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Elizabethstorymd, 6049 Harris Pkwy Ste 100, Fort Worth, TX (2025)

11/18/2025

Creatine for Peri- and Postmenopausal Women: Why it Matters

If you’re in perimenopause or postmenopausal, preserving muscle is one of the most powerful things you can do for long-term health, mobility, and independence. Alongside protein and resistance training, creatine monohydrate is a well-studied supplement that can help—safely and inexpensively.

Falling estrogen is linked to accelerated losses of muscle strength and function. A 2021 systematic review and meta-analysis of randomized trials in older females found that adding creatine to resistance training produced significant gains in strength versus training alone—especially in programs lasting ≥24 weeks.

Beyond muscle, large randomized trials in postmenopausal women are exploring bone outcomes. A recent 2-year RCT tested daily creatine with supervised exercise; while the trial’s primary focus was bone health, it reinforces long-term safety and the practicality of daily dosing in this population.

Proven muscle benefits you can expect include stronger lifts and everyday function (e.g., carrying groceries, stair climbing) when creatine is paired with progressive resistance training) and possible improvements in lean mass/appendicular muscle in older women in some trials—again, most reliably when combined with training.

How much to take (dosage you can trust): Creatine monohydrate is the form with the best evidence. Two evidence-based ways to dose:

*Loading + maintenance: 20 g/day split into 4 doses for 5–7 days, then 3–5 g/day thereafter.

*No-load option: 3–6 g/day consistently; you’ll reach the same muscle saturation in ~3–4 weeks.

When to take it: timing is flexible—consistency beats timing—but many people take it with a meal or near training to minimize GI upset and potentially aid uptake.

For safety tips when taking creatine and links to research studies and references, visit my website www.elizabethstorymd.com

10/21/2025

Microdosing GLP-1 Agonists: A New Frontier in Metabolic and Immune

GLP-1 receptor agonists like semaglutide and tirzepatide have revolutionized weight loss and diabetes care. But a growing number of patients and clinicians are exploring microdosing—taking a fraction of the standard dose—to unlock broader health benefits with fewer side effects. Microdosing typically involves using 10–25% of the full therapeutic dose—a gentler, more personalized approach.

🧠 Why Microdose?
Many patients discontinue GLP-1 medications due to cost or side effects like nausea and fatigue. Microdosing offers a solution by reducing these issues while still delivering meaningful benefits.

For those who have already achieved their desired weight or body composition, microdosing can help maintain results, support metabolic health, and promote long-term adherence.
It’s also a promising option for individuals who don’t need to lose weight but want to improve insulin sensitivity, stabilize energy levels, or reduce inflammation.

🔥 Anti-Inflammatory and Longevity Benefits
Emerging research shows that GLP-1 agonists may have anti-inflammatory effects independent of their metabolic actions. Microdosing these medications has been linked to reduced levels of pro-inflammatory cytokines, which play roles in autoimmune diseases, cardiovascular risk, and aging-related decline.

GLP-1 receptors are found in immune cells and brain, suggesting that these drugs may help regulate systemic and neuroinflammation—key drivers of chronic disease and cognitive decline.

💪 Who Benefits Without Weight Loss?
Even individuals with a healthy BMI may benefit from microdosing GLP-1s. Studies suggest improvements in blood pressure, cholesterol, sleep quality, mental clarity, and gut health, joint health and inflammation.

In a maintenance phase after weight loss, microdosing can help preserve metabolic gains without the appetite suppression of higher doses, prioritizing sustainability, tolerability, and resilience—important for long-term health optimization.

For a consultation, contact my office www.elizabethstorymd.

10/14/2025

Top 4 Types of Oral Magnesium Supplements

Magnesium is an essential mineral involved in over 300 enzymatic processes in the body, influencing energy production, nervous system health, muscle function, and digestion. While food sources such as leafy greens, nuts, and legumes provide magnesium, supplementation is often necessary for individuals with specific health concerns. The form of magnesium you choose can dramatically influence its effectiveness depending on your goal.

Here are the top four types of oral magnesium – you’ll find more details, dosages, safety guidelines, recommended brands and other important info on my blog at elizabethstorymd.com.

Always check with your provider before taking any supplements.

