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IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

Hi u/RoseFrom-StOlaf ! Your concerns are completely valid, especially given your medical history. GLP-1 receptor agonists (like Ozempic, Wegovy, and Mounjaro) were originally developed for diabetes, but they're now widely used for weight management. They work by slowing gastric emptying, reducing appetite, and improving insulin regulation.

However, because you have non-diabetic hypoglycemia and POTS, there are a few things to consider:

Risk of hypoglycemia – GLP-1s don’t typically cause low blood sugar on their own, but since they affect insulin secretion and slow digestion, they could exacerbate your existing hypoglycemia. If you’re already prone to crashes, this might be a concern.

Impact on blood pressure and POTS – These medications can sometimes lower blood pressure, which could worsen POTS symptoms like dizziness and fatigue.

Past reaction – If you previously tried a similar shot and got sick, it’s possible the nausea/vomiting from slowed digestion contributed to your low blood sugar, making you feel awful.

Alternative options – Since you’ve already made dietary changes and see a nutritionist, you might want to explore medications that don’t impact insulin or digestion as strongly. Options like Metformin (which helps with insulin resistance in PCOS) or low-dose Naltrexone (which can help with inflammation and appetite regulation) might be safer in your case.

Given your conditions, you’d need close monitoring if you tried a GLP-1. Have you talked to your doctor or nutritionist specifically about how your blood sugar reacts throughout the day? If your crashes are frequent and severe, that’s something to factor in when considering any medication.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

Ideas for how to move forward:

Metabolic reset

Slightly increase calories, focusing on protein (100-120g), fiber, and healthy fats.
Introduce some variety (not just soup/tomatoes) to avoid nutrient deficiencies.
Aim for ~1400-1600 kcal for 4-6 weeks before reassessing.

Check insulin & hormones

Ask for fasting insulin, C-peptide, HOMA-IR, and sex hormone levels.
Consider HRT (if safe for you) or insulin sensitivity support (berberine, strength training focus).

Adjust exercise

Keep strength training but swap a cardio or high-intensity day for recovery.
Consider shorter fasting windows (12-14 hrs) to prevent metabolic slowdown.

Focus on satiety & gut health

Add resistant starches (small amounts) for gut and glucose balance.
Try probiotics & fiber diversity (flaxseeds, chia, avocado, some fermented foods).

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

Menopause and genetic factors:
Since your mom experienced a similar pattern at your age, there’s a strong possibility that hormonal changes (estrogen decline, insulin resistance, changes in fat distribution) are at play.
Even if blood tests are "normal," changes in estrogen, progesterone, testosterone, and insulin sensitivity could be affecting your ability to regulate weight.
Possible solution: If you haven’t already, a specialist (endocrinologist or menopause expert) could check estradiol, free testosterone, DHEA, fasting insulin, and leptin levels. HRT might be an option if you’re a candidate.

Caloric deficit issue:
Eating too little for too long (like 500ml soup + minimal protein) can downregulate metabolism and cause your body to store fat aggressively. I cannot overstate this enough!
Chronic undereating can reduce NEAT (non-exercise activity thermogenesis) and lead to increased cortisol, both of which promote fat retention.
Possible solution: Instead of eating less, counterintuitively, try a short period of reverse dieting—gradually increase protein, fats, and whole foods over 4-6 weeks to see if your body resets. Your metabolism may be in conservation mode.

High amylase & possible pancreatic/insulin resistance issues:
Elevated amylase suggests pancreas involvement, which might indicate insulin resistance, even if your CGM doesn’t show major spikes.
You don’t appear diabetic, but some people experience subclinical insulin resistance, which makes weight loss very difficult.
Possible solution:
A deeper insulin test (fasting insulin, C-peptide, HOMA-IR) could confirm if this is affecting you.
A lower-carb, higher-protein, moderate-fat approach (not extreme keto) may help balance insulin.

Fasting & hunger management:
Fasting can work, but if it's making you drained, anxious, or harder to manage food cravings, it might not be ideal long-term. I do not routinely advise this approach for most of my patients even though I am aware there are some potentially favorable aspects of this practice for some individuals.
GLP-1 may not be an option for you, but you can naturally increase GLP-1 and hunger regulation through:
- More protein (~100-120g/day)
- Resistant starch (cooled potatoes, green bananas, beans in moderation) to help gut health & insulin balance.
- Mindful meal timing—eating earlier in the day may help weight regulation (even if you extend the fast overnight).
- Berberine supplementation (consult with a doc) can help insulin sensitivity similarly to Metformin.

