You vs. You - The Perimenopause Recalibration
There comes a moment for many women in perimenopause where things start to feel… different.
Your body doesn’t respond the way it used to.
The workouts that once worked suddenly don’t.
The motivation that felt automatic now feels like effort.
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Perimenopause and Weight Gain: What the Latest Research Really Shows
One of the most common things I hear from women in their early-to-mid 40s is this:
“I’m doing the same things I’ve always done, but my body is responding completely differently.”
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Why Intermittent Fasting Often Backfires in Menopause
Intermittent fasting is frequently promoted as a solution for weight gain, metabolic health, and longevity. Many women enter perimenopause or menopause believing that fasting is the next logical step when their body starts responding differently to food.
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Do You Really Need to Track Macros to Lose Weight? A Functional Medicine Perspective
When it comes to weight loss, macro tracking — counting protein, carbohydrates, and fats — is often promoted as the most effective approach. While tracking macros can be helpful for short-term awareness, in my work as a functional medicine practitioner at Denver Holistic Medicine, I’ve found that sustainable weight loss is rarely just about numbers.
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Mitochondrial Health: The Missing Link in Perimenopause & Menopause Hormone Balance
If you’re in perimenopause or menopause and feeling exhausted, foggy, inflamed, gaining weight more easily, or struggling with mood and sleep, you’re not imagining it — and it’s not “just aging.”
One of the most overlooked drivers of hormone symptoms during this transition is mitochondrial health.
At Denver Holistic Medicine, we see this every day: when we support mitochondria, hormone balance becomes far more achievable.
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Understanding Progesterone Resistance in Endometriosis A Functional Medicine Perspective by Dr. Simone Sturm, Denver Holistic Medicine
Endometriosis is far more than a “bad period.” It’s a chronic, hormone-driven, inflammatory condition in which tissue similar to the uterine lining grows outside the uterus. It thrives on estrogen, scar tissue forms, pain develops, and fertility may be challenged. Many women with endometriosis also struggle with what’s called progesterone resistance— a silent but significant barrier to healing.
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Why Do Women Experience Brain Fog and Memory Issues in Perimenopause?
One of the most common concerns women share with me during perimenopause is: “Why can’t I think clearly anymore?” Many describe it as brain fog, forgetfulness, or difficulty concentrating. While frustrating, these changes are not “all in your head”—they have a true physiological basis.
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Why Muscle Mass Matters—Especially for Women
If you’ve ever stepped on a smart scale, hoisted yourself into a DEXA scan—or simply felt concerned after noticing your muscle mass percentage—you’re not alone. Understanding what constitutes a healthy muscle mass for women by age can be transformative, not just for fitness goals, but for lifelong vitality.
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Understanding Estrogen Dominance in Perimenopause
Perimenopause is a time of hormonal shifts and often, confusion. One common imbalance I see in my practice is estrogen dominance, but not always in the way you might expect. Understanding how and why it happens—including the difference between relative and actual estrogen dominance—and how your body metabolizes estrogen via the 2-OH, 4-OH, and 16-OH pathways can empower you to make meaningful changes.
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When Does Perimenopause Really Start?
Many women are told that menopause happens sometime in your 50s and that maybe, just maybe, you’ll get a few hot flashes along the way. But here’s what I see in my practice every day:
Women in their late 30s and 40s feeling like something is “off,” even though their lab results look normal. They’re told to wait. To brush it off. To accept that “this is just what getting older feels like.”
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