menopause weight loss austin tx

Functional Medicine Doctors’ 5 Steps for Menopause Weight Loss

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The Link Between Estrogen, Metabolism & Losing Weight During Menopause

Menopause marks a significant transition in a woman’s life that brings about a myriad of changes, both physical and emotional. Among the most challenging of these menopausal changes is weight gain, particularly around the abdomen, which many women experience during this period.

For women in perimenopause or menopause, this weight gain and belly fat can be extremely frustrating -because neither dieting nor working out seem to help take of the extra pounds. This is because the hormonal changes of menopause are often at the root of a woman’s weight gain in mid-life.

Functional medicine doctor Ruthie Harper, MD in Austin, TX is a medical weight loss expert and menopause specialist who helps patients take a holistic approach to managing the symptoms of menopause – including unwanted weight gain and increased body fat.

In this article, she delves into the intricate relationship between estrogen, metabolism, and weight gain, shedding light on why weight gain occurs during menopause and explaining how you can fight the fat and remain trim and healthy during menopause and beyond.

The Estrogen Weight Loss Connection

One of the most vital hormones influencing a woman’s health is estrogen, specifically estradiol, which is produced by the ovaries. While most women associate estrogen with menstrual cycles and sex, estrogen is not just a reproductive hormone. Rather, estrogen is a master regulator of many bodily functions, particularly those related to metabolism. So, understanding this link between estrogen, menopause and weight gain is essential for any woman navigating the complexities of menopause.

Estrogen, particularly estradiol (E2), plays a pivotal role in a woman’s metabolism. Metabolism encompasses the production, utilization, distribution, and storage of energy in the body—all of which are crucial for maintaining health and supporting reproductive functions. When estradiol levels are optimal, the body efficiently manages energy balance, ensuring that energy intake from food matches the body’s needs. This balance is essential for maintaining a healthy weight and preventing the accumulation of excess fat.

As a woman transition into menopause, her ovaries gradually cease to produce estradiol. This decline in estrogen production disrupts the finely tuned metabolic processes that once kept their bodies in balance. The result is often a shift in how energy is stored, with an increased tendency to store fat, particularly around the abdomen. And this menopausal weight gain is not merely a cosmetic concern – unwanted belly fat also has significant negative implications for a woman’s overall health.

As a side note, interestingly, Polycystic Ovary Syndrome (PCOS) and menopause share a common thread: both conditions involve disruptions in estrogen production. Women with PCOS often struggle with the ovaries’ inability to produce adequate amounts of estradiol. Similarly, during menopause, the ovaries stop producing estradiol altogether. In both cases, the deficiency of this critical hormone leads to metabolic disturbances that can result in significant weight gain that does not respond to diet or exercise.

The Science Behind Menopause Weight Gain

As women approach menopause, they often notice changes in their bodies that are difficult to control. One of the most common complaints from menopausal patients is the accumulation of belly fat, despite maintaining the same diet and exercise routines. Dr. Ruthie Harper is a renowned menopause doctor and estrogen therapy expert in Austin, TX and she assures her patients that this is not your fault! Rather, there is a biological basis for this weight that you cannot seem to lose.

Estradiol is integral to several metabolic functions, including the regulation of appetite, fat distribution, and energy production at the cellular level. It influences the function of mitochondria, the energy factories within cells, ensuring they efficiently convert glucose into energy. Without sufficient estradiol, mitochondria become less efficient, leading to reduced energy expenditure and increased fat storage.

Estradiol also helps regulate the body’s inflammatory response. Inflammation is a natural process that protects the body from harm, but chronic inflammation can lead to a host of health issues, including insulin resistance and weight gain. In other words, estradiol acts as a modulator, turning inflammation on and off as needed. When estradiol levels decline during menopause, this regulation is lost, leading to a state of chronic, low-grade inflammation that promotes fat accumulation, particularly in the abdominal area.

The Different Forms of Estrogen & Menopause Weight Loss

As a medical weight loss expert in Austin, TX, Dr. Ruthie emphasizes the importance of understanding that “estrogen” is not a single hormone. She educates her patients about the three primary forms of estrogen in the human body: estradiol (E2), estrone (E1), and estriol (E3). Each of these hormones has different effects on the body, depending on the receptors they bind to and the tissues in which they are active.

Estradiol (E2) is the most potent form of estrogen and the one most commonly produced by the ovaries in premenopausal women. Estradiol has a balanced effect on the body’s estrogen receptors, regulating a wide range of functions from metabolism to reproductive health. It is the form of estrogen that is most effective at maintaining metabolic health, regulating fat distribution, and controlling inflammation.

Estrone (E1) becomes the dominant form of estrogen during menopause, as estradiol production declines. is primarily produced in fat tissue and has a different effect on the body compared to estradiol. It predominantly binds to alpha receptors, which are associated with pro-inflammatory responses and fat storage. This shift from estradiol to estrone is one of the reasons why menopausal women are more prone to gaining abdominal fat and experiencing increased inflammation.

Estriol (E3) is the weakest of the three estrogens, primarily produced during pregnancy. It has a more limited role in the non-pregnant state, but it can still influence certain bodily functions, particularly in combination with other forms of estrogen.

The transition from estradiol to estrone during menopause is a critical factor in the changes women experience in their metabolism. This shift not only promotes fat storage but also contributes to a state of chronic inflammation, which further exacerbates weight gain and other health issues.

Menopause Weight Loss: Dr. Harper’s Approach

As a leading menopause doctor and medical weight loss expert in Austin, TX, Dr. Ruthie takes a “whole person” approach to treating menopause weight gain. While traditional doctors may just tell menopausal patients to eat less and exercise more, Dr. Harper takes a comprehensive approach to menopause weight loss.

Below is her 5 Step Approach to Menopause weight loss, that includes dietary adjustments, lifestyle modifications, inflammation reduction, and, when appropriate, hormone replacement therapy (HRT) to effectively manage weight and maintain health during menopause.

Step 1. Menopause Weight Loss: Reduce Inflammation

Dr. Harper emphasizes that inflammation is a significant driver of many metabolic issues associated with menopause. To combat this, she recommends focusing on a diet rich in anti-inflammatory foods. These include fruits and vegetables rich in antioxidants, healthy fats like omega-3 fatty acids, whole grains for fiber, and herbs and spices with natural anti-inflammatory properties. Dr. Harper also advises menopausal women to avoid processed foods, which can exacerbate inflammation and contribute to weight gain.

Step 2. Menopause Weight Loss: Phytoestrogens in Your Diet

As an estrogen therapy expert in Austin, TX, Dr. Harper often recommends incorporating phytoestrogens into the diet. These plant compounds can mimic the effects of estrogen in the body. While they are not a substitute for estradiol, they can help alleviate some symptoms of estrogen deficiency and support metabolic health. Dr. Harper suggests including soy products, flaxseeds, pomegranates, and legumes in the diet as good sources of phytoestrogens.

Step 3. Menopause Weight Loss: Strength Training

Maintaining muscle mass is critical for metabolic health, particularly during menopause when muscle loss accelerates. Muscle tissue is a major site for glucose metabolism, and having more muscle can help prevent the excess glucose from being stored as fat.

Engaging in regular strength training exercises, such as weight lifting, resistance band exercises, or bodyweight exercises like yoga, push-ups and squats can help maintain muscle mass. And, strength training not only helps maintain muscle mass but also supports bone health, which can be compromised during menopause.

Step 4. Menopause Weight Loss: Protein Intake

Ensure you are consuming adequate protein during menopause, which is essential for muscle repair and growth.

Aim for high-quality protein sources like lean meats, fish, eggs, dairy, and plant-based proteins like beans and lentils.

Step 5. Menopause Weight Loss: Hormone Replacement Therapy

As a hormone therapy expert in Austin, TX, Dr. Harper knows that bioidentical hormone replacement therapy (BHRT) can be a valuable tool in managing the symptoms of menopause, including weight gain.

BHRT involves supplementing the body with 100% natural, plant-based hormones like estradiol to replace those no longer produced by the ovaries. BHRT can not only help restore metabolic balance to facilitate weight loss, but also reduces the risk of osteoporosis and cardiovascular disease, and alleviates other symptoms of menopause such as hot flashes and mood swings.

Menopause Weight Loss | Austin, TX

Dr. Ruthie Harper, a respected menopause doctor and medical weight loss expert in Austin, TX, emphasizes that menopause is a natural process, but it doesn’t have to mean inevitable weight gain or declining health. By understanding the critical role of estradiol in metabolism and taking proactive steps to maintain hormonal balance during menopause, women can navigate this transition with confidence and without excess weight gain!

If you’re experiencing menopausal symptoms or struggling with weight gain in Austin, TX, Dr. Ruthie Harper is here to help. Her expertise in estrogen therapy and comprehensive approach to menopause management can provide you with the tools and support you need to lose weight and maintain your health and vitality during this important life transition.

Don’t let menopause-related weight gain impact your quality of life. Contact Dr. Harper’s office today to schedule a consultation and take the first step towards a healthier, more balanced you during menopause and for decades to come.

Menopause Weight Loss Doctor | Austin, TX: 512.343.9355

skin tightening anti-aging treatments | austin, tx

Ageless Beauty: Natural Anti-Aging Treatments for Younger Skin

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These Natural Skin Anti-Aging Treatments Turn Back Time!

