Perimenopause & Postmenopause

Menopause might try to get you down—But this Body Is YOURS. This Throne Is Earned. You Can Rise— Radiant, and Unstoppable
"MENOPAUSE IS THE BEST TIME OF OUR LIFE!!
IT CAN BE…WITH BALANCED HORMONES", states Pamela Smith, MD, MPH, author of What you Must Know About Women's Hormones, (2010), and instructor with A4M
We are here! We did it! What an accomplishment! But if hormones are not balanced—it marks the beginning of a cascade of hormonal shifts that reveal much deeper imbalances. For millions of women, it’s also the phase where a long-silent condition finally comes to light: Lipedema. Or if we have had it, it suddenly gets much worse.
The Hormonal Shift That Changes Everything
As women enter perimenopause, progesterone wass the first to begin to decline, in the 20s and 30s. It continues to decline. This can disrupt sleep, increase anxiety, and leave estrogen unopposed. Estrogen, instead of tapering gently, begins to spike and crash unpredictably. This imbalance often results in:
Weight gain and bloating
Mood swings and emotional volatility
Fatigue, brain fog, and poor sleep
Vulvovaginal atrophy, dryness, discomfort, urinary tract infections, and pain
Loss of lean muscle and libido
Increased risk for hormonally linked cancers
Testosterone and estrogen both decline, but not in harmony. The result? A rollercoaster of physical and emotional symptoms that many women are told is “just part of aging.”
Estrogen Metabolites
It is not just the hormones themselves, but how our body breaks them down. This is the metabolites. One metabolite is a proliferative and should be controlled. Another can cause cancer. In genetically predisposed women, this can fuel the growth of Lipedema fat: painful, fibrotic, and resistant to diet and exercise.
Your Genetic Blueprint Matters
Genes like MTHFR, COMT, and CYP1B1 play a critical role in how the body processes and clears hormones. If these pathways are impaired, detox slows, inflammation increases, and estrogen is shunted into harmful channels.
If your mother, grandmother, or aunt carried heavy legs, bruised easily, had varicose veins, or struggled with swelling and pain—there’s a chance it wasn’t just aging. It may have been undiagnosed Lipedema, and the legacy could be silently passed down.
Menopause Doesn’t Cause Lipedema—It Unmasks It
Menopause doesn't create Lipedema—it exposes it. What was once manageable or hidden by hormone activity becomes fully visible as estrogen drops and inflammation rises.
But this isn’t the end of the story—it’s the beginning of a new chapter. With proper testing, hormonal balancing, and personalized treatment, you can regain control.
Carla Whorton, NP helps patients navigate menopause with confidence by:
Identifying hormonal imbalances and metabolite patterns
Supporting estrogen detoxification pathways
Rebalancing hormones with bio-identical support
Reducing inflammation and Lipedema progression
GLP1s to help control weight and inflammation
Offering compassionate, personalized care backed by science
You’re Not Just Managing Menopause—You’re Reclaiming Your Power
This stage of life is not decline… it can be a new beginning! With the right guidance, menopauses can be a moment of clarity, thankfulness, renewal, and transformation!
With This Comes Unlimited Possibilities!!! You are not done yet!!
You deserve to feel seen, understood, and supported. Let’s prevent the symptoms and reduce the risks—together.
OPTIMIZE!!!! Hormones, LIPEDEMA, and Weight with me,
Carla Whorton, NP