1. Magnesium Oxide – Best for Constipation and Gut Health
Magnesium oxide has relatively low bioavailability compared to other forms, but it is highly effective as an osmotic laxative. It works by drawing water into the intestines, softening stool, and promoting regular bowel movements, making it particularly useful for individuals with constipation.

2. Magnesium L-Threonate – For Brain Health and Cognition
Magnesium L-threonate is unique because it can cross the blood–brain barrier more effectively than other forms. Research suggests it may enhance synaptic plasticity, memory, and cognitive performance, making it particularly valuable for brain health and prevention of age-related cognitive decline.

3. Magnesium Glycinate – For Muscle Recovery and Relaxation
Magnesium glycinate is highly bioavailable and gentle on the stomach, making it ideal for individuals with sensitive digestion. It is frequently used for muscle cramps, tension, and general recovery, as well as for people prone to migraines or fibromyalgia. Because glycine itself is calming, this form also supports relaxation and stress reduction.��

4. Magnesium Citrate – For Sleep and Relaxation
Magnesium citrate combines good absorption with mild stool-softening effects, making it useful for people seeking relaxation while also supporting regularity. It is commonly used to ease anxiety, improve sleep quality, and relax the nervous system without the strong laxative effect of magnesium oxide.

care

10/07/2025

Hormones and the Female Ge***al Tract: Why Estrogen and Testosterone Matter

The female ge***al tract is rich in both estrogen and testosterone
receptors, which play critical roles in maintaining tissue structure,
function, and overall health. These receptors are not limited to
reproductive function; they also influence sexual sensation, urinary
continence, and tissue integrity. Research has shown that both
hormones contribute to the vascularity, collagen production, and
mucosal health of these areas, and their decline during menopause can
lead to significant anatomical/functional changes.

As estrogen levels drop, many women over 50 experience genitourinary
syndrome of menopause (GSM). This includes thinning and atrophy of the
l***a minora and cl****is, which can become so severe that these
structures shrink or disappear. The cl****is may lose sensitivity and
responsiveness due to reduced blood flow and tissue elasticity. Similarly, the l***a may fuse or flatten, leading to discomfort, sexual dysfunction, and increased vulnerability to irritation and
infection.

Estrogen and testosterone also play a shared role in urinary continence. Estrogen helps maintain the strength and elasticity of the urethral and bladder tissues, while testosterone supports pelvic floor muscle tone. Hormone replacement therapy (HRT), such as localized estrogen or vaginal testosterone, has been shown to improve symptoms of stress urinary incontinence by enhancing tissue integrity and vascular support.

Understanding the hormonal landscape of the female ge***al tract is essential for proactive care during and after menopause. Women experiencing symptoms such as dryness, discomfort, urinary leakage, or changes in ge***al appearance should consult with a knowledgeable provider. Hormonal therapies—especially when tailored to individual needs—can restore function, improve quality of life, and preserve
sexual and urinary health.

Dr. Story is well-versed in numerous options to treat these conditions
– call the office or visit the website to schedule a consultation.

10/07/2025

Hormones and the Female Ge***al Tract: Why Estrogen and Testosterone Matter

The female ge***al tract is rich in both estrogen and testosterone receptors, which play critical roles in maintaining tissue structure, function, and overall health. These receptors are not limited to reproductive function; they also influence sexual sensation, urinary continence, and tissue integrity. Research has shown that both hormones contribute to the vascularity, collagen production, and mucosal health of these areas, and their decline during menopause can lead to significant anatomical/functional changes.

As estrogen levels drop, many women over 50 experience genitourinary syndrome of menopause (GSM). This includes thinning and atrophy of the l***a minora and cl****is, which can become so severe that these structures shrink or disappear. The cl****is may lose sensitivity and responsiveness due to reduced blood flow and tissue elasticity. Similarly, the l***a may fuse or flatten, leading to discomfort, sexual dysfunction, and increased vulnerability to irritation and infection.

Estrogen and testosterone also play a shared role in urinary continence. Estrogen helps maintain the strength and elasticity of the urethral and bladder tissues, while testosterone supports pelvic floor muscle tone. Hormone replacement therapy (HRT), such as localized estrogen or vaginal testosterone, has been shown to improve symptoms of stress urinary incontinence by enhancing tissue integrity and vascular support.

