Premenopause is the initial stage among the four stages of menopause. This stage spans a significant portion of a woman’s life, typically lasting about 30-35 years, commencing with the onset of puberty and concluding at the start of perimenopause. It is common for women in the pre-menopause stage to experience premenstrual syndrome (PMS). PMS symptoms, which can include mood swings, bloating, fatigue, and food cravings, typically occur in the week or two leading up to menstruation. During this phase, hormones like estrogen, progesterone, testosterone, cortisol, thyroid hormones, and DHEA generally maintain stable levels.  

1. Estrogen: This primary female sex hormone is produced mainly in the ovaries. It regulates the menstrual cycle, supports reproductive health, and influences other bodily systems. In premenopause, estrogen levels are typically regular and balanced. In perimenopause 
2. Progesterone: Produced in the ovaries following ovulation, progesterone prepares the uterus for pregnancy and helps maintain early pregnancy. In premenopause, progesterone levels rise and fall in a predictable pattern during the menstrual cycle.
3. Testosterone: Although often considered a male hormone, testosterone plays a significant role in women’s health, influencing libido, bone density, and muscle mass. In premenopause, testosterone levels are relatively stable, contributing to overall well-being and sexual health.
4. Cortisol: Known as the stress hormone, cortisol is produced by the adrenal glands. It helps regulate metabolism, reduce inflammation, and manage stress. In premenopause, cortisol levels typically follow a normal diurnal pattern, peaking in the morning and decreasing throughout the day.
5. Thyroid Hormones: These hormones, mainly thyroxine (T4) and triiodothyronine (T3), are produced by the thyroid gland and regulate metabolism. In premenopause, thyroid function is usually stable, contributing to normal metabolic processes.
6. DHEA: Dehydroepiandrosterone, produced by the adrenal glands, serves as a precursor to estrogen and testosterone. In premenopause, DHEA levels are typically at their peak, aiding in the production of these sex hormones and influencing overall vitality and health.

Overall, in premenopause, these hormones work in harmony, contributing to fertility, regular menstrual cycles, and general health and well-being. However, individual experiences can vary based on genetics, lifestyle, and overall health. 

Perimenopause is not caused by aging but happens alongside aging as a sequence of hormonal events and changes. It is the transitional phase leading to menopause, marking the end of a woman’s reproductive years typically starting in a woman’s 40s, but it can start as early as her mid-30s and last anywhere from a few months to several years averaging about four years. Perimenopause ends when a woman has gone 12 consecutive months without a menstrual period, at which point she enters menopause.  

1.   Estrogen Fluctuations:  
   
   
2.   Progesterone Changes: Progesterone levels also decrease during perimenopause. This hormone is primarily produced in the ovaries after ovulation, and as ovulation becomes more irregular and eventually ceases, progesterone production drops. A decrease in progesterone can lead to changes in menstrual cycles, making them heavier, lighter, more or less frequent, and sometimes more painful. 
   
   
3.   Testosterone Variations: The changes in testosterone levels during perimenopause are less dramatic compared to estrogen and progesterone. Testosterone gradually declines with age, and this decline continues through perimenopause and menopause. Although the decrease is more gradual, it can still contribute to changes in libido, mood, energy levels, and body composition. 
   
   
4.   Cortisol Levels: Cortisol, often referred to as the “stress hormone,” is produced by the adrenal glands. In perimenopause, women often face physical and emotional stress due to the changes occurring in their bodies, like irregular periods, sleep disturbances, and mood swings. This increased stress can lead to elevated levels of cortisol. High cortisol levels can further contribute to various symptoms common in perimenopause, such as sleep problems, weight gain, mood fluctuations, and even exacerbate hot flashes. Additionally, the fluctuating levels of estrogen and progesterone during perimenopause can impact the body’s stress response, potentially leading to altered cortisol regulation. 
   
   
5.   Thyroid Function: The thyroid gland, which regulates metabolism, can also be affected during perimenopause. The hormones estrogen and progesterone, which are in flux during this period, interact with thyroid hormones. Changes in estrogen levels, for example, can affect levels of thyroid-binding globulin (TBG), a protein that transports thyroid hormone in the blood. This can lead to variations in the amount of available active thyroid hormone, potentially causing symptoms of either hypothyroidism (such as fatigue, weight gain, and feeling cold) or hyperthyroidism (such as weight loss, heat intolerance, and anxiety). Some women may also experience changes in thyroid function or the onset of thyroid disorders during perimenopause, especially if they have a predisposition or existing thyroid issues. 
   