Life passes by in the blink of an eye, doesn’t it? And the longer we journey through life, the more the quest for youthful, radiant skin becomes a common concern for many women. Estrogen is one of the key components of healthy skin. But unfortunately, estrogen production can start to decline as early as age 21, and then plummets dramatically during perimenopause. So anti-aging skin care takes on new urgency for women during the menopausal transition, when estrogen levels dramatically decrease.

Functional medicine doctor Ruthie Harper, MD in Austin, TX, helps patients maintain youthful skin at every age with a natural, holistic, “whole person” approach, combining hormone health, nutrition, sun protection, hydration, and targeted anti-aging treatments that incorporate the latest and most effective skin rejuvenation technologies.

In this article, renowned Austin, TX anti-aging specialist Dr. Ruthie Harper sets forth the “secrets” to defying aging for radiant skin at any age.

The Role of Estrogen in Skin Anti-Aging

Dr. Ruthie Harper, in Austin, TX is a hormone replacement expert who doesn’t just treat skin issue with superficial, temporary treatments. Instead, she understands the skin aging process. She notes that the first step in achieving timeless beauty is recognizing the pivotal role estrogen plays in skin health. This hormone is crucial for the production of collagen, hyaluronic acid, and ceramides – key components that keep the skin plump, hydrated, and firm.

Estrogen’s influence on skin health extends beyond surface-level effects. It supports blood vessel health, ensuring efficient delivery of oxygen and nutrients to the skin. However, as women transition into menopause, the loss of estrogen leads to significant changes in skin quality. Dr. Harper explains that in the first year after menopause, collagen levels can drop by as much as 30%, resulting in a dramatic decline in skin health and a rapid acceleration of visible aging signs.

For this reason, the first year after menopause brings a dramatic decline in skin health and a rapid acceleration in aging. To achieve timeless beauty and combat aging, it’s essential to understand and actively counteract these changes with targeted skincare, lifestyle choices, and hormone support.

Skin Changes Post-Menopause

As women age and transition into menopause, the ovaries stop producing estrogen, resulting in significant changes in the skin. These include:

  • Decreased Collagen Production: Collagen provides structure and firmness to the skin. Its decline contributes to sagging and wrinkles.
  • Loss of Hydration: The reduction in ceramides and hyaluronic acid leads to drier, less supple skin.
  • Weakened Skin Integrity: The skin becomes thinner and more prone to damage and slower to heal.
  • Fat Loss in the Face: Loss of fat pads in the face leads to hollowing and a more aged appearance.

Understanding these changes is crucial for developing effective skin anti-aging strategies, including the following

Sun Protection: A Key to Skin Anti-Aging

While sunlight is essential for vitamin D production and overall well-being, Dr. Harper cautions that overexposure to ultraviolet (UV) light can accelerate skin aging through a process known as “inflammaging.” This oxidative damage contributes significantly to wrinkles, hyperpigmentation, and the breakdown of collagen.

Sun Exposure and Its Role in Skin Aging: While sunlight is necessary for vitamin D production and overall well-being, overexposure to ultraviolet (UV) light accelerates skin aging through oxidative stress, leading to a condition known as “inflammaging.” This oxidative damage contributes to wrinkles, hyperpigmentation, and the breakdown of collagen.

Practical Sun Protection Tips:

  • Get Sun in Moderation: Expose your skin to sunlight for 15-20 minutes a day to benefit from vitamin D and serotonin production. Beyond that, cover up with a wide-brimmed hat or clothing and using sunscreen.
  • Avoid Sunburns: Burns cause extreme oxidative stress, accelerating aging. Prevent burns by limiting sun exposure during peak hours and using a mineral-based sunblock (zinc oxide or titanium dioxide) on exposed skin.
  • Avoid Chemical Sunscreens: Many chemical sunscreens are toxic and may disrupt hormones. Opt for mineral-based sunblock instead.

Estrogen Replacement & Topical Estrogen for Skin Anti-Aging

Topical Estrogen Therapy: For women in menopause or approaching it, applying topical estrogen, particularly in the form of estriol (a weaker estrogen), can be highly effective in maintaining skin health. This can be compounded with progesterone, vitamin c and other skin enhancing nutrient to enhance the effects. The topical application of estriol helps:

Boost Collagen Production: Strengthening the skin’s structure and reducing the appearance of wrinkles.
Hydrate and Nourish the Skin: Improving moisture levels by stimulating ceramide production.
Promote Healing and Rejuvenation: Encouraging the formation of new blood vessels and tissue growth, which helps repair and revitalize aging skin.

Retinoids and Retinol: Retinoids, including Retin-A, are well-known for their ability to accelerate skin turnover, improve collagen production, and reduce the appearance of fine lines. However, retinoids work best when combined with adequate estrogen levels. When using retinoids, start slowly to avoid irritation and ensure your skin has enough moisture and protection.

Aesthetic Treatments for Skin Anti-Aging

Platelet-Rich Plasma (PRP) and Microneedling: PRP involves using your body’s own platelets, which are rich in growth factors, to promote skin healing and rejuvenation. Radio frequency microneedling creates tiny channels in the skin, allowing PRP to penetrate deeper and stimulate collagen production. When combined with radiofrequency (RF) treatments, the results of PRP can be even more profound, tightening the skin, reducing wrinkles, and enhancing texture and tone.

Botox: Botox temporarily relaxes the muscles responsible for expression lines, such as frown lines and crow’s feet. Regular use can both reduce the severity of wrinkles and prevent these wrinkles from deepening over time.

Dermal Fillers: Hyaluronic acid-based fillers, such as Juvéderm (hyaluronic acid) and Radiesse (calcium hydroxyapatite), can restore lost volume, smooth out wrinkles, and plump areas like the lips and cheeks. Hyaluronic acid is a natural substance found in the body, making it safe and effective for replenishing youthful fullness.

Lifestyle Choices for Skin Anti-Aging

Beautiful skin begins from within. A nutrient-rich diet can greatly impact your skin’s health.

Eat Antioxidant Rich Foods: Emphasize fruits, vegetables, to provide antioxidants that fight oxidative stress.

Hydrate Consistently: Drink plenty of water or herbal teas to maintain skin hydration. Infusing water with lemon or fruit can make hydration more enjoyable.

Gut-Skin Connection: The health of your gut influences your skin. A diet rich in fiber and fermented foods supports a healthy gut microbiome, which in turn promotes radiant, clear skin.

Sufficient exercise and proper sleep are also essential to the bodies ability to build and repair tissue, including the skin.

Exercise: Regular exercise improves circulation, delivering oxygen and nutrients to the skin. It also promotes detoxification through sweat.
Sleep: Adequate sleep allows the skin time to repair and regenerate. Poor sleep can lead to dark circles, dull skin, and accelerated aging.

Advanced Technologies for Skin Anti-Aging

Laser Treatments for Skin Anti-Aging

Lasers can target various skin issues, including pigmentation, redness, and texture irregularities. They work by stimulating collagen production and promoting cell turnover. While effective, some lasers can be expensive and aggressive requiring significant discomfort and downtime.

Intense Pulse Light (IPL) photofacials available at Ruthie Harper, MD in Austin, TX are a highly effective, natural, comfortable and safe form of skincare treatment. This painless skin anti-aging treatment uses light wavelengths to smooth fine lines and wrinkles, and remove irregular pigmentation and photo-damaged skin. IPL photofacials provide a wide variety of benefits for those experiencing signs of aging, with the added benefit of no downtime.

IPL Photofacials use precise amounts of intense pulsed light (IPL) that are then absorbed by the damaged skin. This results in a stimulation that produces collagen to help improve the appearance of aging skin, fine lines, and wrinkles. This also helps improve the appearance of dark pigmentation and age spots, while reducing the size of pores.

Cellular Renewal for Skin Anti-Aging

Platelet Rich Plasma Therapy combined with microneedling is a safe, effective, and natural treatment skin anti-aging treatment available at Ruthie Harper, MD in Austin, TX. This “PRP Facial” stimulates the body’s own healing and repair processes. This provides volume while correcting wrinkles, lines, scars, unwanted pigmentation, stretch marks, and other imperfections almost anywhere on the face or body.

The PRP is obtained from the patient’s own blood and then injected into the treatment area using the advanced SkinPen microneedling system. The natural growth and repair factors in the PRP activate the skin’s rejuvenation and repair mechanisms – plumping and resurfacing skin. And because the the PRP is obtained from the patient’s own blood, it eliminates the risks for allergic or immune reaction or other side effects.

Embracing a Holistic Approach to Skin Anti-Aging

Skin aging is inevitable, but with the right knowledge and tools, you can maintain healthy, vibrant skin at any age. Start early by protecting your skin from sun damage, nourishing it from within, and using effective treatments such as retinoids, topical estrogen, and aesthetic procedures. Remember, a holistic approach that addresses hormone health, nutrition, hydration, and advanced therapies will yield the best results.

Estrogen is fundamental to maintaining your skin’s health, so consider bioidentical hormone replacement therapy as part of your anti-aging strategy and topical estriol for skin health. With science and innovation on your side, you can help preserve the youthful glow of your skin and age beautifully!

Skin Anti-Aging Treatments | Austin, TX

At Ruthie Harper, MD in Austin, TX, we believe that achieving and maintaining younger skin is possible at any age. Our holistic approach to skin anti-aging addresses hormone health, nutrition, hydration, and advanced therapies to yield the best results. Dr. Harper’s expertise in functional medicine and hormone replacement therapy allows her to tailor the most advanced skin anti-aging treatments to each patient’s unique needs.

