Ep. 612 Why Perimenopause Affects More Than Your Cycle with Emily Sadri, NP | Menopause, Perimenopause, Estrogen

Today, I am delighted to welcome Emily Sadri, a board-certified women’s health nurse practitioner and certified nurse-midwife, also trained in functional medicine. Emily is the founder of Aurelia Health, a private women’s health practice in the Van Aken district of Shaker Heights, Ohio, offering telehealth services specializing in hormone therapy and weight-loss support for women ages 35 to 55. As a leading hormone expert, she has built her practice around a hormones-first approach. In today’s conversation, Emily explains the differences between being a nurse practitioner and a midwife, and we discuss nurse practitioner training, scope of practice, professional support, anticipatory guidance, and the limitations of conventional midlife care. Emily also shares why she prioritizes precision-oriented, personalized care, the value of Mira monitoring for precision hormone replacement therapy management in perimenopause, key hormonal changes she sees in early perimenopause, the impact of cyclic, static, and physiologic dosing of HRT, the influence of progestin IUDs, trends in healthcare, and less common reasons why women in midlife tend to become weight loss resistant. Stay tuned for an insightful conversation on hormones, precision care, and supporting women through perimenopause and midlife. IN THIS EPISODE, YOU WILL LEARN: How women's health nurse practitioner training differs from midwifery, and how midwifery shaped Emily’s professional philosophy and ethics Why women need to take ownership of their health throughout every life stage  The importance of moving beyond treating symptoms by using comprehensive lab work to identify broader hormonal and metabolic patterns The value of using Mira, an at-home hormone monitoring system, to follow hormone patterns throughout an entire menstrual cycle, rather than relying on isolated laboratory measurements Why Emily believes in looking at hormone patterns rather than progesterone decline or isolated estrogen levels when making hormone replacement therapy decisions How static, cyclic, and physiologic HRT differ, and why Emily believes physiologic dosing deserves greater consideration. Why treating hormones in isolation often fails to address the bigger picture, particularly during perimenopause The importance of women being fully informed when considering hormonal birth control and intrauterine devices Factors beyond sarcopenia, nutrition, sleep, and stress that could contribute to weight loss resistance  Bio: Emily Sadri Emily Sadri is a Board Certified Women’s Health Nurse Practitioner, Certified Nurse Midwife, and hormone expert who founded Aurelia Health, a modern concierge telehealth company that serves women navigating perimenopause and menopause. Emily's areas of expertise include metabolic health, precision hormone care, and longevity medicine. Her mission is to advance comprehensive care in midlife, create a model that fills in the gaps where primary care is failing women, and to recenter care around the relationship AS the medicine. She resides in the Midwest with her husband, four children, and two dogs. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia’s website. Submit your questions to [email protected]  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia’s book, The Menopause Gut. Cynthia’s Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Emily Sadri On her website Instagram Aurelia Health