   
6.   DHEA Declines: As a woman age and approach perimenopause, the production of DHEA begins to decline. Since DHEA contributes to the production of other sex hormones, its decline can influence the overall hormonal balance in the body. Reduced levels of DHEA, can therefore, have indirect effects on the levels and balance of estrogen and testosterone, which are already fluctuating during this stage. Symptoms include decreased energy levels, reduced libido, changes in mood, decreased bone density, loss of muscle mass, and changes in fat distribution.  
   
   

Although hormonal changes are a natural part of the aging process, they can significantly impact a woman’s physical and emotional well-being. Understanding these changes is key to managing the symptoms of perimenopause effectively.  

Menopause is a natural biological process marking the end of a woman’s menstrual cycles, officially diagnosed after 12 months without a period. It typically occurs in women between the ages of 45 and 55, but the onset varies individually. This phase happens as the ovaries gradually cease functioning, leading to decreased levels of hormones. During menopause, the levels of estrogen, progesterone, and testosterone undergo significant changes, which are more pronounced than during perimenopause. 

1.  Estrogen Decline: The most notable change during menopause is the sharp decline in estrogen levels. As the ovaries cease to release eggs, they also reduce the production of estrogen drastically. This hormone has various roles in the body, including regulating menstrual cycles and affecting bone health, skin elasticity, and mood. The reduced levels of estrogen during menopause can lead to symptoms like hot flashes, night sweats, vaginal dryness, mood swings, and increased risk of osteoporosis.
   
   
2. Progesterone Reduction: Like estrogen, progesterone levels also drop significantly during menopause. Since ovulation stops, the production of progesterone (which is released after ovulation in the reproductive cycle) diminishes. This decrease in progesterone contributes to the end of menstrual periods and can also impact mood and sleep patterns. 
   
   
3. Testosterone Levels: Testosterone levels also decline during menopause, but this decrease is more gradual compared to estrogen and progesterone. Even though testosterone is often considered a male hormone, it plays an important role in women’s health, influencing libido, mood, and energy levels. The decline in testosterone can contribute to a reduced sex drive, changes in mood, and alterations in muscle mass and strength. 
   
   
4.   Cortisol Levels: Cortisol, known as the stress hormone, is produced by the adrenal glands. During menopause, the body often experiences increased stress due to the physical and emotional changes associated with this transition. This heightened stress can lead to elevated cortisol levels. High cortisol can disrupt normal bodily functions, contributing to symptoms like sleep disturbances, weight gain, mood swings, and even exacerbating menopausal symptoms like hot flashes. Moreover, as estrogen levels decline during menopause, the body’s ability to regulate cortisol may be affected, since estrogen helps modulate the stress response. 
   
   
5.   Thyroid Function: The thyroid gland, which regulates metabolism, can be impacted during menopause. Fluctuations in estrogen and progesterone can influence thyroid function, as these hormones interact with thyroid hormones. For example, high levels of estrogen can increase levels of thyroid-binding globulin (TBG), a protein that carries thyroid hormone in the blood. This can make less thyroid hormone available for the body’s needs, potentially leading to symptoms of hypothyroidism, such as fatigue, weight gain, and feeling cold. Conversely, lower estrogen levels can lead to the opposite effect. Additionally, menopause can sometimes trigger thyroid disorders, particularly in women who have a predisposition or an existing autoimmune condition. 
   
   
6.   DHEA Decline: By the time a woman reaches menopause, DHEA levels are typically significantly lower than they were in her earlier reproductive years. The decline in DHEA is part of the overall reduction in hormone production associated with menopause. Since DHEA is a precursor to estrogen and testosterone, its reduction can contribute to the lower levels of these hormones. These lower levels may contribute to various physical and psychological symptoms including reduced libido, changes in mood, decrease energy levels, loss of muscle mass, increased fat accumulation and changes in skin texture.  
   
   

The shifts in hormones that occur during menopause can greatly impact different areas of a woman’s health and her overall well-being. Being informed about these possible changes is crucial for women going through menopause. By gaining an understanding and effectively managing these alterations, women can navigate through menopause with greater ease and comfort. 