If you’re ready to embrace a comprehensive approach to skin anti-aging and unlock the secret to ageless beauty, we invite you to schedule a consultation with Dr. Ruthie Harper. Experience the compassionate care and cutting-edge treatments that have made her a leading skin anti-aging expert in Austin, TX.

Don’t let the passage of time dictate your skin’s story – take the first step towards radiant, younger-looking skin today. Contact our office to begin your journey to timeless beauty with Dr. Ruthie Harper’s skin anti-aging treatments!

Skin Anti-Aging Treatments | Austin, TX: 512.343.9355

Hormone Therapy Doctor Austin

Menopause Hormone Therapy: Testosterone is Not Just for Men!

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The Role of Testosterone in Menopause Hormone Therapy

Testosterone is often mistakenly regarded as exclusively a male hormone. But testosterone also plays a crucial role in women’s health throughout their lives, including during menopause. In women, testosterone contributes to maintaining muscle mass, bone density, and cognitive function. It also plays a significant role in libido and sexual drive and enjoyment.

But during menopause, as ovarian function declines, testosterone levels can drop along with declining estrogen and progesterone levels. This decline can lead to symptoms such as decreased sex drive, fatigue, muscle weakness, sleep issues, mood changes, and more. So, managing testosterone levels, in conjunction with other hormones, can be an important part of a comprehensive approach to menopausal health.

As a renowned functional medicine doctor and hormone therapy specialist in Austin, TX, Dr. Ruthie Harper takes a whole-person, individualized approach to menopause hormone therapy – including the careful balancing of testosterone levels.

In this article, Dr. Ruthie educates patients on the importance of testosterone in women’s health – and how to manage it during menopause and beyond for optimal health and vitality at every age.

The Importance of Testosterone in Menopause Hormone Therapy

Testosterone is a steroid hormone derived from cholesterol, just like other steroid hormones. It plays a critical role in many physiological processes and has its own specific set of receptors in the body. These hormones act by binding to receptors, similar to a key fitting into a lock. However, the receptor (“lock”) is not static – and it can change shape over time, affecting how well the hormone works.

Testosterone belongs to a group of hormones called androgens. Although androgens are traditionally associated with male characteristics, they also have significant effects on female physiology. These hormones are responsible for traits like facial hair, body hair, and the growth of pubic and underarm hair. In excess, they can cause acne and hair thinning, known as androgenic alopecia.

Additionally, testosterone is not only essential for its own effects but also serves as a precursor to estradiol, the most potent form of estrogen. In fact, all of the estradiol produced in the body comes from testosterone through a process facilitated by the enzyme aromatase. This conversion process is crucial to understand when considering hormone therapy during menopause.

Testosterone therapy for women requires careful consideration and monitoring, as balanced levels can improve mental, physical, and sexual health. However, excessive levels of testosterone can lead to unwanted side effects. Recognizing the importance of testosterone in women’s health and addressing its balance during menopause can contribute significantly to maintaining overall well-being and quality of life during this transitional period.

Sources of Testosterone & Its Role in Menopause

In women, testosterone comes from three main sources. About 25% of the testosterone in a woman’s body during reproductive years is produced directly by the ovaries. Another 25% is directly produced by the adrenal glands. The remaining 50% comes from the conversion of “precursor androgens”, primarily in fat tissue.

As women age and approach menopause, testosterone production naturally declines due to several factors. The adrenal glands, specifically the zona reticularis, shrink over time, leading to reduced androgen and testosterone production. Contrary to popular belief, the decline in testosterone is not directly related to the cessation of ovulation in menopause. However, it is not uncommon for testosterone levels to fall as levels of estrogen and progesterone levels fall in menopause due to ovarian aging.

Hormone Therapy & Testosterone Balance in Menopause

As a hormone therapy expert in Austin, TX, Dr. Ruthie Harper understands the importance of hormone balance, especially during perimenopause and menopause. During this time, some women may experience relative androgen excess because declining estrogen levels result in lower production of sex hormone-binding globulin (SHBG). This can lead to more “free testosterone” becoming available, potentially causing symptoms of androgen excess.

As part of Dr. Ruthie’s holistic and comprehensive approach to hormone management during menopause, she measures free testosterone and SHBG levels, rather than solely relying on total testosterone levels. This approach provides a more accurate reflection of the amount of active testosterone in the body, which is crucial for effective hormone therapy during menopause.

Tailored Testosterone Therapy in Menopause

In her Austin, TX functional medicine practice, Dr. Ruthie takes a careful and individualized approach to testosterone therapy for menopausal women. While testosterone therapy can be beneficial for some women, it requires very precise and knowledgeable management. Dr. Harper customizes testosterone therapy for each women, tailoring it to the individual’s needs.

It is important to note that there are no commercial testosterone products specifically designed for women. Which is why many traditional doctors simply skip testosterone management altogether! Testosterone must be compounded at a pharmacy with precise dosing to avoid side effects.

Dr. Harper cautions against using testosterone products designed for men, as these can easily lead to overdosing in women. She also advises careful consideration of pellet therapy, which can result in unnaturally high levels of testosterone leading to long-term complications. Instead, Dr. Harper offers a carefully managed approach to testosterone therapy at her Austin, TX functional medicine practice, that takes into account each woman’s unique hormonal profile and symptoms.

The Impact of Testosterone on Quality of Life During Menopause

At her Austin, TX practice, Dr. Ruthie Harper educates her patients on the profound impact testosterone has on several key areas of health during menopause. She explains that testosterone helps maintain bone density, reducing the risk of osteoporosis. It also supports muscle growth and strength, which is essential for overall mobility and physical health as women age. Furthermore, testosterone has positive effects on brain function, including memory and focus, and plays a significant role in maintaining libido and sexual satisfaction.

So, as women get older and go through menopause, it’s important to carefully evaluate their specific testosterone levels – in order to consider hormone replacement if symptoms of deficiency are present. However, this must be done carefully and under the supervision of a knowledgeable hormone therapy specialist like Dr. Harper, who can provide ongoing monitoring of hormone levels and adjust therapy as needed.

Menopause Hormone Therapy | Austin, TX

At her practice in Austin, TX, Dr. Ruthie Harper is committed to helping women navigate the complex world of menopause and hormone therapy. She understands that testosterone is far more than just a “male hormone” – it is vital to women’s health, impacting everything from bone density to cognitive function during and after menopause.

Dr. Harper’s approach to menopause hormone therapy in Austin, TX, is rooted in a deep understanding of the role of hormones in women’s health. She believes that by understanding the role of all hormones in your body – including testosterone – you can make informed decisions about hormone health and partner with her for appropriate hormone testing, treatment, and monitoring.

If you’re experiencing symptoms of menopause or have concerns about your hormone levels, don’t hesitate to seek expert care from Dr. Ruthie Harper and her team in Austin, TX. We are ready to provide you with personalized, comprehensive hormone therapy tailored to your unique needs. Whether through hormone therapy or other natural methods, maintaining balanced testosterone levels can contribute to improved quality of life and better health as you age.

Contact Dr. Harper’s office in Austin, TX today to schedule a consultation – and take the first step towards optimal health during menopause and beyond.

Menopause Hormone Therapy | Austin, TX: 512.343.9355

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Doctor’s Step-by-Step Guide to Managing Menopause Symptoms

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Navigate Menopause with These 10 Steps

Menopause is a significant life transition that every woman experiences, and it comes with a wide array of symptoms from mild to challenging. But the frustrating symptoms of menopause – and its health impacts – do not have to be overwhelming, with proper management.

Dr. Ruthie Harper is a renowned functional medicine doctor in Austin, TX, who has developed a comprehensive approach to managing menopause. With a personalized, compassionate, and natural functional medicine approach, she helps patients navigate the many symptoms and side effects of menopause – so that they can enjoy life with health and vitality at every stage of life.

In this article, Dr. Harper outlines her step-by-step method for successfully addressing both the immediate symptoms and long-term health effects of menopause. By following these steps, women in Austin, TX and beyond can take charge of their health and experience a vibrant, fulfilling life during menopause.

Steps to Managing Menopause

Step 1: Understand Menopause

Dr. Ruthie Harper in Austin, TX, emphasizes that menopause is not just the end of menstruation. It marks the permanent loss of ovarian production of estrogen and progesterone. Estrogen, which Dr. Harper often refers to as the female body’s “Master Hormone,” plays a significant part in regulating metabolism, immune function, mood, cardiovascular health, brain function, and more. So, loss of estrogen affects nearly every organ system, increasing the risk of chronic diseases such as cardiovascular disease, osteoporosis, diabetes, and Alzheimer’s.

The average age of menopause is 51, but the transition, called perimenopause, can begin as early as age 35. During perimenopause, women experience fluctuating hormone levels, which can cause a wide variety of symptoms like hot flashes, mood swings, “brain fog,” weight gain, sleep disturbances, and more.

Understanding this process – and realizing that some or all of your many diverse symptoms may be due to the hormone decline of peri-menopause – is the crucial first step in effectively managing menopause.

Step 2: Monitor Your Health During Menopause

Before beginning any treatment for perimenopause, menopause, and their symptoms, Dr. Harper stresses the importance of assessing your health. At her functional medicine practice in Austin, TX, she discusses the following with her patients:

• Hormone Levels: Test for estrogen, progesterone, and testosterone to understand your hormonal state.

• Inflammation: Measure systemic inflammation, which can worsen post-menopause.

• Heart Health: Check cardiovascular function through an echocardiogram, blood pressure, and cholesterol levels.

• Thyroid Function: The thyroid often becomes less efficient during menopause; testing its function is critical.

