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Perimenopause , change of life , and postmenopause are the three stages of menopause . Perimenopausebegins when your ovary gradually stop working , lasting up to 10 age untilmenopause , the ending of your catamenial cycle , occurs . Postmenopauseis the remainder of life following change of life .
During the menopausal transition , the organic structure significantly boil down its production of the hormones oestrogen and progesterone . This variety can lead tohot flashes , mood swings , and disrupt sleep . Eventually , your menstrual cycle will end .
If you ’re track your menstrual cycle , you ’ll know you ’ve get menopause if you have n’t had a menstrual menstruum for 12 consecutive month . Your Dr. can also perform a stemma test measuring hormone levels that indicate climacteric .
While neither oecumenical nor unvarying , the genial side effects of change of life can includedepression , anxiety , modality swing , brain fog , computer memory military issue , and trouble concentrating , often as a result of the consistency ’s diminishing estrogen production .
Menopause increases a woman’srisk of heart disease , as the physical structure ’s expiration of estrogen negatively pretend the flexibility of blood vas . Reduced estrogen also leads to ivory loss , making osteoporosis a pregnant concern as well .
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Kara Smythe , MD , has been work in sexual and reproductive wellness for over 10 years . Dr. Smythe is a dining table - certify companion of the American College of Obstetricians and Gynecologists , and her interests let in ameliorate maternal health , check access to contraception , and promoting intimate wellness .
She graduate magna cum laude from Florida International University with a bachelor-at-arms ’s degree in biology and earned her medical arcdegree from St. George ’s University in Grenada . She completed her residency in obstetrics and gynaecology at the SUNY Downstate Medical Center in Brooklyn , New York . She worked in Maine for six days , where she had the privilege of handle for an underserved population . Smythe is also passionate about the ways that public wellness policies form individual wellness resultant . She has a master ’s level in universe health from University College London and recently completed a social science research methods master ’s grade at Cardiff University . She is currently working on her Ph.D. in medical sociology . Her research try people ’s experience of accessing , using , and break long - acting two-sided contraception . When she ’s not go , Smythe enjoys dancing , photography , and spending time with her family and her cat , Finnegan .
Anurag Sahu , MD , is the conductor of the adult congenital heart program atInova Health Systemin Fairfax , Virginia . Previously , he was an associate professor of medicine as well as an associate professor of radiology at Emory University in Atlanta , where he also served as director of cardiac intensive precaution .
He attended aesculapian school at the University of Missouri in Kansas City in its combined six - twelvemonth BA / MD program . He then completed his interior music residency at Washington Hospital Center in Washington , DC ; fellowship breeding at Rush University in Chicago ; and advanced training in cardiac imaging and grownup congenital center disease at The Ohio State University in Columbus .
Dr. Sahu has issue book chapters on cardiovascular tomography as well as a variety of journal articles in publication includingTheJournal of Heart and Lung Transplant , JACC : Cardiovascular Interventions , and theJournal of Thoracic Imaging .
Among the places that his career has get him , his favorite was Kauai , Hawaii , where he was the only cardiologist on the island .
Justin Laube , MD , is a board - certified integrative and interior medicine Dr. , a instructor , and a adviser with extensive expertise in consolidative wellness , medical education , and trauma healing .
He graduated with a knight bachelor ’s in biological science from the University of Wisconsin and a medical degree from the University of Minnesota Medical School . During medical school day , he complete a graduate certificate in consolidative therapy and healing practices through the Earl E. Bakken Center for Spirituality & Healing . He completed his three - twelvemonth residency training in intragroup medicine at the University of California in Los Angeles on the principal care track and a two - year company in consolidative East - West primary care at the UCLA Health Center for East - West Medicine . He is presently taking a multiyear personal and professional sabbatical to explore the relationship between puerility trauma , disease , and the processes of healing . He is develop a clinical recitation for patient role with complex hurt , as well as for others conk through pregnant aliveness passage . He is working on a book distil the insights from his sabbatic , teaching , and leading retreats on injury , integrative health , mindfulness , and well - being for health professionals , pupil , and the residential area .
