Precision MD Wellness and Weight Loss

Breast cancer survivors deserve real conversations about hormones and they should have a voice regarding how much risk they are willing to accept.

This is one of the most important things to understand about iron deficiency:

You can have low iron stores without being anemic.

Your hemoglobin can still be normal while your ferritin, which reflects stored iron, is low.

That matters because low ferritin can be associated with symptoms like fatigue, hair shedding, feeling cold, restless legs, brain fog, headaches, and decreased exercise tolerance.

So when someone says, “Your labs are normal,” I want to know which labs and what were the actual numbers?

A normal hemoglobin does not automatically mean your iron stores are adequate.

Know your ferritin. 🩺

You can sleep 8 hours and still feel flat.

You can force yourself through workouts you used to love.

You can have a good life and still wonder where the woman went who used to have ENERGY. DRIVE. MOTIVATION.

And at some point you start wondering…

Is this really just aging?

Or is something missing?

For some women, testosterone deserves to be part of that conversation.

Women need testosterone too.

And when it’s appropriate and managed well, I think it can be an incredibly valuable piece of hormone therapy.

But here’s where I have a strong opinion:

I don’t want women getting testosterone from someone who simply checks a number, writes a prescription, and sends them on their way.

I want a provider who actually understands female hormones.

Someone who knows how to dose testosterone for WOMEN.

Someone who understands that symptoms matter.

Someone who knows what to monitor.

Someone who can recognize when the dose isn’t right.

Someone who will listen when you say, “I still don’t feel like myself.”

Because testosterone isn’t something women should be afraid of.

But it IS something I want managed by someone who really knows what they’re doing.

If you’ve lost your drive, your motivation, your strength, or that feeling of being fully YOU, I think it’s worth having the conversation.

Not because testosterone is the answer for every woman.

But because “you’re getting older” shouldn’t be the end of the conversation either.

Find someone who understands the nuance.

Ask better questions.

And don’t be afraid to advocate for yourself.

You’re not trying to be 25 again.

You just want to feel like YOU again.

And I think that’s a conversation worth having.

Save this for the woman who keeps saying, “I just don’t feel like myself anymore.”

Thank you Rachel S. Rubin MD for continuing to advocate for women's health!

Tomorrow, September 17, the FDA is holding a public workshop on testosterone use in menopausal women.

Why does this matter?

Testosterone is increasingly being prescribed to women, but in the United States there is currently no FDA-approved testosterone product specifically for women. And while we have evidence supporting testosterone therapy for hypoactive sexual desire disorder in appropriately selected postmenopausal women, there are still major gaps in the research when it comes to other outcomes women commonly report, including energy, mood, cognition, musculoskeletal health, and overall quality of life.

That distinction matters.

A lack of evidence is not the same thing as evidence that something doesn’t work.

As a physician who treats women with testosterone, I see a wide range of responses. Some women notice very little. Others tell me they feel profoundly different: better libido, more energy and motivation, improved mood, clearer thinking, and simply more like themselves.

Those individual experiences do not replace good clinical research. But they can help us ask better questions about what we still need to study.

And right now, women have an opportunity to be part of that conversation.

The FDA is accepting public comments related to this workshop. If you are a woman who has used testosterone, whether your experience was positive, negative, or somewhere in between, you can submit a comment and share your experience directly with the FDA.

Go to the FDA website and search “Testosterone Use in Menopausal Women September 17, 2026.” From the workshop page, you can find information about the meeting and how to submit a public comment.

You don’t need medical terminology. You don’t need to write an essay. Tell them what you experienced, why you were prescribed testosterone, what changed or didn’t change, any side effects you experienced, and why you believe this issue deserves further research.

Women’s experiences are not a substitute for evidence. But they can help determine what evidence we pursue next.

And women deserve to be part of a conversation about medications being used for their health.

The FDA is meeting tomorrow to discuss women's testosterone. Place visit their website comment and let them know that you support more research for women in this area and support an FDA approved testosterone source specifically for women.

Normal hormone labs don’t rule out perimenopause. 👏

If you’re over 40 with sleep changes, brain fog, hot flashes, or changing periods, a “normal” result doesn’t mean the conversation should end.

Hormones fluctuate during perimenopause. One blood draw is a snapshot—not the whole story. Your symptoms, cycle changes, and medical history matter, along with checking for other possible causes.

You deserve an explanation for how you’re feeling.

Save this for your next appointment, and follow for clear, evidence-based guidance on hormones and health after 40.

Women over 40: you’re allowed to want more than “I guess this is just aging.” 🤍 More energy. Better sleep. Feeling strong. Feeling like yourself.

You don’t have to chase your 25-year-old body to care about how you feel in this one. Your health still deserves attention. Your concerns still deserve to be heard. And wanting to feel good isn’t asking too much.

Follow for honest conversations about hormones, weight, and healthy aging.