• Nutrient Levels: Ensure you’re getting adequate vitamin D, B12, magnesium, and other essential nutrients.

• Toxin Load: Heavy metal testing may help identify and address any detoxification issues.

• Gut Health: Check the gut microbiome and address any signs of leaky gut or dysbiosis.

As a functional medicine doctor, Ruthie Harper, MD knows that a comprehensive health assessment provides a solid foundation for personalized menopause management.

Step 3: Focus on Lifestyle Modifications During Menopause

As a highly respected menopause doctor in Austin, TX, Dr. Harper emphasizes that daily habits have a profound impact on managing menopause and improving long-term health.

She recommends the following lifestyle modifications to alleviate symptoms of perimenopause and menopause and improve patients’ quality of life:

• Nutrition: Focus on a plant-based, fiber-rich diet. Include fruits, vegetables, beans, nuts, and seeds. Avoid inflammatory foods like processed sugar, gluten, dairy, excessive alcohol, seed oils and saturated fats. Incorporate phytoestrogens, such as flaxseeds and organic soy, to support gut health and reduce inflammation.

• Time-Restricted Eating: Practice fasting for 12-14 hours daily by establishing an eating window (e.g., 7:00 AM to 6:00 PM). This helps regulate metabolism and gut health.

• Extended Fasting: Periodic fasting can trigger autophagy, a cellular repair process. The Fasting Mimicking Diet (FMD), such as ProLon, provides the benefits of fasting, without the stress of full fasting.

Dr. Harper finds that these lifestyle modifications can significantly improve menopause symptoms and overall health for her patients in Austin, TX.

Step 4: Circadian Rhythm Support During Menopause

Maintaining a strong circadian rhythm is critical during menopause. Dr. Harper advises patients to:

• Get 15-30 minutes of bright sunlight in the morning to signal your body’s Master Clock.

• Limit exposure to blue light after sunset by using warm lighting and avoiding screens.

• Ensure your bedroom is completely dark to maximize melatonin production and support sleep.

Dr. Harper explains that these practices can help regulate hormone production and improve sleep quality during menopause.

Step 5: Prioritize Sleep During Menopause

Sufficient good quality sleep is essential to manage symptoms and maintain overall health. She recommends aiming for 7-8 hours of sleep each night and suggests:

• Stick to a consistent sleep schedule, keep your bedroom dark and cool, and avoid screens before bed.

• Consider a low dose of melatonin, beginning with 0.5 mg in the evening and increasing to 3 mg as needed, but only under the medical supervision of your doctor or a menopause specialist like Ruthie Harper, MD in Austin, TX.

Step 6: Incorporate Regular Physical Activity During Menopause

As an expert menopause doctor in Austin, TX, Dr. Harper stresses that exercise is crucial for maintaining health and reducing menopause symptoms. She advises:

• Aim for at least 30 minutes of daily physical activity. Start with post-meal walks to improve blood sugar regulation and cardiovascular health.

• Strengthen your muscles, improve your balance, and maintain flexibility through activities like yoga, strength training, and aerobic exercise.

Regular exercise not only helps manage menopause symptoms but also improves overall health and well-being.

Step 7: Manage Stress & Mental Health During Menopause

Menopause can bring mood swings, anxiety, and depression. Dr. Harper encourages patients to manage their mental health with these strategies:

• Incorporate 15-30 minutes of guided imagery, yoga, or meditation each day.

• Work with a mental health professional to manage anxiety and depression through Cognitive Behavioral Therapy (CBT).

• Consider natural therapies like ashwaganda, lavender, and passionflower tea, as well as CBD for mood support.

Dr. Harper believes that addressing mental health is crucial for overall well-being during menopause.

Step 8: Consider Bioidentical Hormone Replacement Therapy (BHRT)

Hormone replacement therapy can relieve the symptoms of menopause, as well as reduce long-term health risks for many patients. However, Dr. Harper stresses that hormone therapy is a personal choice that should be made with the patient’s doctor’s guidance – or under the supervision of a specialized menopause doctor like Ruthie Harper, MD in Austin.

When choosing Hormone Replacement Therapy for menopause, Dr. Harper recommends:

• Choose Bioidentical Hormones: Only use bioidentical hormones (estradiol and natural progesterone), which are chemically identical to the hormones your body naturally produces.

• Avoid Synthetic Hormones: Steer clear of synthetic hormones like Prempro or Provera, which have been linked to increased risks of cancer and cardiovascular disease.

• Individualized Approach: Work closely with a doctor experienced in HRT to tailor hormone therapy to your unique needs.

Step 9: Supplement Wisely for Menopause Relief

Dr. Harper understands that supplements can help fill nutritional gaps and manage menopause symptoms. She suggests considering the following supplements during perimenopause and menopause:

• Core Supplements: Include a multivitamin, vitamin D + K2, magnesium, omega-3, N-Glutathione, and probiotics.

• Heart Health: Consider CoQ10, D-ribose, and nitric oxide enhancers to support cardiovascular function.

• Liver and Gut Health: Use liver supporting supplements like milk thistle and glutamine for gut healing.

Austin, TX menopause doctor Dr. Harper tailors supplement recommendations to each patient’s individualized needs and health status, based on their individual symptoms and the results of comprehensive blood testing that will identify the patient’s unique needs.

Step 10: Foster Relationships & Purpose During Menopause

As a functional medicine menopause doctor in Austin, TX, Dr. Ruthie Harper emphasizes that maintaining strong social connections and a sense of purpose is vital for long-term health. She encourages her patients to engage in activities that bring joy, love, and fulfillment, whether it’s spending time with loved ones, pursuing hobbies, or engaging in meaningful work.

Dr. Harper believes, and clinical research studies have shown, that this social and emotional fulfillment is crucial for navigating the menopause transition successfully.

Menopause Doctor | Austin, TX

Managing menopause is about far more than just temporarily addressing hot flashes, night sweats, and mood swings. By implementing the steps in this comprehensive, “whole person” menopause management plan, women can alleviate the symptoms of menopause, reduce their risk of chronic diseases, and enjoy a vibrant, healthy life for decades to come.

Many doctors just throw dangerous or ineffective pills or synthetic hormones at women during perimenopause or menopause. However, Dr. Ruthie Harper is a respected functional medicine doctor and menopause expert in Austin, TX, who takes an individualized approach to helping woman not only reduce symptoms but live life to the fullest during perimenopause, menopause and for decades to come.

If you’re in the greater Austin, TX, and you are looking for expert guidance on managing menopause, schedule a consultation with Dr. Ruthie Harper. Her comprehensive, personalized approach to perimenopause and menopause care can help you navigate this transition with confidence and vitality. Don’t let menopause symptoms control your life or compromise your health – take the first step towards optimal health and well-being by reaching out to Dr. Harper’s office today.

Menopause Doctor | Austin, TX: 512.343.9355

thyroid doctor austin tx

Are Your Menopause Symptoms Actually a Thyroid Problem?

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The Connection Between Thyroid & Menopause

The thyroid gland, though small and often overlooked, plays a crucial role in regulating nearly every aspect of our body’s functions. The thyroid gland produces hormones that influence metabolism, heart rate, body temperature, digestion, sex drive, and even mood and cognitive function.

A well-functioning thyroid is essential for maintaining energy levels, managing weight, feeling good, and supporting overall health and well-being. However, thyroid problems are often overlooked or misdiagnosed because thyroid symptoms can be subtle or mimic other conditions – including the symptoms most commonly associated with menopause.

Many people – including women in menopause – suffer from undiagnosed thyroid issues, experiencing symptoms like fatigue, weight gain, depression, or cognitive difficulties without realizing the underlying cause. And this oversight is truly a “big deal” as it can lead to prolonged discomfort and very serious potential long-term health complications.

That’s why, as women enter the menopausal transition, thyroid health becomes increasingly important. Dr. Ruthie Harper, a renowned functional medicine doctor and thyroid specialist in Austin, TX, emphasizes the importance of understanding how menopause and thyroid function are interconnected. Recognizing the importance of thyroid health and seeking proper evaluation can be transformative, allowing menopausal women to address the root cause of their symptoms and regain optimal health.

In this article, Austin, TX thyroid specialist and menopause doctor Ruthie Harper, MD educates patients on the key role thyroid hormones play in maintaining overall health during this significant transitional life stage.

Increased Risk of Thyroid Disease During Menopause

As women enter menopause, the incidence of thyroid issues such as hypothyroidism, thyroid cancer, goiters, and autoimmune thyroid conditions (Graves’ disease and Hashimoto’s thyroiditis) increases. The symptoms of menopause and thyroid disease often overlap, making it difficult to distinguish between the two without proper testing.

Symptoms like sleep disturbances, mood changes, weight gain, sluggishness, brain fog, and temperature dysregulation (e.g., feeling chilly) are common in both conditions.

Hypothyroidism is an underactive thyroid that produces too little thyroid hormone. It can present with symptoms such as weight gain, sluggishness, and feeling cold. All of these are symptoms often mistakenly attributed solely to menopause.

Hyperthyroidism refers to an overactive thyroid that produces too much thyroid hormone. It also shares symptoms with menopause, such as night sweats, hot flashes, and mood swings, leading to underdiagnosis.

It’s essential for healthcare providers to recognize the high prevalence of thyroid disease in menopausal women and test for thyroid dysfunction when these symptoms arise.

The Connection Between Thyroid & Menopause

Thyroid function declines with age, affecting metabolism, energy distribution, and brain function. Women are particularly vulnerable to thyroid issues during and after menopause due to the complex interplay between thyroid hormones and sex hormones, especially estrogen.

