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 callIG: @offcoastwellness / @yourhormoneNPFB: Off Coast WellnessTikTok: @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 WellnessIG: @offcoastwellness AND @yourhormoneNPTikTok: @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.comFacebook: Off Coast WellnessIG: @offcoastwellness AND @yourhormonenpTikTok: @yourhormoneNPResources & 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 ManagementIn 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 fogHow hormone loss affects cardiovascular risk, insulin resistance, and inflammationThe connection between estrogen and autoimmune diseaseWhy perimenopause is the ideal time to actHow to approach hormone support from a prevention-first lensWhether 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 officeFacebook/IG: @offcoastwellness / @yourhormoneNPTiktok: @yourhormoneNPResources 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.orgDr. 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 metabolismWhy visceral fat increases (and why it matters)The role of insulin resistance, cortisol, and muscle lossWhy "eat less, move more" is outdated advice — and what to do insteadThe 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 302-947-8388IG/FB: @offcoastwellness / @yourhormoneNPTikTok: @yourhormoneNPFullscript Link for Supplements: https://us.fullscript.com/welcome/offcoastwellness/store-startReferenced Research & Resources:Visceral Fat & Estrogen Decline:Lizcano F, Guzmán G. Estrogen deficiency and the origin of obesity during menopause. BioMed Res Int. 2014. https://doi.org/10.1155/2014/757461Insulin Resistance & Menopause:Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab. 2003. https://doi.org/10.1210/jc.2003-030242Cortisol & Adrenal Compensation:Prior JC. Progesterone for symptomatic perimenopause treatment. Endocrine. 2018. https://doi.org/10.1007/s12020-018-1722-4Creatine for Midlife Women:Forbes SC et al. Effects of creatine supplementation on brain function and health. Nutrients. 2021. https://doi.org/10.3390/nu13030875Vitamin 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.2022.928556Berberine 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/10.1155/2012/591654Myo-Inositol & PCOS/Insulin Resistance:Unfer V et al. Myo-inositol and D-chiro-inositol in PCOS: a review. Gynecol Endocrinol. 2012. https://doi.org/10.3109/09513590.2011.650660Menopause 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 GABAWhy so many women are prescribed SSRIs when what they may need is hormone evaluation and supportThe mental health toll of hormonal transitions like PMS, PMDD, PCOS, postpartum, perimenopause, and menopauseThe difference between treating symptoms with medications vs. getting to the root causeTreatment options, including progesterone, estradiol, and testosterone — and how they can support mood and cognitionHow to advocate for testing and treatment if you’re feeling dismissed or gaslit about your symptomsWhether 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 PerimenopauseJAMA Psychiatry (2020): SSRI Prescriptions in Midlife WomenNIH: Hormones and Mood in WomenVHA (2024): HRT and Suicide Risk Reduction in Midlife WomenEndocrine Society: Hormones and Mental HealthThe Centre for Menstrual Cycle and Ovulation ResearchPostpartum Support InternationalPMDD: IAPMD - International Association for Premenstrual DisordersWant to connect?Book a Free Discovery Call or Consult if you're in DE or MD at www.offcoastwellness.comIG, 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 infertilityThe harm in suggesting mindset is the root of fertility strugglesWhy raw milk in pregnancy is a real, evidence-based riskHer wild comparison to cavemen and maternal “intuition” (including a reality check on Paleolithic life expectancy)A deeper look at hormones, ovulation, and actual fertility physiologyWhat to do if you’re struggling to conceive — and how fertility specialists helpWhy women who are doing everything right need compassion, not condescensionAnd how to hold space for others, even if you’ve personally been blessedThis 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’tHow the diagnosis is madeWhy insulin resistance is the most under-addressed root causeWhat your LH:FSH ratio and progesterone levels revealThe real risks of untreated PCOS: metabolic syndrome, NAFLD, heart disease, and moreWhy birth control can help symptoms but doesn’t fix the rootHow to approach treatment beyond prescriptions — and build a real planAnd 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.comTikTok, IG & FB: @offcoastwellnessResources: 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 sufferedThis 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 & MortalityPubMed – HRT Safety in Breast CancerClimacteric – Bioidentical HRTCA: Cancer Journal for Clinicians – WHI Breast Cancer Data ReanalysisBalance Menopause – WHI Fallout OverviewRealHealthMD – HRT After Breast CancerNIH RePORTER – Gender Disparities in Research FundingFortune – Erectile Dysfunction MarketNAMS 2022 Position Statement on HRTBook a 15-minute discovery call (if you're in DE or MD):www.offcoastwellness.comDisclaimer: 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 driveWhy women are constantly dismissed when they bring this upThe massive funding gap between male and female sexual healthWhat treatment options actually work (and how to get them)Real ways to talk to your partner when this gets hardCommon side effects, delivery options, and where to start safelyThis 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

If you’ve ever been told “it’s just stress,” “maybe try an antidepressant,” or “you’re probably just aging” — this episode is for you.In this most-requested episode of You Good, Hormones?, we’re diving deep into Perimenopause 101 — what it actually is, when it starts (spoiler: earlier than you think), and why so many women are misdiagnosed with everything from anxiety to ADHD instead of getting real answers about their hormones.I’m breaking down:What perimenopause feels like (beyond hot flashes)When it really starts (hint: often before your doctor thinks it does)10 common conditions women are misdiagnosed with in perimenopauseThe hormone + mental health connectionA powerful stat: Women prescribed HRT between ages 40–64 had a 47% lower suicide rate (2024 National Veteran Suicide Prevention Report)How to track your symptoms and advocate for real supportThis is the episode that finally makes it all click.What you’ll learn: The real signs of perimenopause (even if your period is still regular) Why so many women are told it’s “just anxiety” The role of estrogen, progesterone, and cortisol in mood, sleep, and cognition What labs to ask for (and why symptoms still matter more) How perimenopause affects mental health — and what we can do about itLinks & Resources:Book a free 15-minute discovery call if you're in DE or MD: www.offcoastwellness.comFollow on Instagram, FB & TikTok: @offcoastwellness2024 National Veteran Suicide Prevention Report: https://tinyurl.com/bdby8fem

