Premenopause

Premenopause: Puberty Through 20s, 30s, Early 40s

Young African American woman with curly hair smiling and walking down a city sidewalk, engaged in a cheerful conversation with a friend, with storefronts and trees in the background.
Young African American woman with curly hair smiling and walking down a city sidewalk, engaged in a cheerful conversation with a friend, with storefronts and trees in the background.
Young African American woman with curly hair smiling and walking down a city sidewalk, engaged in a cheerful conversation with a friend, with storefronts and trees in the background.

Balanced hormones in the 20s and 30s lay the foundation for lifelong vitality.

Understanding Hormones,

Lindsey Berskson, author of Safe Hormones, Smart Women (2010), and Breast Cancer Survivor, and instructor at A4M

States that Progesterone, is the Policer, the Protector. She says Progesterone polices estrogen to keep her from sending out too many growth signals to the tissues. Without Progesterone's policing, a controlling communication, estrogen becomes dominant. We have to have our estrogens, there are so many functions of estrogen in the body, however we must have balance.

Mood Swings, Severe Acne, Weight Gain, LIPEDEMA, loss of pregnancy?

Puberty…Hormones are rushing out, who knows where they will land?!?

Pre-Menopause… The Hormonal Shifts of the 20s and 30s

Yes, already… there is THAT word.
We are ALL Premenopausal, right?!?! Until we are not. Women in the twenties do not even want to consider 'menopause' , as in pre- menopause.

But do not dismiss these young ladies. They, and the hormonal changes they are going through, have been ignored for way too long.

These are the Wonder Women of the world…
New jobs, new marriages, sometimes, new babies.
These Wonder Women "Bring Home the Bacon, and Fry it Up in a Pan!"
They are taking care of everyone—but themselves.

However, unbeknownst to Wonder Woman, Progesterone is already beginning to go down in the mid-twenties.

Hormonal Shifts and the Onset of LIPEDEMA

For some girls, puberty is when LIPEDEMA first begins.

This isn’t just typical fat accumulation—it’s disproportionate, fibrotic, and painful fat that appears in the hips, thighs, and arms.
It traps, creates inflammation, and often goes unrecognized for years.

For others, it is the hormonal changes that come in the 20s to 30s.
The lowering progesterone can cause Estrogen Dominance, which causes weight gain, and if genetically predisposedLIPEDEMA.

In the 30s and 40s, unpredictable estrogen surges, unopposed by the Progesterone Protector, fuels:

  • Stress

  • Inflammation

  • Weight gain

  • Worsening LIPEDEMA

This is the time women might begin to really notice the weight is not easily lost by diet, exercise, especially if genetically predisposed.


You’re Not Failing—Your Body Is Asking for Support

What often looks like unexplained weight gain is really a hormonal and metabolic storm. The symptoms aren’t random—they’re signals. And with the right tools, we can respond.

Carla Whorton, NP uses advanced, functional lab testing to assess your hormone levels, metabolite levels, detox pathways, and inflammatory markers. From there, she builds a personalized plan to help:

  • Rebalance estrogen, progesterone, and testosterone

  • Improve detoxification and methylation pathways

  • Reduce inflammatory signals

  • Restore insulin sensitivity

  • Calm the hormonal chaos contributing to lipedema and fat retention

  • Add GLP1s to decrease inflammation and STOP the cycle.

This Is About More Than Hormones—It’s About Power

Hormonal health in premenopause isn’t just a women’s issue—it’s a whole-body issue. These shifts impact your mood, energy, fertility, metabolism, and sense of identity.

You are not broken. You are biologically complex—and that’s a strength, not a weakness. When we stop ignoring symptoms and start listening to what the body is telling us, we don’t just “treat hormones.” We optimize lives.


OPTIMIZE!!! Hormones, LIPEDEMA, and Weight with me,

Carla Whorton, NP

References:

References:

Book A Session With Carla

Take the first step toward a healthier, more vibrant life with a personalized session tailored to your unique needs.

Join 100+ clients who trust Carla’s expertise.

Book A Session With Carla

Take the first step toward a healthier, more vibrant life with a personalized session tailored to your unique needs.

Join 100+ clients who trust Carla’s expertise.

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Call us on weekdays from 9 AM to 5 PM.

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Contact Carla

We'd love to hear from you. Please fill out this form, and we'll reply soon.

Email

Contact us by email, and we will respond shortly.

Phone

Call us on weekdays from 9 AM to 5 PM.

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Disclaimer: All information provided on this site is for educational and informational purposes only and does not establish a provider-patient relationship. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your licensed healthcare provider regarding any medical condition or concern. Neither the author(s) nor the publisher assumes any legal liability for the accuracy, completeness, or usefulness of the information provided.

© 2025 Carla Whorton, NP All rights reserved.

Disclaimer: All information provided on this site is for educational and informational purposes only and does not establish a provider-patient relationship. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your licensed healthcare provider regarding any medical condition or concern. Neither the author(s) nor the publisher assumes any legal liability for the accuracy, completeness, or usefulness of the information provided.

© 2025 Carla Whorton, NP All rights reserved.

Disclaimer: All information provided on this site is for educational and informational purposes only and does not establish a provider-patient relationship. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your licensed healthcare provider regarding any medical condition or concern. Neither the author(s) nor the publisher assumes any legal liability for the accuracy, completeness, or usefulness of the information provided.

© 2025 Carla Whorton, NP All rights reserved.