The thyroid gland has estrogen receptors. When estrogen levels drop during menopause, thyroid function can decline as a direct result. Aging also contributes to reduced thyroid function.

Before menopause, thyroid hormones have receptors on the ovaries and influence reproductive function, including the menstrual cycle and hormone production. Low thyroid hormone levels can even trigger early menopause.

After menopause, reproductive functions stop, but estrogen remains crucial for maintaining optimal thyroid function. Without sufficient estrogen, thyroid hormone production and effectiveness can decline further.

Testing for Thyroid Dysfunction

To accurately diagnose thyroid dysfunction, comprehensive thyroid testing is necessary. Here are the key tests:

1. TSH (Thyroid Stimulating Hormone): A high TSH indicates hypothyroidism (underactive thyroid), while a low TSH indicates hyperthyroidism (overactive thyroid).

2. Free T4 and Free T3: These measure the unbound, active forms of thyroid hormones.

3. Thyroid Antibodies: This can help diagnose autoimmune thyroid disease, especially Hashimoto’s thyroiditis, which becomes more common during menopause.

4. Reverse T3: This test measures a form of thyroid hormone that blocks the action of T3.

Micronutrients & Thyroid Function

Proper thyroid function depends on several key micronutrients, which are essential for thyroid hormone production and conversion from T4 to T3. These include:

  • Iron
  • Zinc
  • Selenium
  • Iodine
  • Copper

Even a deficiency in one of these nutrients can affect thyroid hormone production and conversion, so it’s crucial to assess and optimize micronutrient levels, particularly in women struggling with thyroid issues during menopause.

Menopause, Gut Microbiome & Thyroid Function

The gut microbiome refers to a complex ecosystem of trillions of microorganisms residing in our digestive tract, that plays a crucial role in our overall health and well-being. These bacteria, fungi, viruses, and other microbes aids in digestion, produces essential vitamins, supports our immune system, and even influences our mood and cognitive function through the gut-brain axis.

Menopause causes rapid changes in the gut microbiome, leading to alterations in digestion, micronutrient absorption, and inflammation, which can impact thyroid function. The gut produces vital compounds like vitamins and short-chain fatty acids that influence liver function, brain function, and the autonomic nervous system. Poor gut health and inflammation can directly affect the thyroid, increasing the risk of thyroid dysfunction.

Dr. Ruthie Harper in Austin, TX helps patients nurture a healthy gut microbiome through a balanced diet, lifestyle changes, and supplements as part of her whole-person, functional medicine approach. This can have far-reaching positive effects on thyroid health, menopause management and overall physical and mental health.

Hormone Therapy & Thyroid Function

Natural, biodentical estrogen therapy at Dr. Ruthie Harper in Austin, TX can offer significant benefits for certain women navigating the challenges of menopause. Beyond symptom relief, estrogen therapy also provides long-term health benefits, such as maintaining bone density to reduce the risk of osteoporosis, supporting cardiovascular health, and potentially reducing the risk of certain types of dementia. It can also help maintain skin elasticity and vaginal health.

Estrogen therapy can also be beneficial for menopausal women to support thyroid function by maintaining thyroid hormone receptor activity. However, it’s important to monitor hormone levels carefully, as too much estrogen can suppress thyroid hormone production.

For this reason, estrogen therapy should be personalized and monitored for each woman’s unique individual health profile, blood test results, and risk factors. When properly prescribed and monitored by a healthcare professional, estrogen therapy can be a powerful tool in helping women menopausal maintain their health, vitality, and well-being during and after menopause.

Thyroid Hormone Therapy

As women age, thyroid hormone therapy may be necessary to maintain optimal thyroid function.
However, thyroid hormone replacement is not one-size-fits-all, as many traditional doctors seem to think.
There are many important considerations when personalizing thyroid hormone therapy, especially for menopausal women.

While desiccated thyroid products like Armour Thyroid contain both T3 and T4, Dr. Harper notes that they are generally not recommended because the predetermined amounts of T3 and T4 make it difficult to individually control hormone levels.

Instead, Dr. Harper often recommends bioidentical T4 (Levothyroxine) if the patient’s body converts T4 to T3 as needed. In some cases, T3 supplementation may be necessary for women with hypothyroidism who do not effectively convert T4 to the active hormone T3. Dr. Harper emphasizes that it is crucial to provide T3 directly to support optimal thyroid function in these cases.

Providing T3 as part of hormone replacement therapy can help resolve these symptoms and restore proper metabolic and cellular function, leading to improved overall well-being. It is recommended that T3 be given in a sustained release form to ensure slow constant delivery to patient.

Monitoring Thyroid Therapy

When undergoing thyroid therapy, regular monitoring of TSH, Free T4, and Free T3 levels is crucial to ensure optimal dosing. Overdosing on thyroid hormone can lead to serious complications such as bone loss and heart problems, and under-dosing will leave the patient with all the symptoms of low thyroid function.

Adjustments to any hormone therapy should be made carefully, using blood test monitoring and with close attention to symptoms. Dr. Ruthie Harper in Austin, TX helps patients ensure optimal thyroid health management through a whole-person, functional medicine approach that includes ongoing, individualized thyroid monitoring and treatment.

This can have far-reaching positive effects on a woman’s thyroid health during menopause – improving her overall physical, sexual, emotional, and mental health.

Menopause Thyroid Doctor | Austin, TX

Thyroid health is a crucial aspect of managing menopause and post-menopausal health. With the intricate connection between thyroid hormones, estrogen, and the gut microbiome, understanding the complexity of these systems can help optimize overall well-being. Women experiencing symptoms commonly associated with menopause should be screened for thyroid dysfunction, and treatment should address the root cause of any thyroid issues, whether they are related to hormone levels, micronutrient deficiencies, or gut health.

By addressing these factors holistically, women can achieve better health outcomes during and after menopause.
Dr. Ruthie Harper is a respected thyroid doctor and menopause specialist in Austin, TX, who can thoroughly screen, diagnose and treat the root cause of any thyroid and/or menopause issues, whether they are related to hormone levels, micronutrient deficiencies, or gut health.

If you’re experiencing symptoms commonly associated with menopause, schedule an appointment with Dr. Harper in Austin, TX to be tested for thyroid dysfunction, and other hormonal issues associated with menopause.

Don’t let thyroid issues complicate your menopausal transition. If you’re in Austin, TX, and seeking expert care for menopause and thyroid health, Dr. Ruthie Harper offers a comprehensive, compassionate, holistic approach that can help you achieve better health during menopause and for decades afterwards. Take the first step towards feeling better with optimal thyroid and hormonal health by contacting Dr. Harper’s office today!

Thyroid Doctor | Austin, TX: 512.343.9355

menopause weight gain

Reverse Menopause Weight Gain with Natural Hormone Therapy

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Lose Pounds & Inches with HRT During Menopause!

Are you experiencing weight gain during menopause or perimenopause? If so, you are not alone. Weight gain is one of the most common side-effects of menopause, and many women struggle with how to prevent or stop it. And menopause weight gain isn’t merely a matter of appearance – it marks a significant metabolic change largely due to the loss of critical hormones produced by the ovaries, specifically estradiol and progesterone.

Unfortunately, the weight gained during menopause and perimenopause often takes the form of belly fat, specifically deep “visceral fat”. This unsightly fat not only contributes to emotional distress and a loss of self-esteem, but also increases inflammation in the body which can lead to several serious health concerns.

At the forefront of addressing this issue is Dr. Ruthie Harper, a renowned functional medicine doctor and hormone therapy expert in Austin, TX. Dr. Harper understands that menopause weight gain is not just a cosmetic issue but a significant health concern that can impact a woman’s overall well-being and quality of life.

In this article Austin, TX functional medicine doctor Ruthie Harper, MD explains why menopause weight gain is so difficult to reverse – and she shares how hormone balancing can help you lose weight and get rid of stubborn fat during menopause.

Why Women Gain Weight During Menopause

Weight gain during this period marks a significant metabolic shift, largely due to the loss of critical hormones produced by the ovaries—specifically estradiol and progesterone. Many women begin to notice weight gain alongside other perimenopausal symptoms such as hot flashes, night sweats, mood swings, and irregular menstrual cycles.

In many cases, weight gain isn’t fat alone; it can be fluid retention, too. Unfortunately, many women are not aware of this distinction because they haven’t had a body composition analysis, which is critical for understanding what type of weight is being gained—whether it’s fat, muscle, or fluid.

At our Austin, TX functional medicine practice we provide these very important body composition analyses annually, in addition to thorough hormone testing, to help women maintain a happy, healthy weight  during the perimenopause and menopausal years.

The Role of Hormones in Menopause Weight Gain

The role of hormones in in weight gain during menopause cannot be overstated. Estrogen, particularly in the form of estradiol, plays a key role in regulating metabolic processes. Without enough estradiol, the body may begin to overproduce estrone, which is linked to inflammation and weight gain. This inflammation can lead to insulin resistance, promoting fat storage, especially visceral fat around the internal organs.

Estrogen is actually a family of hormones, including estrone (E1), estradiol (E2), and estriol (E3). Each has different effects on the body, and how hormone replacement therapy (HRT) is administered—whether via creams, oral supplements, or other methods—can affect your body differently.

Estradiol is the preferred form of estrogen for women in perimenopause and menopause, as it plays a key role in regulating metabolic processes. Without enough estradiol, the body may begin to over produce estrone, which is linked to inflammation and weight gain. Inflammation can lead to insulin resistance, which promotes fat storage, especially visceral fat, around the internal organs.