Understanding the hormonal landscape of the female ge***al tract is essential for proactive care during and after menopause. Women experiencing symptoms such as dryness, discomfort, urinary leakage, or changes in ge***al appearance should consult with a knowledgeable provider. Hormonal therapies—especially when tailored to individual needs—can restore function, improve quality of life, and preserve sexual and urinary health.

Dr. Story is well-versed in numerous options to treat these conditions – call the office or visit the website (elizabethstorymd.com) to schedule a consultation.

10/01/2025

Is a Continuous Glucose Monitor Right For You?

Continuous Glucose Monitors (CGMs) have revolutionized the way individuals—especially those with diabetes—track and manage their blood sugar levels. These wearable devices provide real-time data on glucose fluctuations, offering insights that traditional fingerstick tests simply can't match. Popular CGM brands include Dexcom, FreeStyle Libre, and Medtronic Guardian, each offering varying features such as integration with insulin pumps, predictive alerts, and smartphone compatibility.

While CGMs are primarily prescribed for people with Type 1 or Type 2 diabetes, there's growing interest among non-diabetics and wellness enthusiasts who use them to understand how specific foods and lifestyle choices affect their glucose levels.

The appeal of CGMs lies in their ability to uncover personalized glycemic responses. Studies show that individuals can have vastly different reactions to the same carbohydrate-rich foods like rice, bread, and pasta. One person might experience a sharp spike after eating rice, while another sees minimal change. This variability is influenced by factors such as insulin sensitivity, microbiome composition, and even meal timing.

Short-term CGM use—just a few weeks—can be incredibly valuable for identifying these patterns. Users can experiment with food combinations, meal timing, and exercise to see what keeps their glucose levels stable, making CGMs a powerful tool for personalized nutrition.

However, CGMs are not without drawbacks. Cost is a major barrier, especially for those without insurance coverage. Some devices require calibration with fingersticks, and users may experience skin irritation or alarm fatigue from frequent alerts. There's also a learning curve in interpreting the data, which can lead to information overload.

Despite these challenges, short-term CGM use can offer meaningful insights for those curious about their metabolic health, even if you don’t continue using the device indefinitely.

09/25/2025

Microplastics in the Human Body: What We Know So Far

Over the last decade, research has increasingly shown that microplastics—tiny fragments of plastic less than 5 mm in size—are not just an environmental concern, but also a human health issue. Evidence suggests that these particles can accumulate in the bloodstream and tissues, raising concern about long-term biological effects. A 2022 study published in Environment International demonstrated the presence of microplastics in human blood for the first time, confirming systemic exposure.

More recently, researchers have identified micro- and nanoplastics in the brain tissue of animal models, raising the possibility that these particles may cross the blood-brain barrier and contribute to neuroinflammation, oxidative stress, and potential neurodegenerative pathways.

The most concerning aspect of microplastic exposure is the potential for bioaccumulation. Unlike many toxins that can be metabolized or excreted, microplastics appear to persist in tissues, where they may trigger chronic immune activation. Laboratory studies suggest that once inside the body, these particles can generate reactive oxygen species and disrupt cell membranes, potentially increasing the risk of cardiovascular disease, metabolic dysfunction, and neurological impairment. While human data are still emerging, the early evidence highlights the urgent need to better understand long-term consequences, especially since plastics are so pervasive in modern life.

Minimizing exposure requires both individual and systemic changes. The most common offenders include single-use plastic bottles, food packaging, synthetic textiles, and microbeads from personal care products. Heating or storing food in plastic containers significantly increases the release of microplastics and associated chemicals into what we consume. Choosing stainless steel or glass water bottles, avoiding microwaving food in plastic, using natural fiber clothing and bedding, and installing high-quality water filters are all practical strategies to reduce intake.

www.elizabethstorymd.com

09/23/2025

Postpartum to Perimenopause: Navigating the Overlap in Women’s Health

In recent decades, more women are choosing to have children in their late 30s and early 40s—a trend that reflects greater reproductive autonomy and advances in fertility care. However, this timing can create a unique overlap between the postpartum period and the onset of perimenopause, two hormonally intense phases that share many symptoms. From mood swings and fatigue to night sweats and low libido, the physical and emotional toll of these transitions can be confusing and overwhelming.