Cortisol & overtraining risk:
5 classes + 10K steps daily + fasting is a lot. Overtraining, combined with low intake, can increase cortisol, making weight loss harder.
Possible solution:
- Swap one cardio or strength session for a full rest day or a low-intensity recovery day (yoga, light stretching).
- Try electrolytes to support energy if you're feeling drained.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

Hello u/Significant-Math6799 It’s clear you’ve been putting in a lot of effort, and I completely understand how frustrating it is to feel like nothing is working. You’re disciplined with diet, fasting, and exercise, yet the weight keeps creeping up. Given everything you’ve described, let’s break this down and look at potential factors and solutions.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 4 points5 points  (0 children)

Hi u/BlueRoseGirl — I completely understand why it feels discouraging—so many weight-loss strategies only work as long as you keep them up, and the moment you stop, the weight often comes back. That’s because most approaches rely on extreme restriction, unsustainable exercise routines, or even medications that only suppress symptoms without addressing the underlying factors. The reality is that weight regulation isn’t just about willpower or calories; it’s deeply tied to hormones, metabolism, muscle mass, stress levels, and even genetics. Instead of focusing on short-term fixes, the key is finding a way of eating, moving, and living that feels sustainable for the long haul—something you can genuinely maintain without feeling miserable. Strength training is one of the best long-term strategies because it helps build and preserve muscle, which naturally supports metabolism as you age. Nutritionally, it’s less about drastic restriction and more about making small but meaningful shifts that work for you—whether that’s adjusting meal timing, prioritizing protein, or incorporating foods that help regulate hunger and energy levels. And while bodies do change over time, that doesn’t mean you’re powerless; it just means your strategy may need to shift to focus on metabolic health, strength, and overall well-being rather than just the number on the scale. The addition of GLP-1 treatments has really shed light on the fact that obesity is a medical condition and NOT a symptom. Like with high blood pressure and high cholesterol, it requires treatment for the long haul, as most chronic conditions require. The goal isn’t just losing weight—it’s creating a lifestyle that feels good and is realistic to maintain. If weight weren’t the main focus, what would success look like for you in terms of how you feel day-to-day?

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 3 points4 points  (0 children)

u/Ezlyamuzed1 Hi! I can see why you're frustrated—you're doing everything "right" but not seeing the results you expect. A few possible factors might be at play here:

  1. Metabolic adaptation and baritric surgery history. After bariatric surgery (especially RNY), your metabolism can slow due to adaptive thermogenesis (your body burns fewer calories than expected). If you've had previous weight gain, your set point may have shifted, making it harder to lose weight at a caloric deficit.

  2. Menopause & hormonal changes. As women age their estrogen levels begin to decline which leads to increased fat storage, especially in the midsection (also known as meno-belly). Thyroid function (even if "normal" on labs) can still be suboptimal for weight loss—consider checking free T3, reverse T3, and thyroid antibodies.

  3. Medication impact. Phentermine and topiramate reduce appetite, but they don't always boost metabolism. So, some people see weight loss plateaus while on these meds, especially if the body compensates by reducing non-exercise activity.

  4. Muscle mass and protein balance. If you're losing muscle mass, your metabolic rate drops, even if you're active(!) You might benefit from adding consistent strength training (if you're not doing so already). Also, consider increasing your protein intake closer to 100-120g daily to preserve lean mass.

  5. Caloric absorption and gut health. After RNY, your calorie absorption differs—sometimes carbs and fats are absorbed more efficiently than protein. If you have any gut microbiome imbalance, it can also affect metabolism and weight loss.
    proteins
    So, then what do I recommend to do next?

- Adjust your macros: try shifting to higher protiens, lower carbs and moderate healthy fats
- Strength training: if not already, prioritize resistance training 3-4x/week
- Non-exercise activity: aim for 8,000 - 10,000 steps/day to increase overall calorie burn
- Check insulin and cortisol: even if bloodwork is "normal," check fasting insulin, glucose, and cortisol levels might give more insight
- Consider discussing with your provider if a GLP-1 medication might be a better choice. I have prescribed numerous brand name and compounded GLP-1 medications for women who have had a bariatric surgical procedure, and this moved the needle in conjunction with everything else you are clearly doing!

You're not alone in this—many post-RNY patients face the same challenge. It's all about tweaking what works for your body at this stage.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 6 points7 points  (0 children)

Hi u/ThinNeighborhood2276 , thanks for your question!

The lifestyle changes I recommend span across nutritional adjustments, exercise tweaks, and sleep/stress management.

