Sarah, a sharp 52-year-old executive, presented to clinic, feeling terrified she was losing her job. She described debilitating brain fog, losing her train of thought, and intense fatigue, fearing she was developing dementia. Her routine labs and clinical assessment looked “fine” per her primary care doctor, leaving her desperate.

I explained that her cognitive changes and fatigue were common menopausal symptoms, not necessarily dementia, stemming from the widespread impact of hormone shifts, particularly in the brain. This brought her immense relief.

We then discussed trialing Hormone Therapy (HT) to help address the root causes of her symptoms. We initiated a personalized HT plan, explaining the process and what to expect. Beyond HRT, we delved into lifestyle management, focusing on optimizing her sleep habits, refining her diet for brain health, and incorporating practical stress reduction techniques.

Sarah left with a clear, actionable plan and a renewed sense of hope. She now understood the “why” behind her struggles and had a path forward to reclaim her sharp mind, energy, and confidence in her professional and personal life.