HRT Q&A – Your Top Questions Answered Ever wonder if hormones could be behind your exhaustion, mood swings, brain fog, or stubborn weight gain? In this episode, I'm answering the 10 most common questions about BHRT — Bioidentical Hormone Replacement Therapy — and clearing up the myths, the fear, and the confusion.We’re breaking down:What BHRT actually is (and what it’s not)Who it’s really for (hint: it’s not just postmenopausal women)What it can help with (sleep, libido, energy... um, yes please)What you should know before startingIf you’re ready to stop feeling dismissed and start feeling empowered, this episode is for you.Listen now and let’s get your hormones good again.If you're in DE or MD you can book a consultation or free discovery call at www.offcoastwellness.comFB, IG, TikTok: @offcoastwellnessSources:North American Menopause Society (NAMS) – Position Statement on Hormone Therapy 2022 International Menopause Society (IMS) – Global Consensus Statement on Menopausal Hormone Therapy 2016 The Women's Health Initiative (WHI) – Outcomes of hormone therapy (reassessed newer interpretations)Functional Medicine approach sources – Institute for Functional Medicine (IFM), practitioner referencesPeer-reviewed studies – Journals like Climacteric, Menopause, and Maturitas on BHRT safety, efficacy, and quality-of-life outcomes

Exhausted? Foggy? Mood swings? No libido? …and your labs are “normal”?It could be time to talk about BHRT — Bioidentical Hormone Replacement Therapy.In this episode, I’m walking you through everything you actually need to know about BHRT in real, human terms — not boring textbook language.We’ll cover:What BHRT really is (and what it’s not)The difference between bioidentical and synthetic hormonesWho it’s for (spoiler: yes, even in your 30s and 40s)What starting BHRT looks likeWhat symptoms it helps — from anxiety to belly weight to brain fogAnd why you don’t have to wait until you’re postmenopausal to get helpThis is the hormone conversation you’ve been waiting for. You’ll walk away feeling informed, empowered, and maybe even a little hopeful.What you’ll learn: The truth about BHRT and cancer risk Whether you might be a candidate (even if you’re “too young”) What to expect if you start BHRT Why you deserve to feel like yourself againLinks & Resources: → Book your free discovery call if you're in DE or MD on my website. → Follow along on instragram, Facebook & TikTok: @offcoastwellness → More info: www.offcoastwellness.com

Think you’re “too young” for hormone shifts? Think again.In this episode, we walk through the full hormone timeline — from your 30s to your 60s — and break down what’s really happening to your hormones at every stage (even if your doctor keeps telling you everything’s fine).This is the episode that will help you finally understand:Why your PMS is getting worse in your 30sWhat perimenopause actually is (and why it can last a decade)Why “menopause” is just one day — and what happens afterWhat symptoms in your 60s could still be hormone-relatedHow to figure out where you are on the timelineIt’s not just educational — it’s empowering. Knowing this can help you stop guessing and start advocating.What you’ll learn: Hormone changes by decade (30s–60s) How to know if you’re in perimenopause The difference between symptoms and what labs show Why understanding the timeline helps you feel less lostLinks & Resources: → Book a free discovery call if you're in DE or MD on my website. → Follow me on Intagram, Facebook & TikTok: @offcoastwellness → Read more or work with me: www.offcoastwellness.com

Mood swings. Brain fog. Zero energy. Crying over toothpaste commercials. If you’ve been wondering what the hell is happening to your body lately… welcome.In this very first episode of You Good, Hormones?, I’m sharing why I created this podcast and what’s actually going on when your body starts feeling unpredictable, unrecognizable, and unmanageable — often for the first time since puberty.We’re talking:The sneaky symptoms of hormone imbalanceWhy “everything looks normal” doesn’t mean you’re fineAn honest look at estrogen, progesterone, testosterone, thyroid, and cortisol (don’t worry — I make it make sense)What to expect from this show each weekWhy it’s time to stop suffering silently and start understanding your bodyThis is the episode that validates all the things no one else is talking about — and makes you feel way less alone.What you’ll learn: Why your symptoms aren’t “just stress” How hormone changes start way earlier than you think What this podcast will give you (and why you need it)Links & Resources: → Book a free 15-min discovery call (if you are in DE or MD) on my website. → Follow on Instagram, Facebook, TikTok: @offcoastwellness → Learn more: www.offcoastwellness.com

A podcast for women who are tired of feeling off — and being told it's all in their head.You’re snapping at your partner, crying over commercials, forgetting words mid-sentence, gaining weight without changing a thing… and somehow your provider says “everything looks normal”?No. Just no.You’re not broken. You’re probably hormonal. And this podcast? Is here to finally make it all make sense.You Good, Hormones? is your new go-to space for real talk on perimenopause, BHRT, brain fog, burnout, weight, libido, menopause, PCOS, endometriosis, PMDD, PMA, PMDD, PMS, and all the messy midlife magic that no one warned you about, PLUS SO MUCH MORE — from a hormone-literate nurse practitioner who gets it.This teaser is just the beginning. Hit follow and come hang with us every week for smart, funny, deeply validating conversations about what’s really going on with your body.Next Wedneday, the first 3 episodes will drop!Because you good, hormones? We’re about to be.www.offcoastwellness.com