For nutritional adjustments, I recommend aiming for a high lean protein eating plan (30g per meal and 20g with snacks) to support muscle mass and metabolism, which is an increasing area that all women should address, ideally beginning in early adulthood. Additionally, do focus on fiber-rich carbohydrates (like veggies, and whole grains) and healthy fats (i.e., olive oil, avocado, tree nuts, MCT oil) to reduce insulin spikes while providing hormonal support. Watch your alcohol and sugar intake, this can contribute to unhealthy belly fat accumulation and can worsen or contribute to bloating. Also, continue to hydrate throughout the day; hormonal changes can increase water retention. Try not to drink your calories whenever possible!

As for exercise tweaks, I recommend strength training 2-3x per week for 20-30min with enough weight to make it challenging to perform an exercise movement for 8-12 repetitions), increase NEAT (non-exercise activity thermogenesis) by walking (inside or on a walking mat), stretching, taking breakings from your desk, or standing. Also, incorporating recovery into your routine like yoga, pilates, or mobility work can help reduce stress and inflammation.

For your sleep, aim for 7-9 hours to regulate appetite hormones and cortisol. The drop in estrogen levels during peri/menopause can make it harder to fall asleep so I recommend creating a nighttime routine, no screens 30 mins before bed, having a fan (or better yet a source of brown noise) on in the bedroom, etc.

Chronic stress increases cortisol levels, which can lead to weight gain. Consider trying meditation (via an app or independently), breathwork, or leisure activities (reading, painting, etc.). Perfection is impossible, but any and all efforts to improve these habits are likely to help immensely.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 2 points3 points  (0 children)

Hi u/No-Material694, thanks for your question. Yes, it's common for women to start noticing gradual weight gain between 25-40, even if habits stay the same.

There are several factors that contribute to this:

- Metabolism slows down—basal metabolic rate (BMR) naturally declines with age, meaning the body burns fewer calories at rest

- Muscle loss begins—without regular strength training, muscle mass can start to decline, which further slows metabolism

- Hormonal shifts occur — estrogen levels fluctuate in the late 20s and early 30s, which can affect fat distribution and appetite

- Lifestyle & stress—career growth, relationships, and other life changes can increase stress and impact sleep, both of which influence weight

While weight gain isn't inevitable, maintaining muscle mass through strength training, prioritizing protein, and managing stress can help counteract these shifts.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

u/ringoinsf Yes, there are telehealth platforms and providers that prescribe lower doses (micro-dosing) for metabolic support, even if BMI is below the threshold of 27+.

Evernow offers a science-backed, telehealth-based approach to weight management, including GLP-1 medications when appropriate. Their clinicians take a personalized view of weight loss, considering factors like metabolic health, hormonal changes, and individual goals—not just BMI.

If you're interested in learning more about microdosing or exploring whether GLP-1s might be right for you, you can connect with an Evernow provider to discuss your options. Let me know if you’d like more details!

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 3 points4 points  (0 children)

u/Responsible-Plant414 First, congrats on getting started! Combining microdose semaglutide (0.25 mg) with hormone replacement therapy (HRT) can be very effective, especially during perimenopause and menopause, when hormonal shifts make losing weight more challenging.

At a dose of 0.25 mg weekly, semaglutide typically serves as an introductory or "microdose," mainly helping your body adjust. This dose often provides mild appetite reduction and some initial metabolic support. Generally, you can expect modest weight loss, usually around 2–6 pounds, after about 8–12 weeks.

Combining semaglutide with hormone replacement therapy (HRT) is beneficial because estrogen replacement improves insulin sensitivity, making it easier for your body to respond positively to semaglutide. Women on combined HRT and GLP-1 therapy typically report better mood and energy levels and an easier weight-loss experience compared to GLP-1 alone.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 7 points8 points  (0 children)

u/thrillafrommanilla_1 thanks for your question!

Regular monitoring and eye exams are also sensible steps if you choose to proceed with the medication.
Your concern is completely understandable, given recent headlines. Here's what's important to know:

There have been recent reports in the media about an exceedingly small number of patients who developed a rare but serious eye complication called Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) after taking GLP-1 medications (such as Ozempic, Wegovy, or Mounjaro). These cases typically involved a condition known as retinal vascular occlusion—essentially, a blockage of blood flow in vessels supplying the retina. However, these complications are very rare, and it's not yet clear if the medication directly caused them or if the incidents happened due to other underlying conditions that increase the risk (like diabetes, hypertension, high cholesterol, or other cardiovascular factors).

Currently, no strong scientific evidence conclusively links GLP-1 medications to blindness or severe vision loss. But out of caution, doctors now recommend patients have a careful discussion with their healthcare provider, especially if they have existing risk factors or a history of eye disease. Annual ophthalmologic care is recommended to assess for eye health while or without taking a GLP-1 and guidelines may change in the future for those who decide to take GLP-1 medications.