Why Body Composition Matters

However, one of the first steps in understanding weight gain during menopause is to measure body composition. Without this analysis, it is impossible to know if the weight gained and increased belly circumference is from fat, fluid, or muscle loss. Many women experience fluid retention during perimenopause, causing them to feel puffy, uncomfortable, and to experience changes in how their clothes fit.

The body composition test allows you to see what’s really happening: Are you gaining fat or retaining fluid? Is muscle being lost? Where is the fat accumulating? By monitoring these changes, Dr. Harper can help you better understand your body’s response to hormonal shifts and your treatment options like BHRT.

Hormonal Imbalance & Menopause Weight Gain

During perimenopause, the loss of estradiol and progesterone leads to hormonal imbalances, which contribute to weight gain.

Estradiol helps regulate fluid retention, thyroid function, appetite, insulin, and glucose transport—meaning that when estradiol levels drop, these systems may become impaired. The result is weight gain, particularly around the abdomen, due to increased fat storage and muscle loss.

However, often times, even women who are undergoing hormone replacement therapy are not receiving the optimal form, dose, or balance of hormones.

Estradiol & Menopause Weight Management

Balanced estriol levels help prevent weight gain in many ways, including the following:

Thyroid Function: Estradiol interacts with thyroid receptors to help regulate metabolism. Without adequate estradiol, thyroid function can become sluggish, mimicking hypothyroidism, which is associated with weight gain.

Appetite Regulation: Estradiol helps regulate appetite by influencing hormones like leptin, which suppresses appetite, and GLP-1- the active ingredient in Ozempic and semaglutide, which also helps control hunger and insulin sensitivity. Without enough estradiol, women may struggle with cravings and overeating.

Glucose Transport: Estradiol facilitates the transport of glucose into cells for energy. When glucose isn’t properly transported, it lingers in the bloodstream, prompting the pancreas to release more insulin. Excess insulin promotes fat storage, particularly visceral fat, and leads to insulin resistance—a major contributor to weight gain.

Gut Health: Estradiol plays a role in maintaining a healthy gut barrier. When estradiol levels decline, gut health can deteriorate, leading to conditions like leaky gut and dysbiosis (imbalanced gut bacteria). These issues can trigger inflammation, which in turn causes insulin resistance and weight gain.
Mitochondrial Function: Estradiol also supports mitochondrial function. Mitochondria are the energy powerhouses of cells, responsible for burning fat and glucose. Without sufficient estradiol, mitochondrial function suffers, reducing the body’s ability to burn fat for energy. This leads to further weight gain and a reduction in overall energy levels.

The Cycle of Weight Gain & Hormonal Decline

When estrogen levels decline during perimenopause and menopause, it sets off a cascade of metabolic problems that make weight gain almost inevitable. The accumulation of visceral fat promotes inflammation, which leads to insulin resistance. Insulin resistance, in turn, leads to even more fat storage, creating a vicious cycle that is hard to break without intervention.

But the right form of hormone replacement therapy—tailored to your needs—can help break this cycle. With proper HRT, including balanced estradiol and progesterone, women can manage weight gain, maintain muscle mass, and reduce inflammation. Hormone balance is key to ensuring that your body responds positively during this critical time.

Why Menopausal Women Still Gain Weight on HRT

Many women express frustration about gaining weight while on hormone therapy. They wonder, “If hormones are supposed to help me, why is this happening?” The answer lies in the type, route, and dose of hormones being used. Not all hormones are created equal, and how your body processes them matters.

For example, if you’re taking estradiol but it’s being converted into excess estrone, you may experience increased inflammation and weight gain. Estrone, in excess, can be pro-inflammatory, which exacerbates weight problems. While estrone is necessary in small amounts, too much of it can cause metabolic issues. The key is ensuring your body is converting estradiol into estrone in a balanced way.

Functional medicine doctor Ruthie Harper, MD in Austin, TX takes a comprehensive, whole-person approach to hormone testing, diagnosis, and management. This includes thorough blood testing that most traditional doctors and OBGYNs do not take.

Fractionated Estrogens Testing in Menopausal Women

To begin with, Ruthie Harper, MD in Austin, TX measures both estradiol and estrone levels using a test called fractionated estrogens. This test evaluates the levels of estradiol, estrone, and estriol in your body, which helps us implement a tailored plan to balance these hormones effectively.

This is essential because many women are not only receiving estrogen in the wrong form – or through the wrong route – but also in incorrect doses. In addition, they may be converting estradiol to estrone in ways that do not benefit them. Fractionated estrogen testing provides keys and answers and should be performed on every women on HRT.

Why the Estrogen Dose Matters in Menopause

A common issue that women in menopause face is that their doctors prescribe too small a dose of estradiol, which does not provide the anti-inflammatory or metabolic benefits needed during perimenopause and menopause.

Many doctors are still influenced by outdated guidance from the Women’s Health Initiative (WHI) study, which suggested using the smallest dose of estrogen for the shortest time possible. This misunderstanding has led to under-treatment in many cases.

Small amounts of estradiol might not be enough to balance your hormones properly, leaving you with continued symptoms and weight gain. For hormone replacement therapy to be effective, it’s crucial to use the right form of HRT at the right dose and in the right balance. This requires working with a menopause and hormone specialist like Dr. Ruthie Harper in Austin, TX who understands the intricacies of HRT and can prescribe it in a way that benefits your unique needs.

Maintaining Muscle Mass is Crucial in Menopause

During perimenopause, not only do women gain visceral fat, but they also lose muscle mass, which is a common condition called sarcopenia. Most people don’t realize that estradiol also supports muscle health. Muscle is vital for burning fat and sugar, and losing muscle increases the risk of developing insulin resistance and diabetes. Insulin, when not properly regulated, promotes fat production and storage. Therefore, maintaining muscle mass is essential for preventing weight gain and metabolic issues.

In addition to estradiol, androgens such as DHEA and testosterone play a role in muscle maintenance. These hormones are also vital for muscle health and fat metabolism. Dr. Ruthie Harper in Austin, TX takes a holistic approach to monitoring and potentially supplementing androgens when necessary, to help maintain muscle mass and overall metabolic health for women in perimenopause and menopause.

Hormone Therapy, Exercise & Reversing Menopause Weight Gain

The loss of estradiol and progesterone during perimenopause and menopause is directly associated with weight gain, particularly visceral fat, and loss of vital muscle mass. Properly administered hormone therapy can help prevent these effects, and though reversing them can be challenging, it is possible with consistent effort.

Exercise is a vital component in reversing the effects of visceral fat accumulation. While prevention is always the best approach, if you’ve already gained visceral fat, don’t despair—there are ways we can help you to help you lose it. Hormone therapy, when balanced correctly, medication alongside a regular exercise regimen, can help address these issues.

Balancing Progesterone for Menopause Weight Gain

Progesterone plays a crucial role in a woman’s body during perimenopause and menopause, offering a variety of benefits, particularly when used in conjunction with estradiol. One of its key functions is acting as a natural diuretic, helping to counterbalance the fluid retention that often occurs when estradiol is administered alone. By promoting the excretion of excess fluid, progesterone prevents weight gain and prevents women from feeling bloated and uncomfortable from the swelling that sometimes accompanies hormone replacement therapy.

Additionally, progesterone supports mood stabilization, improves sleep quality, and helps protect the uterus from estrogen’s stimulating effects. Together, estradiol and progesterone maintain hormonal balance, enhancing overall well-being during the menopausal transition.

Hormones: Your Best Allies for Menopause Wight Loss

Dr. Ruthie Harper in Austin, TX likes to tell women in menopause that “hormones are not the enemy”. In fact, properly balanced hormones -especially estradiol and progesterone – are your best allies in maintaining a healthy weight, preserving muscle mass, and regulating metabolic processes during menopause and perimenopause. While the media and even some traditional doctors have demonized hormones, they are actually your best buddies in this transitional phase of life.

With the right treatment plan – including natural, customized, hormone replacement therapy, body composition monitoring, and lifestyle changes – women can take control of their weight during menopause and beyond. Addressing hormonal imbalances and inflammation through HRT not only helps manage weight but also supports overall health, energy, and well-being.

By understanding the role of hormones like estradiol, progesterone, and androgens in regulating appetite, metabolism, muscle mass, and fat storage, you can empower yourself with knowledge and make informed decisions about your health that will help you feel better and live a longer and healthier life!

Reverse Menopause Weight Gain | Austin, TX

If you’re struggling with menopause weight gain in it’s crucial to understand that hormones are not your enemy but your allies in maintaining a healthy weight and overall well-being. Dr. Ruthie Harper, in Austin, TX, with her expertise in functional medicine, menopause and hormone therapy, is dedicated to helping women navigate this challenging phase of life.

Don’t let menopause weight gain impact your self-esteem or your health. With the right treatment plan, including personalized hormone replacement therapy, body composition monitoring, and lifestyle changes, you can take control of your weight during menopause and beyond. Dr. Harper’s approach not only helps manage weight but also supports overall health, energy, and well-being.

If you’re ready to reverse menopause weight gain and feel like yourself again, schedule a consultation with Dr. Ruthie Harper in Austin, TX, today. Let her expertise in hormone therapy guide you towards a healthier, more balanced you. Take the first step towards reclaiming your body and your confidence – your journey to wellness begins here!