Previously , Dr. Laube was an adjunct clinical professor at the UCLA Health Center for East - West Medicine and the David Geffen School of Medicine at UCLA , where he provide primary care and consolidative East - West medical consultation . As part of the module , he complete a medical education fellowship and received a credentials in innovation in curriculum design and evaluation . He was the fellowship managing director at the Center for East - West Medicine and led course for physician fellows , residents , and aesculapian students .
Lynn Grieger is a registered nutritionist - nutritionist , certified diabetes care and pedagogy medical specialist , certified personal trainer , and demonstrate health and wellness coach . She completed requisite to become a registered dietician at Valparaiso University in 1987 and completed a dietetic internship at Ingalls Memorial Hospital in Harvey , Illinois , in 1988.Lynn brings her expertness in nutrition , exercise , and behavior vary to her workplace in helping people contact their single health and fitness finish . In addition to writing for Everyday Health , she has also written for websites and publications like Food and Health Communications , Today ’s Dietitian , iVillage.com , and Rodale Press . She has a passion for healthy , alimental - thick , great - try intellectual nourishment and for being outdoors as much as possible — she can often be found running or tramp , and has complete a endurance contest in every state .
Jewel Kling , MD , MPH , is the chair of the division of women ’s health home medicament and the assistant theatre director of the charwoman ’s wellness center at theMayo Clinicin Scottsdale , Arizona . She is the dean of the Mayo Clinic Alix School of Medicine ’s Arizona campus . Her clinical and research interests are in climacteric , sexual health , and LGBTQ+ care .
She discharge medical school and a overlord ’s in public health at the University of Arizona and an internal medicine residence at the Mayo Clinic in Arizona , followed by an internal medicine fellowship .
She is a North American Menopause Society – certified menopause practitioner and do on the boards of the International Society for the Study of Women ’s Sexual Health and the American Medical Women ’s Association Sex and Gender Health Collaborative . She is part of the transgender steering committee at the Mayo Clinic in Arizona and was conscientious objector - president of the LGBTI Mayo Employee Resource Group . She is also dynamic with the home medicine residency programme , as well as exploit to expand the discipline of sex- and gender - specific medicine .
Jacquelyn Dosal , MD , is a board - certified skin doctor at Skin Associates of South Florida in Coral Gables . She practices cosmopolitan , aesculapian , cosmetic , and operative dermatology . Dr. Dosal provides compassionate care to all her patients , listening to their concerns and creating a treatment plan with each patient ’s priorities and literal life in mind .
She is a member of the voluntary module at the University of Miami .
John Paul McHugh , MD , is an accoucheur - gynecologist and lifestyle medical specialty medical specialist in southern California . He has always placed wellness at the centre of his oeuvre , in both delivering baby and improving exercise standards . Dr. McHugh believe that bringing lifestyle medicine to the center of health and health empowers affected role to make the modification they seek and enjoy the benefits of true wellness .
He is a graduate of Harvard Medical School and the Massachusetts Institute of Technology and a fellow of the American College of Lifestyle Medicine . He served as a section death chair at Scripps Mercy Hospital in San Diego and is now the death chair - elect for the American College of Obstetricians and Gynecologists for California . He has issue several articles in theAmerican Journal of Lifestyle Medicineand served as a peer reviewer for many article . He contributed to the first text of lifestyle medicine in cleaning lady ’s wellness : meliorate Women ’s Health Across the Lifespan .
Ross Radusky , MD , is a exercise board - indorse dermatologist at the Dermatology Treatment and Research Center in Dallas . in the first place from New York City , he graduated summa cum laude from the City University of New York and then received his MD from the New York University School of Medicine . There , he was inducted into the Alpha Omega Alpha Honor Medical Society and served as chapter President of the United States for two years . He completed his residence in dermatology at NewYork - Presbyterian Hospital and Weill Cornell Medical Center , and at Memorial Sloan Kettering Cancer Center .
Dr. Radusky apply cosmopolitan and decorative dermatology with a focus on the other detective work of skin cancer , and provide affected role with a personalized coming to looking their good at any old age . He has authored articles and schoolbook chapter on the clue that our finger- and toenail may supply us about internal disease , as well as on comprehensive therapy for cosmetic dermatology and overturn the signal of skin ageing .
complement his medical practice session , Radusky has a stiff Passion of Christ for the cultural arts , particularly in expanding access to youths and seniors . He previously served as an creative person teacher for the Rockaway Artists Alliance , a New York City nonprofit arts and education organization , and then do as both a board music director and financial officer of the system throughout his medical schoolhouse preparation .
