Alise Greenfield
I’m an NP helping women with mystery symptoms find and treat the root cause to feel better than fine
“I just thought I was bad at handling stress now.”
That’s what a patient told me last week. I felt for her, and for all the women I see who feel this way.
She said it like it was something she was doing wrong — like somewhere along the way she’d decided her exhaustion, her shorter fuse, her inability to absorb a hard day the way she used to... was a shortcoming.
It wasn’t.
In perimenopause, estrogen stops being predictable — and estrogen has direct effects on serotonin and dopamine, your mood and resilience chemicals. When estrogen gets erratic, your capacity to handle stress changes too. That’s not a shortcoming. That’s physiology.
If you’ve quietly been wondering what happened to your ability to just... handle things — this is exactly the kind of thing I break down in my free hormone guide, the foundational pieces that explain a lot of what you’re feeling.
Comment GUIDE for the download!
Lab ranges are designed to flag disease and help with diagnosis.
They’re determined based upon a sick population. So falling in a “normal” range doesn’t mean you feel well.
This is why so many women get dismissed in the conventional model. Their labs are seemingly normal, so it must be stress or anxiety or motherhood etc. 🤦🏼♀️
The problem is in the labs and the way we treat health, not in women.
True prevention is looking at labs through optimal ranges, not simply trying to find a diagnosis. 💫
So many women aren’t getting their labs viewed through this lens, which is why I created the Hormone Clarity Consult.
This is a way to get more answers, more clarity and more understanding about your body. 🙏🏼
Start with a comprehensive lab panel, followed by a 1:1 deep dive with me to review and interpret based on your unique story.
If you’re tired of guessing, tired of being unheard, tired of being tired — this is your sign to get started
If you’re in NH or ME and want in, comment HORMONES for more details!
06/15/2026
Functional medicine cannot compensate for everything — and I will be the first to admit how powerful it is. 💫
Functional medicine frequently ignores perimenopause. It ignores this seismic, biological and life-altering shift that happens when hormones start to decline.
You cannot out-protocol hormonal decline.
Protocols, nutrition, movement, sleep, nervous system support will address the gut, support the thyroid, improve lipids, support the mood and so much more.
It doesn’t stop ovarian decline. It doesn’t make up for the rollercoaster ride estrogen hops on in the mid-30s to 40s. It doesn’t compensate for less robust ovulation and lower progesterone levels.
Symptoms are not the only barometer. Most people have no idea they have elevated cholesterol until labs are drawn. Similarly, in perimenopause, these shifts can quietly begin without the raging hot flashes everyone associates with this transition.
I believe in trusting our bodies. I believe our bodies are always communicating. This isn’t a post about how your body is “betraying you.” That is never my point of view and never will be.
Two things can be true: symptoms and how you feel in your body matter AND there needs to be further evaluation and assessment.
Functional medicine gets it wrong by treating perimenopause like a protocol problem. Conventional medicine gets it wrong by waiting for labs to be “diagnostic” instead of noticing subtle shifts.
The conversation around perimenopause is changing. This is the part that hasn’t caught up yet.
✅Save this one. Send it to the woman in your life who’s doing all the right things and still not getting the full picture.
We have taken the humanity out of medicine.
When the focus is on profit and not people, the people lose.
Women’s health | hormones | perimenopause | women’s hormones | PCOS | hormone replacement therapy
It shouldn’t feel like summiting Mount Everest to get a full lab panel drawn.
And yet — for so many women, it is. 😠
When providers educate women on what labs they should have drawn and why, suddenly they’re dangerous. 😵💫
It’s dangerous to provide women with information so they can understand their bodies better. Because as women become more knowledgeable and more empowered - they become more powerful.
And we’re afraid of powerful women.
I’m here to live dangerously and help create more powerful women! 👊🏽🔥
So if you’re ready for that too, you’re exactly who I’m here for.