Post-menopause is the stage in a woman’s life that follows menopause, beginning after she has gone 12 consecutive months without a menstrual period, usually starting in her late 50s or 60s. During post-menopause, the levels of estrogen, progesterone, and testosterone stabilize at lower levels compared to the reproductive years. 

1.  Estrogen Levels: After menopause, estrogen levels remain low. The ovaries have ceased their regular production of estrogen, and the small amount that is still produced comes mainly from other tissues, such as fat cells. This low level of estrogen can have long-term effects on various aspects of health, including an increased risk of osteoporosis, as estrogen plays a critical role in bone density. Women may also experience continued symptoms like vaginal dryness and changes in skin elasticity. 
   
   
2.  Progesterone Levels: Progesterone production is significantly reduced post-menopause. Since ovulation no longer occurs, the ovaries don’t produce this hormone. Low progesterone levels contribute to the cessation of menstrual periods, a defining characteristic of post-menopause. The lack of progesterone also affects other bodily systems, although its postmenopausal role is less prominent compared to estrogen. 
   
   
3.  Testosterone Levels: Testosterone levels also decline gradually as a woman ages, a trend that continues into post-menopause. This decline can be more gradual compared to the sharp drops seen in estrogen and progesterone levels. Lower testosterone levels in postmenopausal women can influence libido, mood, energy, and muscle mass, although individual experiences vary widely. 
   
   
4.  Cortisol Changes: Cortisol, often referred to as the “stress hormone,” is produced by the adrenal glands. Its levels can be impacted by the hormonal shifts occurring during and after menopause. Postmenopausal women may experience changes in their stress response, partly due to the altered hormonal environment. This can sometimes lead to increased cortisol levels, particularly if there is chronic stress. Elevated cortisol can have various health implications, such as disrupted sleep, weight gain, increased blood sugar levels, and a higher risk of cardiovascular diseases. 
   
   
5.  Thyroid Function: The thyroid gland, which regulates metabolism, can also be affected during post-menopause. Fluctuations in estrogen and progesterone levels can influence thyroid function, as these hormones interact with thyroid hormones. Women may experience changes in thyroid hormone levels, which can lead to symptoms like weight gain, fatigue, hair thinning, and changes in body temperature regulation. Some women may develop thyroid disorders such as hypothyroidism or hyperthyroidism during this phase. It’s also notable that autoimmune thyroid conditions, like Hashimoto’s thyroiditis, are more common in postmenopausal women. 
   
   
6.   DHEA Decline: After menopause, the production of DHEA by the adrenal glands further decreases. DHEA is a precursor to both estrogen and testosterone. Therefore, its decline can impact the levels of these hormones which are already reduced in post menopause. 

 
Overall, the hormonal environment of post-menopause is characterized by lower levels of these key hormones. This change impacts various health aspects, from bone density and cardiovascular health to sexual function and skin condition. Understanding these changes can help in managing postmenopausal health and maintaining a good quality of life. 

Are you frustrated with trying multiple diets only to find the weight coming back? You’re not alone. Weight loss is challenging, and it’s not just about counting calories or following the latest diet trends. There’s a lot more to it. Factors like poor sleep, stress, inadequate exercise, or not drinking enough water all play a role. Additionally, health conditions such as thyroid disorders, inflammation, toxins, food allergies, yeast infections, hormonal imbalances, insulin resistance, depression, certain medications, and even genetics can make losing weight more difficult. 

Losing weight involves a combination of diet, physical activity, sleep, and stress management. At TAG Family NP, we understand that each person’s journey is unique. That’s why we tailor our weight loss programs to fit your individual needs. Our comprehensive approach includes health assessments, lab testing, personalized nutrition and exercise guidance, weight loss medications (like Semaglutide and Tirzepatide), peptide therapy, supplements, and even specialized genetic testing if desired. 

With the resources available at TAG Family NP and your dedication, we are committed to helping you take control of your weight and achieve lasting results. 

Peptide therapy brings a range of health benefits. It’s great for regulating hormones, helping to balance and optimize them. If you’re dealing with metabolic syndrome or trying to lose weight, peptides can boost your metabolism, reduce your appetite, and increase fat burning. They also help in heart health by improving blood flow and reducing inflammation. For those experiencing sexual health issues, peptides can enhance libido and performance. Athletes will find them beneficial for better performance and quicker recovery. Additionally, peptide therapy supports cognitive health, aiding in brain function, memory, and protecting against decline. Discover how peptide therapy can enhance your journey to better health with us. 

