The Journal

Fertility is often treated as its own category of health. But in practice, it is rarely just about the reproductive system. When someone comes in with changes in fertility, I am usually thinking beyond that. I am looking at hormone patterns, yes, but also metabolic health, inflammation, sleep, and environmental exposures. Those tend to be […]

Every December, I see a pattern in my patients long before holiday cookies or travel disruptions show up. People begin noticing subtle changes, nothing dramatic, just small shifts that feel out of character. A little more tension.A little less patience.Sleep that feels thinner than it should.A sense of pushing even when you’re trying to slow […]