05/19/2026
There’s a conversation happening in women’s health right now that I think we need to examine more carefully.
Women going through perimenopause are increasingly being told they need to “fix everything else first” before hormone therapy should even be considered. Fix your gut first. Balance blood sugar first. Reduce stress first. Optimize your lifestyle first.
And while I deeply believe those things matter, I also think we need to ask ourselves a harder question... Why are women being expected to suffer through hormone deficiency while proving they’ve worked hard enough to deserve support?
Hormone deficiency in perimenopause and beyond is not a moral failing. It is not a lack of discipline. And it is not something women can reverse by having a better morning routine.
For many women, especially those navigating early perimenopause, premature ovarian insufficiency, surgical menopause, or early menopause, this is a physiological transition with real downstream effects on the brain, nervous system, sleep, mood, cardiovascular health, and bone health.
And yet so many women spend YEARS trying to “do it naturally” while quietly struggling.
I know because I was one of them.
The reality is: lifestyle medicine and hormonal support are not opposing philosophies. They can coexist. In fact, when the body is no longer functioning from a place of deficiency, everything else often becomes easier: sleep, stress resilience, energy, mood, motivation, and capacity to care for yourself.
This is the conversation I explore in my newest Substack.
Not from a place of “hormones fix everything.” But from a place of asking whether women deserve more nuanced, compassionate, physiology-informed care than they’re currently receiving.
Comment “SUBSTACK” and I’ll send you the link to read it!