Women's Healthcare, Hormones and HRT Emily Sadri, WHNP, CNM Women's Healthcare, Hormones and HRT Emily Sadri, WHNP, CNM

When Functional Medicine Falls Short: What I Wish I’d Known Sooner About Women, Perimenopause, and Hormones

I discovered functional medicine by accident — and it changed the way I saw health, symptoms, and the power of listening. But when I started working with women in midlife, I noticed something was missing.

They’d done it all: the detoxes, diets, supplements. And still didn’t feel better. What functional medicine often overlooks is the one thing at the root of it all for women 40 and up: hormones.

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Hormones and HRT Emily Sadri, WHNP, CNM Hormones and HRT Emily Sadri, WHNP, CNM

Why Birth Control Isn’t Hormone Therapy

Birth control as hormone therapy? It’s a common message in today’s menopause conversation—but it’s misleading and, frankly, lazy. In this post, we unpack the truth about hormonal physiology in midlife, why the pill isn’t the solution, and what real, supportive care should look like.

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Women's Healthcare, Hormones and HRT Emily Sadri, WHNP, CNM Women's Healthcare, Hormones and HRT Emily Sadri, WHNP, CNM

The Hormone Testing You Need (That Your Doctor Probably Isn’t Doing)

Most conventional doctors aren’t trained to test for - or treat - these changes. They look for disease, not dysfunction. They rely on broad, outdated lab ranges. You’re told your results are “normal,” but you know that can’t be true. 

There’s a better way. Comprehensive hormone and metabolic testing can tell the real story of what’s happening in your body, and give you a roadmap to feel like yourself again.

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Hormones and HRT Emily Sadri, WHNP, CNM Hormones and HRT Emily Sadri, WHNP, CNM

HRT Safety, Reframed

The most common concern I hear every day is “but is it safe?”. For most of our mothers, hormone therapy wasn’t an option, or it was taken away. My own mother was 50 when the Women’s Health Initiative (WHI) headlines hit in 2002, and like millions of other women, she was never given the chance to start hormones. That moment changed the trajectory of midlife medicine, but the story was not what it seemed.

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