Menopause Doctor | Austin, TX: 512.343.9355

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Adjust Your Workout Routine After 40 to Build Strength & Muscle

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Are you in your fabulous 40s and feeling like your usual workout routine just isn’t cutting it anymore? Don’t sweat it,  because you’re not alone. Our bodies go through some major changes as we age, and that means the exercise routine that once worked like magic in our 20s and 30s might need a little adjustment. But fear not! There are plenty of ways to tweak your workout regimen and keep that strength and lean muscle well into your 40s and beyond.

Say hello to your new best friend: strength training! As we age, it becomes even more important to hit those weights. Not only does strength training help you build muscle naturally, but it also has a magical effect on your hormone balance.

In this article, Dr. Ruthie Harper, MD, in Austin, TX highlights how strength training can boost the body’s natural anabolic hormones – like testosterone, human growth hormone (HGH), and insulin-like growth factor (IGF-1) – to build muscle and strength after age 40.

Pump Up the Strength Training Volume:

#1. Consistent Strength Training

Aim for two to five sessions of resistance training per week, and don’t forget to mix it up with some cardio, stretching, and active recovery days.

#2. Lower Body Strength Training Workouts

While all resistance training is awesome, let’s give a shout-out to those lower body workouts. Studies have shown that exercises targeting your legs and glutes can have some seriously fabulous benefits.

Not only do lower body workouts make those large muscle groups stronger, but they also stimulate the production of the body’s natural anabolic hormones like testosterone. Plus, they improve hormone balance by enhancing insulin sensitivity and glucose metabolism, while keeping excess cortisol and estrogen in check.

#3.  Progressive Overload Strength Training

Rome wasn’t built in a day, and neither was the ideal body composition. To achieve maximum results, focus on progressive overload. This is all about gradually increasing the challenge in your strength training over time.

Dr. Ruthie Harper, in Austin, TX advises taking it slow and steady. Start with lighter weights and gradually work your way up as you become a muscle-building machine. Mix up your rep schemes and aim for three to five sets of eight to 12 reps per exercise, taking a breather of about two minutes between sets.

#4. Kaatsu Strength Training

One hot trend in the fitness world that’s perfect for those over 40 is Kaatsu training. Kaatsu is all about blood flow restriction training. It involves using bands to restrict blood flow to your muscles during exercise. This technique has been shown to give your muscles a growth and strength boost, even with lighter loads. It’s like a secret weapon for fighting those age-related declines in muscle mass and hormonal changes.

By using Kaatsu cuffs on your upper arms or thighs, you can activate your muscles like never before, leading to increased muscle fiber recruitment and growth. And hey, that’s not all!

Kaatsu training has also been found to improve cardiovascular health, increase endurance, and speed up your post-workout recovery. Kaatsu training shows promise as a time-efficient and effective method for maintaining and building muscle in those of us who are rocking our 40s and beyond.

5. Cardio + Strength Training

While strength training is essential, let’s not forget about variety. Cardiovascular exercise is essential for keeping your heart healthy, boosting your stamina, energizing you throughout the day, and ensuring a good night’s sleep. Mix it up by adding activities like rowing or walking to your routine. Find an exercise that tickles your fancy and commit to it in the long run because consistency is key.

6. Safe Strength Training

We may be fabulous, but let’s face it, we’re a tad more prone to injuries as we age. So, take some precautions and avoid pushing yourself too hard. If you’re new to strength training or want to level up safely, consider investing in personal or small group training. Your body will thank you! And speaking of thanks, show your muscles some love by giving them the rest and recovery they deserve. Adjust the intensity of your workouts as needed, and always listen to your body. Recovery becomes a bit trickier and more time-consuming with age, so make sure to give yourself ample time to rest and recharge those batteries.

Strength Training After Forty | Austin, TX

Adapting your workout routine after 40 is all about maintaining your strength and building lean muscle. Dr. Ruthie Harper in Austin, TX recommends incorporating strength training, giving some extra attention to your lower body, challenging yourself gradually, trying out exciting new trends like Kaatsu training, keeping things fresh with variety, and putting safety and recovery first. And in no time, you’ll be feeling strong and fabulous at any age. So let’s get out there, break a sweat, and show the world that age is just a number!

graves-disease-doctor-austin

Could Your Menopause Symptoms Actually be Graves’ Disease?

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If you are suffering from fatigue, mood swings, weight changes, irregular menstrual cycles, and other common symptoms of menopause, you may actually be a victim of Grave’s Disease.

Grave’s disease is an autoimmune disorder that affects the thyroid gland, leading to an overproduction of thyroid hormones. This condition can cause a variety of symptoms that may be similar to other medical conditions – so it is often mistaken for conditions like menopause or other hormonal imbalances.

According to the National Institutes of Health (NIH), Graves’ disease affects nearly 1 in 100 Americans, or about 5.7 million people. It is the most common cause of hyperthyroidism in the United States, accounting for about 4 out of 5 cases.

In this article thyroid specialist and integrative medicine doctor Ruthie Harper, MD in Austin TX explains the overlap between menopause and Grave’s disease – and explains how you can tell what is causing your symptoms.

Who Gets Grave’s Disease?

Grave’s disease is more common in women than men. The disease typically affects people between the ages of 20 and 50, but it can also occur at any age. Because this age and gender range overlaps with that of menopause, healthcare providers may mistakenly diagnose menopause as the primary cause of symptoms in women approaching their 40s, overlooking the possibility of Grave’s disease.

What Are the Symptoms of Grave’s Disease?

The thyroid is an essential gland that influences almost every function of the body – from reproduction to weight gain, to mood. So, when the body has a disease of the thyroid, such as Grave’s disease, it can cause a wide range of symptoms.

Grave’s disease can cause mood issues and psychological symptoms, including anxiety, irritability, and depression, which are also associated with menopause. These psychological symptoms can further complicate the diagnostic process, as they can be attributed to a wide range of various other factors.

Hyperthyroidism related symptoms of Grave’s disease can include weight loss, increased appetite, rapid or irregular heartbeat (palpitations), and even tremors. While eye-related symptoms may include bulging eyes (exophthalmos), dry or gritty sensation in the eyes, redness, double vision, light sensitivity, and eye pain or pressure.

Some individuals with Graves’ disease may experience skin problems such as swelling or thickening on the front of the lower legs (pretibial myxedema) or a red, raised rash on the shins known as Graves’ dermopathy.

Is It Menopause of Grave’s Disease?

Grave’s disease may also cause many symptoms that overlap with menopause including mood swings, heat intolerance, excessive sweating, and difficulty sleeping. Grave’s disease can also cause irregular or heavy menstrual periods, which can be mistaken as PCOS in younger women and menopause in older women.

Without proper diagnosis, it can be challenging to differentiate between these conditions. As a result, many physicians miss Grave’s disease and simple prescribe menopause treatments – such as estrogen therapy – without doing a full diagnosis.

How to Diagnose Grave’s Disease

To accurately diagnose Grave’s disease, a thyroid specialist like Dr. Ruthie Harper in Austin, TX will perform a thorough medical history review that looks at the ‘big picture,” a physical examination, and order very specific tests. Blood tests that measure levels of thyroid hormones (such as T3 and T4) and thyroid-stimulating hormone (TSH) can help identify the excess production of thyroid hormones associated with Grave’s disease.

In some cases, additional imaging studies or specialized tests, like a thyroid ultrasound or radioactive iodine uptake scan, may be necessary. Radioactive iodine uptake (RAIU) tests measure how much radioactive iodine the thyroid gland absorbs, providing information about its function. Ultrasound or scintigraphy may be performed to evaluate the size, shape, and structure of the thyroid gland.

What Causes Grave’s Disease?

Graves’ disease is an autoimmune disorder – meaning that the patient’s own body mistakes one of its own parts as a foreign invader an attacks it. Like many autoimmune diseases, the exact cause of Graves’ disease is not fully understood. However, it is believed to result from a combination of genetic, environmental, and immunological factors.

Certain risk factors, such as family history of autoimmune disorders, smoking, and high iodine levels, may also increase the likelihood of developing Grave’s disease. Additionally, some recent clinical studies suggest that infections or stress may trigger the onset of Graves’ disease in individuals with a genetic predisposition.

This comes as no surprise to integrative medicine doctors like Dr. Ruthie Harper in Austin, TX who know that diet, stress, and other lifestyle factors contribute to many chronic conditions and diseases.

How Grave’s Disease is Treated

Grave’s disease should always be treated by a thyroid specialist like Dr. Ruthie Harper in Austin, TX. While treatment options for Graves’ disease are aimed at restoring thyroid hormone levels to normal, many physicians will just throw a one-size-fits-all thyroid prescription at the patient.

However, the best choice of treatment should be customized to each patients test results, age, overall health, severity of symptoms, and personal preferences. Dr. Ruthie Harper in Austin, TX provides a comprehensive approach that may combine antithyroid medications, iodine therapy, lifestyle adjustments – and in rare but extreme cases thyroid surgery.

Radioactive iodine therapy should be used extremely sparingly as a last resort. This treatment involves taking a radioactive iodine capsule or liquid that is selectively absorbed by the thyroid gland, leading to the destruction of thyroid cells. Over time, this treatment typically results in hypothyroidism, which then needs to be managed with thyroid hormone replacement therapy.

In other extreme cases, surgical removal of all or a part of the thyroid gland may be recommended, particularly if there are large goiters, or severe eye complications. However, other treatment options should be exhausted first to avoid destruction of the thyroid or invasive surgery if possible.

