when I’m not” feeling deserves more than a shrug.

The 3 most common reasons are in the slides. The ones nobody talks about are in my free guide, including the vitamin that can cause tingling (yes, a vitamin), plus the simple daily foot habits that protect your nerves and a 5-minute routine you can do while your coffee brews.

👉 Comment TINGLE and I’ll send it to you.

👉 If you love learning this way, my Thrive After 40 community is now free. It’s where I break down the health topics that matter after 40 in plain language, with my exercise and recipe libraries inside. Link is in the bio.

🫶, Cristina Sciavolino-Day, MD

This post is for education only and is not medical advice. Please talk with your own doctor about your symptoms.

For years my patients would tell me, “I know I should eat better. I just don’t know what that looks like.”So here it is....
10/08/2026

For years my patients would tell me, “I know I should eat better. I just don’t know what that looks like.”

So here it is. A real day of eating after 50, the way I’d build it as a doctor. Enough protein at every meal to help protect your muscle. Plenty of fiber for your heart and gut. Food that actually tastes like something.

Nobody needs another sad chicken breast and steamed broccoli.

If you want the other 6 days, I made you a full week. Every breakfast, lunch, snack and dinner, with exact amounts, the macros, a one-hour Sunday prep plan and the grocery list. You’ll never stand in front of the fridge wondering what to make.

👉 Comment MENU and I’ll send it to you.

👉 If you love this kind of thing, my Thrive After 40 community is now free. It’s where I explain the health topics that matter after 40 in plain language, share my full recipe library, and answer your questions. The link to join is in the bio.

🫶, Cristina Sciavolino-Day, MD

This post is for educational purposes only and is not medical advice. Protein and calorie needs vary. Please talk with your doctor about what’s right for you.

10/07/2026

“I’m always cold.” 🥶

In 30 years of practicing medicine, I heard that line more times than I can count, usually from a woman wearing a sweater in July.

Sometimes, you really are just someone who feels colder than everyone else. Other times, your body may be giving you a clue worth checking.

If you’re cold all the time, these are two of the first things I would want to look at:

1️⃣ Your thyroid (TSH + Free T4)
Your thyroid helps regulate your metabolism and body temperature. When thyroid function is low, feeling unusually cold can be one of the symptoms. It is easy to brush this off as menopause or simply “getting older.”

2️⃣ Your iron stores (ferritin as the main one)
This one can be missed. Your hemoglobin and regular blood count may still look normal even when your iron stores are getting low. Low iron can contribute to feeling cold, tired, weak, or foggy, so it can be helpful to know your actual ferritin level rather than simply hearing that “your labs were fine.”

Other things can contribute too, including circulation problems such as fingers that turn white or blue in the cold, being underweight or not eating enough, and certain medications, including some blood pressure medications.

**Feeling cold all the time is not a diagnosis. It is a clue, and clues are worth investigating.

👉 Want to learn more Comment COLD and I’ll send you my free guide, “Why Am I Always Cold?” It walks you through common causes, labs you may want to discuss with your doctor, and questions to bring to your next appointment.

👉 These are the kinds of health questions we talk about every day inside Thrive After 40. It is completely free to join. Just tap the link in my bio. 💛

🫶, Cristina Sciavolino-Day, MD

This is educational and not medical advice. Please see your doctor for personalized recommendations.

10/06/2026

Maybe you do well all day, and then somewhere around late afternoon or evening, it feels like everything changes.

You start picking at dinner while you are making it. You finish your plate and immediately want something else. You tell yourself you are only going to have a little, and then suddenly you are standing in the kitchen wondering why you are still eating when you know you are not really hungry anymore.

Then comes the frustration: “Why do I keep doing this?”

Before you blame your willpower, I want you to look at what happened earlier in the day.

Did you skip breakfast? Did lunch have enough protein and fiber? Did you go six hours without eating? Were you trying to “be good” all day and barely eating enough? Are you exhausted, stressed, bored, lonely, or simply used to eating at that time every night?

Those are very different reasons for overeating, which means they need very different solutions.

Sometimes your body is simply trying to make up for food it did not get earlier. Sometimes food has become the quickest way your brain knows to manage stress or discomfort. Sometimes you are eating so quickly or while so distracted that you barely notice when you have had enough.

That is why the goal should not simply be, “I need to stop overeating.”

The better question is, “What is making me want to keep eating right now?”

Once you understand the pattern, you can actually start changing it.

I put together a written guide that walks you through the most common reasons we overeat, how to recognize which one may be happening to you, and practical strategies you can start using right away.

👉 💬 Comment PAUSE and I’ll send it to you.

❤️ And if you know someone who keeps blaming herself for having “no willpower,” send this to her. There may be much more going on than willpower.

🫶, Cristina Sciavolino-Day, MD

** Educational post, not medical advice

You’re not imagining it. You may be eating the same way you always did, walking more, trying to make better choices, and...
10/05/2026

You’re not imagining it. You may be eating the same way you always did, walking more, trying to make better choices, and cutting back whenever the scale starts to move in the wrong direction. Yet somehow, the things that used to work just don’t seem to work the same anymore.

That can be incredibly frustrating, especially when no one really explains why.

For many women, menopause is not the moment they suddenly stopped caring about their health. It is the moment their old strategy stopped matching what their body needed now.

That was a big shift for me too. I had to stop asking myself, “How can I be stricter?” and start asking, “What actually matters at this stage of life?”

For me, that meant focusing more on preserving muscle, getting enough protein, being consistent, and letting go of the all-or-nothing mindset. I needed a plan I could actually live with, not one that required me to be perfect.