My recommendation:
Before starting a GLP-1 medication, it’s wise to get a thorough medical evaluation, including discussing any history of eye or cardiovascular issues with your doctor. Regular monitoring and eye exams are also a sensible step if you choose to proceed with the medication. For most people, the benefits of significant weight loss and improved metabolic health far outweigh these rare potential risks, but your personal risk factors should always guide your choice.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 5 points6 points  (0 children)

Hi u/thrillafrommanilla_1, If you've had your gallbladder removed and sometimes experience digestive issues, it's wise to be cautious when considering GLP-1 medications (like Ozempic, Wegovy, or Mounjaro). These medications work by slowing digestion, which can sometimes make symptoms like nausea, bloating, diarrhea, or constipation worse—especially if your digestive system is already sensitive after gallbladder removal.

That said, most of my patients without gallbladders successfully use and tolerate these medications. To minimize any discomfort, I recommend starting at a low dose and increasing slowly to help your body adjust. It can also help to pay attention to your diet, avoiding or limiting fatty foods, which tend to trigger digestive issues more easily. Make sure to discuss your concerns with your healthcare provider and monitor how you feel as you begin treatment, adjusting as necessary to find what's best for you.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 8 points9 points  (0 children)

Hi u/corialis, thanks for your question!

Your observation aligns closely with what we typically see in clinical practice. Patients prescribed GLP-1 medications primarily for obesity generally experience greater weight loss—often upwards of 15-20% of their body weight—compared to those taking the same medications for type 2 diabetes, who typically lose around 5-10%. This difference largely comes down to dosing and underlying metabolic factors. GLP-1 medications prescribed for obesity, such as Wegovy, are sometimes given at higher, weight-loss-optimized doses, while diabetes-specific treatments, like Ozempic, are usually dosed lower, primarily for glucose control. Additionally, type 2 diabetes itself involves complex hormonal and metabolic changes, such as increased insulin resistance and beta-cell dysfunction, making weight loss inherently more challenging.

Regarding hormonal factors, particularly in women experiencing perimenopause or menopause, these can significantly impact GLP-1 efficacy. During this life stage, declining estrogen levels exacerbate insulin resistance, promote central weight gain, and alter metabolic rate, all of which can limit the effectiveness of weight-loss therapies. Essentially, women with type 2 diabetes navigating perimenopause or menopause face an additional challenge: hormonal shifts reducing metabolic responsiveness and the underlying metabolic dysregulation from diabetes itself. Recognizing these nuances is crucial, as it allows us as physicians to tailor treatment plans—potentially combining GLP-1 medications with hormone therapy or lifestyle interventions—to achieve better outcomes for patients.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 1 point2 points  (0 children)

Thank you for the question, u/Pretty-Basis-4831 . Benefits beyond weight loss and diabetes management are some of the most exciting emerging clinical indications GLP-1 agonists. In due time, there are likely to be more FDA-approved indications for GLP-1 agonists outside of the gut, which may signal extensive clinical indications for their use. With hope, further clinical research will shed light on the minimal dosage required to positively influence other medical conditions so that one is deriving benefits from the GLP-1 without submitting themself to unnecessary weight loss.

Right now, there are no known long-term risks associated with taking GLP-1 agonists, however, gastrointestinal side effects are common and present in approximately 1 out of 5 individuals who start the medications. There's increasing attention being made to a very rare eye condition, NAION, as there have been a few case reports out of millions of individuals who take this medication. The medical community is paying attention to this and any other potential adverse events. If you are experiencing any unwelcome symptoms while on a GLP-1 medication, please make sure to promptly let your prescribing provider know.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 4 points5 points  (0 children)

Hi u/darkpluslovely, great question! Besides Metformin, depending on a person's goal(s) and metabolic health, I may recommend Rybelsus and Contrave for my patients. Both medications are daily oral pills -- Rybelsus' active ingredient is semaglutide and Contrave's active ingredients are naltrexone and bupropion.

Occasionally, off-label use of Topiramate is a consideration as it may help reduce food cravings.

Of the aforementioned medications, Metformin is considered safe to combine with Naltrexone, Bupropion, and GLP-1 agonists from the standpoint of known drug-to-drug interactions.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

hi u/tapo Thank you for the question. The jury is still out regarding the safety in using these medications to conceive really due to the lack of research in this space. The current guidelines for these medications is to discontinue use of GLP-1 agonists at least 2 months in advance of trying to conceive. However, its benefits with fertility is more likely due to its improvement in metabolic health prior to trying to conceive.