Benefits of Peptides offered include: 

•   Weight loss  
•   Fat loss 
•   Gut Health 
•   Recovery 
•   Anti-Aging: including improved skin quality, increased muscle mass, enhanced overall vitality 
•   Boost energy wellness 
•   Increase exercise capacity 
•   Abdominal Fat Accumulation 
•   Improved sleep 
•   Joint pain especially related to osteoarthritis and rheumatoid arthritis  
•   NAD enhancement  

•   Stress Management 

TRANSFORM AND GLOW PROGRAM OFFERINGS  

Explore our diverse Transform and Glow program offerings and select the Method that resonates most with your personal goals, ensuring a tailored journey towards your optimal health and well-being. 

 Laboratory tests that might be ordered for your individualized treatment plan 

Explore the Optimization Method, this wellness program is tailored for individuals facing difficult weight loss challenges, hormone imbalance and chronic medical issues like prediabetes, high blood pressure, and elevated cholesterol. Rediscover your true self by addressing concerns such as low libido and low energy levels though our comprehensive and unique 6-month program. Unlike traditional approaches, we offer comprehensive support to ensure your journey to optimal health is guided and successful. Embrace a holistic approach to managing your well-being with the Optimization Method.  

LET’S GET STARTED 

We initiate the process with an in-depth review of your present condition, examining your health history, symptoms, and current medications. Subsequently, we conduct thorough lab assessments, including an evaluation of hormonal well-being and metabolic status. This comprehensive approach allows us to gauge your lifestyle, health problems, biochemical factors, stress levels, nutritional status and that may be hindering your progress along with potential risks of chronic diseases. Additionally, you may need to undergo specialized testing for a more detailed analysis.  

Further laboratory or diagnostic testing may involve specialized examinations when necessary: 

Digestive analysis 

Food sensitivity 

Heavy metal testing 

Indicators that could anticipate potential health concerns: 

Advanced cardiovascular risk factors 

Inflammatory markers 

Genetic markers  

Measurements: 

Body composition analysis (Zozo fit) 

NUTRITIONAL EVALUATION 

Nutrition plays a pivotal role in your journey. While many connect nutrition solely with weight loss, it is equally essential for addressing health issues influenced by diet and digestion. Our approach involves conducting a thorough nutritional assessment and a personalized dietary plan tailored to your needs for the length of the program.  

THE BLUEPRINT 

Upon completion of your comprehensive analysis, we will customize a personalized plan to address your current health issues and symptoms. This encompasses our medical weight loss or specialized nutrition programs, hormone replacement therapy, peptide therapy or vitamins.  

Throughout this process your clinician will be available for follow-up with check-ins to address multiple issues concurrently and adjust your program as needed.   

Periodic labs will be repeated (as needed) to gauge your progress. As your program concludes, we’ll work together to determine an ongoing treatment plan to support you on your continued health journey.  

The Peak Performance Method is a comprehensively crafted 4-month program designed for individuals who prioritize their health and wellness through nutrition and exercise but are seeking additional enhancements. This program offers a range of advanced options, such as Bioidentical Hormone Replacement Therapy, specialized supplements, nutraceuticals, and peptide therapy. We focus on optimizing your mood and metabolism, while also providing valuable insights into potential future health concerns. It serves as your proactive investment in a healthy tomorrow for those dedicated to maintaining their well-being today.   

LET’S GET STARTED 

After comprehensively reviewing your medical history and current fitness practices, we will initiate the process of identifying opportunities to enhance your healthy lifestyle. This involves a thorough discussion about your performance goals and pinpointing areas that can be optimized.  

Further laboratory or diagnostic testing may involve specialized examinations when necessary: 

Food sensitivities 

Exposure to heavy metals 

Advanced cardiovascular risk 

Estrogen metabolism for cancer risk  

Osteoporosis risk through urine bone breakdown markers 

Genomic testing for inherited risk factors 

THE BLUEPRINT 

Upon reviewing your test results and establishing your baseline, we’ll craft a comprehensive personalized plan aimed at optimizing your health. This plan may involve BHRT management, Peptides management, nutraceuticals and/or supplements. Monthly check-ins will be conducted throughout your program, and before its completion, labs will be retested to monitor progress or make necessary adjustments for continued success in achieving Peak Performance.  