That change in thinking made a much bigger difference than simply trying harder ever did.

If you are in that place right now, I made something for you. My free Menopause Weight-Loss Shift guide goes deeper into all five of these changes and explains what to do instead.

👉 Comment SHIFT and I’ll send it to you.

📌 Save this for the day you are tempted to think, “Nothing works anymore,” because sometimes the answer is not to try harder. Sometimes the answer is to change the strategy.

🫶, Cristina Sciavolino-Day, MD

**Educational post, not medical advice

10/04/2026

I mentioned a FRAX score during a live with my group this week, and the room went quiet. No one had heard of it.

That stuck with me. If you’ve had a bone density scan, there’s a good chance a FRAX score is sitting right there on your report, and it may be what decides whether your doctor recommends medication.

Here’s the short version. Your bone density scan tells us how dense your bone is. FRAX adds everything else that raises your risk, like your age, a past fracture, or a parent who broke a hip. Then it gives you two numbers: your 10-year chance of a major fracture and your 10-year chance of a hip fracture.

Knowing those two numbers changes the conversation you have with your doctor.

I put together a guide that walks you through your whole report in plain language. You’ll learn what your T-score really means, the difference between osteopenia and osteoporosis, how each one is treated, and the questions worth bringing to your next appointment. There’s even a page to fill in your own numbers.

👉 💬 Comment FRAX and I’ll send it to you.

❤️ Save this for your next checkup, and share it with a friend who just had her scan.

🫶, Cristina Sciavolino-Day, MD
Board-certified internal medicine physician

This is educational only and not medical advice. Please talk with your own doctor about your personal bone health.

10/03/2026

Did the back of your head touch the wall? 👀

Here’s how to do it the right way. Stand with your heels, bottom, and shoulders against a wall. Look straight ahead with your chin level. Don’t tip your head back to cheat. Then notice if the back of your head touches.

If it didn’t, please don’t panic. Sometimes it’s just years of looking down at phones, books, and desks. That part is very fixable.

Here’s what I want everyone over 50 to know, though. A gap can also be a clue that your upper spine is rounding forward. That rounding can come from weak back muscles, tight chest muscles, and years of forward head posture. Sometimes it comes from small spine fractures you never felt. About 2 out of 3 of these fractures never cause big pain, so most people have no idea they had one.

Why does that matter? One spine fracture raises the chance of another. Finding it early gives you and your doctor time to protect your bones before the next one.

The hopeful part is that posture is trainable. In a UCSF study, older adults who did targeted back strengthening and posture work for 3 months stood measurably straighter.

👉 Comment WALL and I’ll send you my free Stand Tall Spine Guide. It shows you two more quick checks you can do at home, the height-loss number worth bringing up with your doctor, and 5 gentle moves to build a stronger, straighter back.

👉 If you like this, you’ll love Thrive After 40, my community that’s now free. It’s where I break down the health topics that matter after 40 in plain language, so you know exactly what to ask your own doctor. The link is in my bio.

🫶, Cristina Sciavolino-Day, MD

This post is for education only and is not medical advice. Please talk with your own doctor about your health.

10/02/2026

You’ve probably stood in that supplement aisle. Rows of probiotic bottles. Billions of this, 50 strains of that. Some cost more than a nice dinner out.

Here’s what nobody puts on the label.

Taking good bacteria without feeding them is a little like planting seeds in a parking lot. 🌱

Your gut is a garden. The bacteria living there need food to grow, and their favorite food is something most of us are seriously short on. The ones that get fed are the ones that keep doing the work.

When they’re well fed, they make compounds that help keep your gut lining strong. They may even help send fullness signals to your brain. That second part is a big deal if you’re trying to lose weight after 40.

The best part? A lot of what they love is probably already in your kitchen.

I made you a free guide called The Gut Garden Guide. It shows you why this matters, what the research says about your weight, which foods feed your good bacteria, and which foods bring new ones in. You’ll also learn which “fermented” foods don’t have any live bacteria left in them, and how to start without the bloat.

👉 Comment FEED and I’ll send it straight to your DMs.

👉 If you love learning this way, you’ll love Thrive After 40. It’s my community where I break down health after 40 in plain language, and you can ask me your questions every day. It’s now completely free to join. Link is in my bio.

🫶, Cristina Sciavolino-Day, MD

This is for education only and is not medical advice. Please talk with your doctor about what’s right for you.

You haven’t slept through the night in months. You’re soaking the sheets at 3 a.m., walking into a room and forgetting w...
10/02/2026

You haven’t slept through the night in months. You’re soaking the sheets at 3 a.m., walking into a room and forgetting why you’re there, and sometimes you barely feel like yourself anymore.

So you finally bring it up at your appointment, and you hear some version of, “That’s just menopause,” or, “Hormones are too risky.” You go home and tough it out, like your mother did and maybe her mother did too.

For more than 20 years, so many women were told to simply push through.

If that’s you, I want you to know something: you’re not being dramatic, and you’re not out of options. The science has moved on, and you deserve a conversation that is about you, your symptoms, your health history, and what is right for your individual situation.

I made a free guide to help you walk into that appointment feeling calm, informed, and ready instead of rushed or brushed off.

👉 Comment HORMONE and I’ll send it to you.

👉 If you want a place where you can ask me questions like these anytime, that’s exactly why I created Thrive After 40. It’s free to join, and the link is in my bio.

💬 Tell me below: were you ever told to just tough it out? 👇

🫶, Cristina Sciavolino-Day, MD
Board-certified internal medicine physician

This post is for education only and is not medical advice. Please talk with your own doctor, and never start or stop a medication on your own.

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Naples, FL

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