Nicole Smith

Can I Use BHRT with a Mirena IUD? A Safer Option for Women with Fibroids and Perimenopause Symptoms

Meet Sarah: She’s 45, juggling work, family, and her changing body. Years ago, she was diagnosed with uterine fibroids and put on birth control pills to manage heavy bleeding. At first, things were manageable. But now, despite still being on birth control, she’s experiencing hot flashes, night sweats, mood swings, low libido, and terrible sleep.

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Overcoming the Fear of Aging

“You’re Too Young to Feel This Old” It hit her while folding laundry.Megan paused mid-sock-roll and caught her reflection—tired eyes, sagging shoulders, a body that once felt strong now wrapped in discomfort.She was only 44. And yet, everything felt… off.The brain fog. The weight gain. The mood swings.More than anything, it was the fear—that this

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The Hidden Cost of Stress in Midlife — and How to Reclaim Your Balance

When Stress Takes the Lead Maria is 45. She’s a mom, a full-time project manager, and the glue that holds her family together. But lately, the cracks are showing. She wakes up already exhausted, her heart races at random times, and she’s been more forgetful than usual. Her clothes feel tighter, she’s constantly snapping at

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Why Your Steps Matter More Than You Think: A Wake-Up Call for Women in Their 40s

She didn’t think much of it at first. A woman in her early 40s, deep into her career, juggling work deadlines, Zoom meetings, and after-school drop-offs, finally glanced at her step counter one day. 3,842 steps.That was her average. Per day.Not one day of hiking or shopping or running errands. That was her everyday normal.

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Why Yoga Is a Game-Changer for Women Over 35: Strength, Stress Relief, and Hormone Support

“I never thought of myself as a ‘yoga person’—until I hit my 40s.” That’s what one of my clients told me after adding just two short yoga sessions to her weekly routine.She’d tried everything to ease her anxiety, reduce joint pain, and improve her sleep. And while strength training and nutrition were part of her

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Sprint Interval Training (SIT): The Best Kept Secret for Boosting Metabolism Over 40

“I don’t have the time or energy to work out every day—and cardio just makes me more tired.”That’s something I hear all the time from my perimenopausal clients.And honestly? They’re right. When your hormones are shifting and your stress is high, the last thing your metabolism needs is more time on the treadmill.What it does

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How to Boost Metabolism in Perimenopause: What Really Works for Women Over 40

“I swear I’m doing everything right—why is my body betraying me?” That’s what one of my patients told me through tears in her first visit. She was eating well, exercising, and cutting back on wine—but the scale was climbing, her energy was tanked, and her belly felt constantly bloated. This story is way more common

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