Schedule Your Discovery Call

Rediscover balance with the Rejuvenate Method, crafted for individuals encountering common symptoms of hormonal imbalance such as fatigue, night sweats, menstrual issues, weight gain, foggy brain, insomnia, low libido, anxiety, irritability, or depression. Focused solely on hormonal imbalance, this program is dedicated to restoring balance to your hormones, addressing these symptoms and guiding you to feel rejuvenated.  

LET’S GET STARTED 

We will initiate the process with a consultation to discuss your lab findings. Together, we will find symptoms linked to hormonal imbalances and formulate a targeted plan of action for effective treatment.  

LABORATORY ASSESSMENT 

(see chart) 

THE BLUEPRINT 

Monthly check-ins will be conducted to monitor your progress and assess the alleviation of your symptoms. Around 8-12 weeks into the program, an additional set of tests will be ordered to confirm substantial improvements. 

Upon completing the program, you’ll undergo a comprehensive review of your progress with the practitioner. Together, we’ll assess your treatment plan and make any necessary adjustments. A plan will also be formulated to ensure ongoing monitoring of your progress in the future. 

Schedule Your Discovery Call

This tailored 4-month program is specifically crafted for individuals with persistent weight loss challenges, offering a comprehensive approach to intervention and support. Focused exclusively on weight loss, this program is tailored to guide you on a singular path to achieving a healthier, slimmer you. Semaglutide (GLP-1) and Tirzepatide (GLP and GLP-1) stand out as some of the most sought-after weight loss medications, and rightfully so, given their effectiveness in aiding weight loss. However, it’s crucial to note that these medications can generate side effects, and some patients may experience a plateau in their therapy. 

The Revitalize Method proactively addresses these challenges right from the start of your program, minimizing the risk of adverse symptoms and potential roadblocks. Bid farewell to the days of yo-yo dieting as you embark on a program carefully crafted to help you establish the foundation for optimal health. Lay the groundwork for reclaiming your well-being with the Revitalize Method. 

LET’S GET STARTED 

We’ll begin with a thorough analysis of your current state. Utilizing information from your medical history, BMI, and personal goals, you’ll undergo a series of laboratory tests to evaluate your current metabolic state and nutritional status.  

LABORATORY ASSESSMENT 

(see chart) 

May be able to utilize your annual labs if drawn within the last 3-6 months. 

NUTRITIONAL EVALUATION 

We’ll engage in a conversation about the appropriate diet, nutrition, and hydration program tailored for your use of GLP or GLP-1 therapy. This discussion will establish the foundation for your ongoing success in your weight loss journey.  

THE BLUEPRINT 

We’ll assess your test results, addressing any deficiencies crucial for successful outcomes. Together, we’ll establish the groundwork for your weight loss program, encompassing appropriate medication, supplements, nutrition, and exercise recommendations. Monthly check-ins to assess your status will be conducted throughout your program. Lab retesting in the third month will evaluate your health status. As the program concludes, we’ll explore additional avenues for optimizing your health and sustaining your weight loss success.  

Hormone Hotty is a four-month program designed to tackle sexual wellness, vaginal dryness, painful sex, and loss of libido. Following this comprehensive course, you’ll transition into a tailored maintenance routine to sustain and improve your results. 

LET’S GET STARTED: 

Your journey begins with an initial telehealth consultation, a crucial step in understanding your unique challenges and setting a personalized path forward. 

LABORATORY ASSESSMENT 

We conduct a thorough laboratory assessment to pinpoint the underlying causes of erectile dysfunction and/or premature ejaculation. This analysis is key to formulating an effective treatment plan. 

THE BLUEPRINT 

Our approach is highly individualized. After analyzing your test results and identifying any deficiencies, we craft a personal plan for your sexual wellness. This plan includes a blend of medication, supplements, nutrition, and lifestyle changes. Monthly check-ins allow us to monitor progress and make adjustments as needed. At the three-month mark, we retest to gauge your health improvements. As the program wraps up, we explore further strategies to optimize your health and maintain your sexual wellness.