Perimenopause and Menopause, Taken Seriously
Hot flashes, sleep disruption, weight changes, mood shifts, and brain fog are often dismissed as something to simply endure. At Nabella Health, perimenopause and menopause are treated as a life stage worth a real evaluation and a real plan — including hormone replacement therapy (HRT) when appropriate.
Symptoms We Commonly Address
Hot flashes and night sweats
Irregular or heavy periods during perimenopause
Sleep disruption
Brain fog and mood changes
Low libido and vaginal dryness
Our Approach to Perimenopause, Menopause & HRT
Dr. Safdieh evaluates your hormone levels, symptoms, and health history to determine whether HRT or other treatment approaches are appropriate for you individually — there's no single default protocol. As a licensed physician, she can prescribe HRT directly as part of a broader plan that may also include nutrition and lifestyle coaching support.
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Perimenopause can begin years before menopause itself and often involves irregular periods alongside symptoms like sleep changes, mood shifts, and weight changes. A hormone evaluation can help confirm what's happening.
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HRT candidacy depends on your individual health history, symptoms, and risk factors, which is why it's evaluated on a personalized basis with Dr. Safdieh rather than offered as a one-size-fits-all treatment.
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Hormonal shifts during menopause commonly affect metabolism and fat distribution. It's not always fully preventable, but a comprehensive plan — potentially including HRT, nutrition, and coaching — can help manage it.
Frequently Asked Questions
You Don't Have to White-Knuckle Through Menopause
A comprehensive hormone evaluation can clarify what's happening and what your options are.
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