For 24 years, I’ve cared for women through every stage of hormonal change — puberty, pregnancy, postpartum, perimenopause, menopause, surgical menopause, thyroid issues, adrenal fatigue, PCOS, and the metabolic shifts that come with each of these phases. One thing becomes very clear when you do this work long enough:
When a woman’s hormones are balanced, she feels like herself again.
When they’re not, every part of life becomes heavier.
This is why bioidentical hormone therapy has been one of the most important tools in my practice. Not as a trend, not as “alternative medicine,” but as real, physiological restoration that supports a woman’s brain, heart, bones, metabolism, mood, and long-term health.
Bioidentical hormones are structurally identical to the hormones a woman’s body makes naturally. Because of this, the body recognizes them. The receptors respond predictably. The metabolism processes them the way it was built to.
We aren’t overriding the body — we’re replenishing what’s missing.
And this matters because estrogen, progesterone, and testosterone regulate every single cell in the body.
Your brain, heart, bones, muscles, skin, immune system, gut, and metabolic pathways all have hormone receptors. This is why hormonal changes affect everything from sleep and mood to weight, memory, libido, and energy.
I say this to every patient:
Your hormones are unique to you — your treatment should be too.
In my own family, all three of my sisters are on hormone therapy, but each one is on a completely different regimen because their needs are different. Their biomarkers, symptoms, goals, and medical histories are not the same.
This is why personalized dosing matters. Route of administration matters. Timing matters. Monitoring matters.
Proper bioidentical hormone therapy is customized, thoughtful, and medically supervised. It is not a generic protocol pulled off a template.
The benefits are consistent and meaningful:
Starting estrogen at the right time reduces the risk of Alzheimer’s and cognitive decline by around 40%. Women often describe feeling clear and sharp again after years of foggy thinking.
When started in the first decade of menopause, hormone therapy can lower heart disease risk by up to 50%. It improves cholesterol, reduces inflammation, and stabilizes insulin sensitivity.
Hormones slow the rapid bone loss that happens in early menopause and help maintain muscle mass, balance, and strength — all crucial for healthy aging.
Better sleep. More stable mood. Stronger libido. Easier weight regulation. More consistent energy. These improvements are not cosmetic — they impact daily life.
Hormones do the foundational work, but supplements can make the transition smoother and strengthen overall health. In my practice, I use targeted supplements that support inflammation, metabolic health, detox pathways, brain function, and adrenal balance.
These aren’t random add-ons — they are strategic tools that enhance the benefits of hormone therapy and support stability over time.
I don’t recommend anything I wouldn’t support for my own family.
My mother stayed on hormone therapy when most women her age were told to stop, and today she has the heart, brain, and bone benefits to show for it.
My sister @farinamersi, one of the leading breast cancer surgeons in the country, also uses hormone therapy herself.
All three of my sisters are on personalized regimens.
Even my dog is on compounded thyroid hormones — because hormones matter at every level of physiology.
For far too long, women were told their symptoms were “normal,” “just aging,” or “something to push through.” Many were made to believe hormone therapy was dangerous, when the data simply didn’t support that.
Women deserve real information.
Women deserve individualized care.
Women deserve to feel strong, clear, vibrant, and fully themselves — at every age.
In my practice, bioidentical hormone therapy is approached with:
Precision
Safety
Ongoing monitoring
Deep personal attention
Targeted supplements
A long-term view of healthspan and longevity
When done correctly, bioidentical hormones remain the most effective and life-changing treatment I offer women who want to protect their long-term health and reclaim their quality of life.
Women do not need to settle for feeling exhausted, foggy, irritable, disconnected, or “not themselves.”
Hormones matter — and restoring them thoughtfully changes everything.
