The Journal

Field notes from your physicians.

Writing on hormone health, metabolic medicine, longevity, and what it takes to actually deliver integrated care. New essays as the practice grows.

Hormone health

Why Perimenopause Feels Like a Hormonal Rollercoaster (Because It Is)

If your cycle, sleep, and mood all seem to be doing different things every month, you're not imagining it. Perimenopause isn't a slow, steady decline — it's a swing. Here's what's actually going on, in plain terms.

August 20, 2026

Metabolic medicine

Does Hormone Therapy Make Your GLP-1 Medication Work Even Better?

A 2026 Mayo Clinic study in The Lancet found postmenopausal women who paired hormone therapy with tirzepatide lost 35% more total body weight than women on tirzepatide alone. Here's what that means for you.

August 20, 2026

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