The postpartum period begins immediately after childbirth and is marked by a sharp drop in estrogen and progesterone. These hormonal shifts can trigger mood changes, sleep disturbances, and physical symptoms like hair loss and acne. While most women expect to feel better within a few months, some find that symptoms persist or evolve—especially if they are breastfeeding or nearing their 40s. In these cases, what may seem like lingering postpartum effects could actually signal the beginning of perimenopause, a phase that typically starts in the early-to-mid 40s but can begin earlier.

Perimenopause is a gradual transition toward menopause, characterized by fluctuating hormone levels, irregular menstrual cycles, and a host of symptoms including brain fog, anxiety, and vaginal dryness. Unlike the postpartum period, which eventually resolves as hormone levels stabilize, perimenopause can last for several years and may require ongoing management. For women who have recently given birth and are entering this phase, the hormonal “collision” can feel especially intense. It’s not uncommon to experience overlapping symptoms that blur the lines between postpartum recovery and midlife hormonal decline.

Navigating this dual transition requires a personalized approach. Comprehensive hormone testing, mental health support, and lifestyle interventions—such as strength training, balanced nutrition, and mindfulness—can help women feel more in control.

Most importantly, women should feel empowered to seek care and ask questions. If symptoms persist beyond the expected postpartum window, it’s worth exploring whether perimenopause may be contributing. With the right support, women can move through this phase with clarity and confidence.

If you would like a consultation, please call the office to schedule or visit elizabethstorymd.com�

09/16/2025

Can Hearing Aids Help Prevent Dementia? New Research Says Yes—Especially for Those in Their 60s

As the global population ages, the search for effective strategies to prevent dementia becomes increasingly urgent. A growing body of research now points to a surprisingly simple intervention: hearing aids.

The Link Between Hearing Loss and Dementia
Age-related hearing loss affects nearly one in three adults over 60, and up to half of those over 85. While often dismissed as a normal part of aging, untreated hearing loss has been strongly linked to cognitive decline, social isolation, depression, and now—dementia.

A recent study published in JAMA Neurology offers compelling evidence that early use of hearing aids can significantly reduce the risk of dementia, particularly in individuals diagnosed with hearing loss before the age of 70.

• Hearing aid users had a 61% lower risk of developing dementia compared to those who did not use hearing aids.

• The protective effect was not observed in individuals who began using hearing aids after age 70, highlighting the importance of early intervention.

These findings align with previous studies showing that hearing loss is one of the most significant modifiable risk factors for dementia.

Why Use Hearing Aids?

1) Struggling to hear forces the brain to work harder to decode sounds, leaving fewer resources for memory and thinking.

2) Hearing loss often leads to social withdrawal, a known risk factor for cognitive decline.

3) Prolonged auditory deprivation may accelerate brain atrophy in regions responsible for processing sound and language.

The takeaway? Hearing health is brain health. Routine hearing screenings should be part of midlife health checkups, and hearing aid adoption should be encouraged—especially for those in their 60s.

As we continue to search for ways to reduce the burden of dementia, hearing aids offer a low-risk, accessible, and now evidence-backed tool. If you or a loved one is experiencing hearing loss, don’t wait. Early action could protect more than just your hearing—it could safeguard your mind.

09/10/2025

What Is Perimenopause? Understanding the Transition and Treatment Options

🌙 Perimenopause is the natural transitional phase leading up to menopause, marked by fluctuating hormone levels—especially estrogen and progesterone—as the ovaries gradually slow down their function. This phase can begin as early as the mid-30s and typically starts in the 40s, lasting anywhere from 4 to 8 years before menopause officially begins (defined as 12 consecutive months without a period). Common symptoms include irregular periods, hot flashes, mood swings, sleep disturbances, vaginal dryness, and brain fog. Because hormone levels fluctuate significantly during this time, lab testing is rarely helpful for diagnosis. According to the Mayo Clinic and the North American Menopause Society (NAMS), perimenopause is best identified through symptoms and menstrual history rather than blood tests, which can be misleading due to hormonal variability.