Radusky enjoy spending time alfresco with his married woman Robyn , Logos Oliver , and poodle Lucy , where he can ordinarily be found preventing photoaging and reducing the jeopardy of peel cancer beneath an umbrella in a spacious - brimmed hat . He is also the lofty artificer of Sunshotz , the populace ’s only sunscreen measuring cup , plan to avail patients of all eld practice the right amount of sunscreen ask to enjoy all the sun without the burn .
Reyna Franco , RDN , is a New York City – establish dietitian - nutritionist , certified specializer in sport dietetics , and certified personal trainer . She is a diplomate of the American College of Lifestyle Medicine and has a master ’s degree in nutrition and physical exertion physiology from Columbia University .
In her secret practice , she supply medical nutrition therapy for weight direction , sport nutrition , diabetes , cardiac disease , nephritic disease , GI disorder , cancer , solid food allergies , eating disorders , and childhood nutrition . To help her diverse patients , she demonstrate cultural sensitivity and noesis of customary food practice session . She apply the tenets of life-style medical specialty to reduce the peril of chronic disease and improve health final result for her patient role .
Franco is also a embodied wellness consultant who conducts health counseling and seminar for constitution of every size . She taught sports alimentation to medical scholarly person at the Albert Einstein College of Medicine , learn life history cycle nutrition and nourishment counsel to undergraduate students at LaGuardia Community College , and precepts nutriment scholarly person and intern . She created the sports sustenance revolution for the New York Distance Dietetic Internship program .
She is the chair of the American College of Lifestyle Medicine’sRegistered Dietitian - NutritionistMember Interest Group . She is also the treasurer and secretary of the New York State Academy of Nutrition and Dietetics , having previously serve in many other leadership roles for the formation , including as past president , awards commission chairperson , and grant committee chairwoman , among others . She is active in the local Greater New York Dietetic Association and Long Island Academy of Nutrition and Dietetics , too .
Adam Gilden , MD , MSCE , is an associate director of the Obesity Medicine Fellowship atUniversity of Colorado School of Medicineand associate theatre director of the Colorado University Medicine Weight Management and Wellness Clinic in Aurora . Dr. Gilden sour in a multidisciplinary pedantic center with other physicians , nanny practitioner , registered dietitians , and a psychologist , and collaborates intimately with bariatric sawbones .
Gilden is very involved in pedagogy in obesity medicine , rag in one of the obesity medicine control panel limited review courses and serve up as the lead author on theAnnals of Internal Medicinearticle " In the Clinic " on obesity .
He lives in Denver , where he love spend metre with menage , and playing lawn tennis .
Angela D. Harper , MD , is in individual practice at Columbia Psychiatric Associates in South Carolina , where she provides evaluations , medicinal drug direction , and psychotherapeutics for adult . A distinguished fellow of the American Psychiatric Association , Dr. Harper has worked as a head-shrinker throughout her calling , serve a large number of patients in various configurations , including a psychiatrical infirmary on the inpatient psychiatrical and addiction units , a community genial health center , and a 350 - bed nursing home and rehab facility . She has provided legal typesetter’s case consultation for a number of attorneys . Harper graduated magna cum laude from Furman University with a bachelor ’s degree and cum laude from the University of South Carolina School of Medicine , where she also completed her residence in adult psychiatry . During residency , she won numerous award , include the Laughlin Fellowship from the American College of Psychiatrists , the Ginsberg Fellowship from the American Association of Directors of Psychiatric Residency Training , and resident of the year and nonmigratory medical student teacher of the year . She was also the member - in - preparation legal guardian to the American Psychiatric Association plank of trustee during her last two years of residency breeding .
Harper offer for a five - twelvemonth term on her aesculapian school ’s admission fee committee , has pay legion presentation , and has taught medical students and residents . She presently manage a nursemaid practician . She is passionate about volunteering for the state medical board ’s aesculapian corrective committee , on which she has serve since 2015 .
She and her hubby are zealous travelers and have been to over 55 nation and territories .
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