Comment LABS to get started with a deep-dive into your blood work and to get answers no one else is providing! 👇🏼
Hormones fluctuate and YES you can test them.
Blood sugar fluctuates but I’ve never heard someone say we can’t test it. (And no, it’s not a hormone but it’s regulated by hormones and fluctuates - which is the reason women are given for hormones not being able to be tested).
We just decided blood sugar was important (it is) and studied it, determined the appropriate ranges based on when and how it’s tested so we know how to interpret it.
Just because your female hormones fluctuate doesn’t mean they can’t be tested or monitored.
Both men and women have hormone decline as they age.
But neither is treated the same. 😬
Men get testosterone, vi**ra and compassion.
Women get a pat on the back, told to work harder and blamed for their changing bodies.
You can’t tell me medicine ins’t inherently patriarchal and misogynistic.
It wasn’t designed for women and women’s physiology.
Us women - we’re going to change it. 👊🏽🔥
Oooo, let’s not leave out “sanitary napkins.” 🤦🏼♀️
And taxing period products sounds like some woman-hating BS.
Let’s tax Vi**ra, yeah?
No wonder women feel shame and guilt and confusion around their bodies. It’s built into our values and our culture.
Hard pass on that cultural norm, thanks 👊🏽 I’ll be over here teaching women their bodies are powerful, sacred and worthy of revering 💪🏼
I’m obsessed with ice cream. 🍦
But ice cream from the store or from ice cream stands always makes me feel awful.
So I started making my own ice cream. I didn’t know what I was missing.
I get to control the ingredients, get to cook with my daughter, get the satisfaction of eating my own food that tastes good.
Plus my daughter brags to everyone about how good my ice cream is. 😉
This is strawberry chocolate chip ice cream adapted from
Ingredients:
2 cups organic cream
1 cup organic whole milk
3-4 egg yolks (varies depending on my mood)
3/4 cup sugar + 2T
3/4 pound of fresh strawberries
1 generous teaspoon vanilla paste
Pinch of salt
1 whole dark chocolate bar
Recipe in the caption!
I’m obsessed with ice cream. 🍦
But ice cream from the store or from ice cream stands always makes me feel awful.
So I started making my own ice cream. I didn’t know what I was missing.
I get to control the ingredients, get to cook with my daughter, get the satisfaction of eating my own food that tastes good.
Plus my daughter brags to everyone about how good my ice cream is. 😉
This is strawberry chocolate chip ice cream adapted from
Ingredients:
2 cups organic cream
1 cup organic whole milk
3-4 egg yolks (varies depending on my mood)
3/4 cup sugar + 2T
3/4 pound of fresh strawberries
1 generous teaspoon vanilla paste
Pinch of salt
1 whole dark chocolate bar
1. Add cream, milk, salt and 1/2 cup sugar to a pot and heat on low. Watch closely
2. In a separate bowl, whisk egg yolks with 1/4 cup sugar until light and fluffy (a hand whisk is fine)
3. When cream mixture is warm, slowly add about 1/4 cup of it to the egg mixture, whisking continuously to temper the eggs
4. Pour the egg mixture into the cream mixture. Stirring continuously, heat until reaches about 170F then remove from heat.
5. Pour into a heat-resistant container. Place container in an ice bath to prevent cooking more. Add the vanilla
6. In a blender, pulse strawberries and 2T sugar until pulverized. Then add to custard base.
7. Cool custard base for several hours
For the chocolate chips:
1. In a double boiler, melt the chocolate. (Could use a microwave if you wanted)
2. On a sheet tray lined with parchment paper, pour the melted chocolate and spread until thin. Freeze
Make the ice cream
1. Once cooled, churn the ice cream per your ice cream makers instructions
2. Towards the end of churning, take the tempered chocolate from the freezer and chop into small pieces. Add into the ice cream
3. You can eat the ice cream right from here. It’ll be like soft serve. Or freeze it for a few hours to let the flavors come together more!
Tag me if you make this!
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