Grave’s Disease Doctor | Austin, TX

If you are a woman over 40 who is suffering from symptoms that are interfering with your enjoyment of life, it may be menopause – but it may also be Grave’s disease! Integrative medicine thyroid specialist Dr. Ruthie Harper in Austin, TX will conduct a comprehensive evaluation to diagnose and differentiate between conditions like Grave’s disease and menopause. Then she will put in place a customized treatment and management plan that is individualized for you and your symptoms – so you can stop suffering and get your quality of life back!

Grave’s Disease Doctor | Austin, TX: (512) 343-9355

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New Help Losing Weight After Menopause

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Any woman over fifty already knows that as women age and enter menopause, weight loss becomes increasingly difficult. Hormonal changes, slowed metabolism, and decreased physical activity can all contribute to weight gain and difficulty in shedding extra pounds. The added pounds can be frustrating, embarrassing, and significantly affect a woman’s health, self-esteem, and quality of life.

However, new breakthroughs in weight loss for post-menopausal women have recently emerged, offering new hope for those looking to improve their health and lose weight!

In this article, Dr. Ruthie Harper, MD in Austin, TX explains the new technologies available to help post-menopausal women lose weight, so that they can look and feel their best at any age.

How Mitochondria Affect Weight Loss

One of the most promising new breakthroughs in female weight loss is the evaluation of mitochondrial health after menopause.

Mitochondria are the powerhouses of our cells, responsible for producing energy in the form of ATP through the process of cellular respiration. In lay person terms, Mitochondria are tiny organs inside our cells that make the energy our cells need to function. They do this by breaking down food molecules and using the energy to create a molecule called ATP.

ATP stands for adenosine triphosphate. It is a molecule that cells use to store and release energy. ATP is like a battery that cells can use to power their activities. The average cell contains about 100,000 ATP molecules. ATP is a vital molecule for life. Without ATP, cells would not be able to function.

Mitochondria & Weight Loss After Menopause

Since the mitochondria regulate energy use (burning calories), evaluating mitochondrial function can be a useful tool in understanding the root causes of weight gain and difficulty in losing weight.

Mitochondrial dysfunction – poorly functioning mitochondria – has been linked to metabolic disorders, insulin resistance, and obesity.

Here are some ways in which evaluating mitochondrial function can help with weight loss:

1. Identifying underlying health issues: Mitochondrial dysfunction is associated with a range of health issues, including metabolic disorders such as type 2 diabetes and obesity. Evaluating mitochondrial function can help identify if there are underlying health issues that may be contributing to weight gain and difficulty in losing weight.

2. Understanding energy metabolism: Mitochondrial function is essential for energy metabolism and fat oxidation. By evaluating mitochondrial function, we can gain insight into how well our bodies are able to convert food into energy, which is essential for weight loss.

3. Targeting treatments: Understanding mitochondrial function can help identify potential targets for interventions that can improve weight loss outcomes. For example, research has shown that targeting mitochondrial function through exercise and diet interventions can improve metabolic health and aid in weight loss.

4. Personalizing weight loss plans: Evaluating mitochondrial function can help personalize weight loss plans by identifying individual differences in metabolic function. This information can then be used to tailor interventions to the individual’s specific needs, which can lead to more effective weight loss outcomes.

5. Monitoring progress: Monitoring mitochondrial function can be a useful tool for tracking progress in weight loss efforts. Improvements in mitochondrial function can be an indicator of improved metabolic health and weight loss success.

Hormone Therapy for Weight Loss After Menopause

Another breakthrough in weight loss for post-menopausal women is the use of hormone replacement therapy (HRT). Hormone replacement therapy is a treatment that involves replacing the hormones that are lost during menopause. HRT has been shown to help women lose weight and improve their body composition.

In a study conducted by the University of Pittsburgh, women who received HRT lost significantly more body fat than those who did not receive HRT. The study also found that HRT improved bone density and reduced the risk of osteoporosis, a condition that is common in post-menopausal women.

Exercise for Weight Loss After Menopause

In addition to mitochondrial health and HRT, exercise has also been shown to be a key component in weight loss for post-menopausal women. Exercise can help women build muscle mass, which can help increase metabolism and burn more calories. Studies have also shown that exercise can improve insulin sensitivity and reduce inflammation, which can lead to improved overall health.

A study conducted by the University of Alabama found that post-menopausal women who exercised regularly lost more body fat and had a higher percentage of lean muscle mass than those who did not exercise.

Menopause Weight Loss Doctor | Austin, TX

Weight loss can be an extremely challenging and frustrating journey for post-menopausal women. However, with the right approach, it is possible to achieve success and improve overall health.

Dr. Ruthie Harper, MD in Austin, TX explains offers the newest technologies and treatments available to help post-menopausal women lose weight, so that they can look and feel their best at any age!

If you are a post-menopausal woman who is struggling to lose weight, schedule an appointment with Dr. Ruthie Harper, MD in Austin, TX. She will help you take control of your weight loss journey and achieve long-lasting success.

Menopause Weight Loss Doctor | Austin, TX: (512) 343-9355

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BHRT for Natural Menopause Symptom Relief

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Menopause is a natural biological process that marks the end of a woman’s reproductive years. It is characterized by a decrease in the production of the ovarian hormone’s estrogen, progesterone, and testosterone. This decrease in hormone levels can lead to a wide range of symptoms, including hot flashes, night sweats, vaginal dryness, mood swings, sleep disturbances, mid-line weight gain, and a decline in sexual desire. Fortunately, bioidentical hormone replacement therapy (BHRT) can offer relief from these symptoms and improve overall health and quality of life.

What is BHRT?

BHRT (Bioidentical Hormone Replacement Therapy) involves the use of hormones that are structurally identical to the hormones naturally produced by the body. This is in contrast to traditional hormone replacement therapy (HRT), which often uses synthetic hormones that are similar but not identical to natural hormones. BHRT is typically administered in the form of a cream, oral capsule, or under the tongue tablet called a “reditab”.

BHRT should be administered by a qualified and experienced physician with experience in the use of bioidentical hormones. The key to successful use of bioidentical hormones is using the right amounts of hormone replacement in the right balance while carefully following blood levels to determine what is needed for each individual since no two women are alike.

BHRT & Menopause

One of the main benefits of BHRT is its ability to alleviate menopausal symptoms. Studies have shown that BHRT can effectively reduce hot flashes, night sweats, vaginal dryness, and other symptoms associated with menopause. Unlike traditional HRT, which has been linked to an increased risk of breast cancer, BHRT has not been shown to have this association.

Health Benefits of BHRT

In addition to relieving menopausal symptoms, BHRT can also provide a range of other health benefits. For example, BHRT can help to prevent bone loss and reduce the risk of osteoporosis, a condition that causes bones to become brittle and weak. This is because estrogen plays a key role in bone health, and a decrease in estrogen levels during menopause can lead to a loss of bone density. BHRT can help to restore estrogen levels and prevent this bone loss.

BHRT can also improve cardiovascular health by reducing the risk of heart disease. Estrogen has been shown to have a protective effect on the cardiovascular system, and a decrease in estrogen levels during menopause can increase the risk of heart disease. BHRT can help to restore estrogen levels and reduce this risk.

Another benefit of BHRT is its ability to improve cognitive function. Studies have shown that estrogen can help to improve memory, attention, and other cognitive functions, and a decrease in estrogen levels during menopause can lead to cognitive decline. BHRT can help to restore estrogen levels and improve cognitive function while also protecting against neurodegenerative diseases as women age.

BHRT can also improve sexual function by increasing libido and reducing vaginal dryness. A decrease in estrogen levels during menopause can lead to a loss of sexual desire and discomfort during intercourse. BHRT can help to restore estrogen levels and improve sexual function.

Finally, BHRT can help to improve overall quality of life by reducing the physical and emotional symptoms of menopause. By alleviating hot flashes, night sweats, mood swings, and other symptoms, BHRT can help women feel more comfortable and confident during this transitional period of their lives.

Candidates for Menopause BHRT

It is important to note that BHRT is not appropriate for all women. Women with a history of breast cancer, blood clots, or certain other medical conditions may not be good candidates for BHRT. It is also important to work with a qualified physician who can evaluate each individual for the appropriate use of bioidentical hormones and monitor hormone levels and adjust treatment as needed.

Since  bioidentical hormone replacement therapy may not be appropriate for all women, Integrative medicine becomes important as it offers a wide range of natural and complementary therapies that can be used to support hormonal balance and alleviate menopausal symptoms if hormone support is not an option. These therapies may include nutritional supplements, herbal remedies, acupuncture, massage, and mind-body practices such as yoga and meditation. Integrative physicians have training and experience in these therapies and can help you determine which ones may be most effective for you.

Choosing a Menopause Doctor for BHRT

No two women experience menopause in exactly the same way, which is why it’s important to work with an integrative physician who can tailor your treatment plan to your specific needs and preferences. Integrative physicians take a personalized approach to treatment, which means that they will work with you to develop a plan that takes into account your unique medical and family history, lifestyle, and health goals.

Menopause is a natural biological process that can cause a wide range of symptoms and health issues. BHRT can offer relief from these symptoms and provide a range of other health benefits.  If you are experiencing menopausal symptoms or are concerned about your hormone levels, schedule an appointment with Ruthie Harper MD and Tyler Young NP in Austin, TX to see if BHRT may be a good option for you.

Menopause Doctor for BHRT | Austin: (512) 343-9355

Written by Ruthie Harper MD and Tyler Young NP, Integrative Medicine Specialists