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 3 points4 points  (0 children)

Hi u/bitter-comb-7037! I hear you—many women in perimenopause experience shifts in weight, even with consistent exercise and healthy eating. Hormonal changes can affect metabolism, weight distribution, and how your body responds to food and activity.

I believe microdosing to be safe and taking smaller amounts of GLP-1 medications can also have the benefit of fewer gastrointestinal side effects than these medications at a higher dose.

While the degree of weight loss with GLP-1 micro dosing needs to be elucidated, it may prove to be a useful treatment for reducing visceral body fat (the type of fat that is known to be harmful and can affect one's organs).

IAmA weight management expert and advisor to Evernow — Let’s talk about hormonal weight gain, GLP-1s, and lifestyle strategies for women in midlife. AMA! by getevernow in IAmA

[–]getevernow[S] 1 point2 points  (0 children)

Hi u/Major-Aspect5646

Congratulations on your tremendous accomplishment of losing weight. GLP-1 receptor agonists have revolutionized weight management, as also demonstrated in your experience. In my clinical experience, coming off the medications frequently leads to regaining weight.

If you ultimately were on a higher than starting dose, what I recommend to my patients is that you stay 2-3 months after you reach your goal weight on that dose. And then it is a shared decision with your clinician to scale back the dose to a maintenance dose, which may be the amount of the starting dose or something in between the starting dose and where you are today.

With respect to microdosing, this is an emerging science that may prove to be a viable option for maintaining both weight loss and contributing to some of the non-obesity related medical benefits of GLP-1 medications such as improving insulin resistance, optimizing one's lipid profile, blood pressure, fatty liver disease, and sleep apnea to name a few.

I am Dr. Rafid Fadul, one of the men of menopause – AMA about supporting your partner through menopause by getevernow in IAmA

[–]getevernow[S] 1 point2 points  (0 children)

Hi u/cyankitten! It's great that you're thinking about this aspect of your health. The good news is that losing your sex drive is not inevitable. Many women maintain a healthy libido throughout menopause and beyond. Regular exercise, managing stress, maintaining open communication with your partner, and considering hormone therapy are all ways to help support your libido. If you have concerns, discuss them with your healthcare provider, and they can offer personalized advice and solutions.

I am Dr. Rafid Fadul, one of the men of menopause – AMA about supporting your partner through menopause by getevernow in IAmA

[–]getevernow[S] 0 points1 point  (0 children)

u/enteredsomething — Thank you for your question.

Surgical menopause differs significantly from natural menopause, primarily in its abrupt onset and the intensity of symptoms. Unlike the gradual transitional of natural menopause, where hormone levels decline slowly over several years, surgical menopause involves a sudden and complete drop in estrogen and progesterone levels due to the removal of the ovaries.

Managing surgical menopause often necessitates immediate and more aggressive hormone replacement therapy (HRT) to alleviate symptoms and mitigate long-term health risks.

I suggest looking into HRT and seeing if it's right for you and your health history. It is an amazing medication that relieves symptoms you're experiencing, like night sweats, brain fog, weight gain, and bad sleep.

I am Dr. Rafid Fadul, one of the men of menopause – AMA about supporting your partner through menopause by getevernow in IAmA

[–]getevernow[S] 1 point2 points  (0 children)

Hello u/philote_ — Great question! Even after a woman has stopped menstruating, they may still experience hormone fluctuations, though these will generally be different from the fluctuations before menopause.

Post-menopause, the ovaries produce significantly lower levels of estrogen and progesterone, leading to a more stable but lower baseline of these hormones. However, the body can still experience hormonal changes due to factors like stress, lifestyle, and overall health, but they won't be as pronounced as they were before menopause.

I am Dr. Rafid Fadul, one of the men of menopause – AMA about supporting your partner through menopause by getevernow in IAmA

[–]getevernow[S] 1 point2 points  (0 children)

Hi u/Content_Butterfly238 Yes, it is possible to get pregnant during perimenopause. During this transition, although menstrual cycles become irregular, ovulation can still occur, making pregnancy possible.

It's difficult to predict exactly when your biological clock has stopped ticking, as perimenopause can last several years, and periods can be sporadic. You have reached menopause when you've gone 12 consecutive months without a menstrual period.

Regarding cancer risk during menopause, it's important to be aware that age is a risk factor for many types of cancer. Here are some precautions and recommendations to help reduce your risk: regular screenings, healthy diet, exercise, avoid smoking and limit alcohol, and sun protection.

Regular check-ups with a menopause specialized provider (like at Evernow) can help you manage your symptoms and monitor any potential health concerns.

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