Treatment for perimenopause focuses on symptom relief and improving quality of life. Hormone therapy remains one of the most effective options, especially for hot flashes, night sweats, and vaginal dryness. Systemic estrogen (via pills, patches, or gels) may be recommended, often paired with progestin if the uterus is intact. For vaginal symptoms, low-dose vaginal estrogen (in creams, rings, or tablets) offers targeted relief with minimal systemic absorption. Non-hormonal options include SSRIs (selective serotonin reuptake inhibitors) for mood and hot flashes, gabapentin for vasomotor symptoms, and fezolinetant—a newer, hormone-free medication that regulates body temperature via neurokinin-3 receptor antagonism. Lifestyle changes such as regular exercise, a balanced diet, and stress-reduction techniques like yoga or meditation can also help manage symptoms.

Ultimately, perimenopause is a highly individual experience. While some women breeze through with minimal disruption, others may find the symptoms challenging. Recognizing the signs and exploring treatment options—both medical and lifestyle-based—can empower women to navigate this phase with confidence and clarity. And remember: if you're in your late 30s or 40s and noticing changes in your cycle, mood, or sleep, you're not "too young"—you may simply be entering perimenopause.

If you are experiencing any of these symptoms and would like a consultation, please call the office to schedule and I would be happy to meet with you.

09/05/2025

Testosterone Therapy Shows Promise in Reducing Hip Fractures and Enhancing Recovery in Older Adults

A recent study highlighted by the American Academy of Orthopaedic Surgeons (AAOS) has shed light on the potential benefits of testosterone therapy in reducing the risk of hip fractures and improving post-surgical recovery, particularly in older women.

Hip fractures are a serious concern for individuals aged 65 and older, with women disproportionately affected due to osteoporosis and age-related bone loss. According to AAOS, nearly 75% of hip fractures occur in women, and most patients require surgery followed by prolonged rehabilitation. Many lose their independence, needing assistive devices or long-term care.

Emerging evidence suggests that testosterone therapy may play a protective role in bone health. In both men and women, testosterone has been linked to increased bone density and muscle strength, which are critical factors in preventing falls and fractures. Notably, in a cohort of 65-year-old women who received testosterone therapy following hip surgery, researchers observed a marked improvement in recovery outcomes. These women were less likely to require assistive devices such as walkers or canes during rehabilitation, indicating enhanced mobility and strength.

According to the Centers for Disease Control and Prevention (CDC), hip fractures are among the most serious fall-related injuries in older adults. In 2019, 83% of hip fracture deaths were caused by falls, and women accounted for approximately 70% of hip fractures treated in emergency departments or hospitals

In my practice, I stay at the forefront of research for my patients’ longevity and healthspan – if you are interested in a consultation on testosterone therapy and whether it’s right for you, call my office for an appointment or visit elizabethstorymd.com.

09/02/2025

Menopause and Autoimmunity: Unraveling the Hormonal Link

Menopause marks a significant hormonal transition, particularly the decline of estrogen and progesterone, which play critical roles in immune regulation. Estrogen, in particular, has immunomodulatory effects—both stimulating and suppressing immune responses depending on context. During menopause, the drop in estrogen levels can lead to increased systemic inflammation and immune dysregulation, potentially triggering or exacerbating autoimmune conditions such as rheumatoid arthritis, lupus, and Hashimoto’s thyroiditis.

Dr. Mary Claire Haver emphasizes that “there are estrogen receptors throughout almost every organ system in your body,” and as levels drop, these cells lose their ability to maintain health across systems including immunity.

This hormonal shift doesn’t just affect immune function—it also impacts musculoskeletal health. Conditions like frozen shoulder and osteoarthritis are more prevalent in menopausal women, likely due to reduced estrogen’s role in maintaining joint flexibility and connective tissue integrity.

These changes can compound autoimmune symptoms, especially in diseases that already target joints and soft tissues.
Emerging research suggests that GLP-1 receptor agonists—medications like semaglutide and liraglutide—may offer anti-inflammatory benefits beyond their use in diabetes and weight management.

While data is still evolving, their ability to shift the immune system away from a hyperactive state could make them a promising adjunct therapy for autoimmune conditions that disproportionately affect women.

Dr. Avrum Bluming, co-author of Estrogen Matters, argues that the fear surrounding hormone therapy has deprived many women of effective treatment options. He notes that estrogen has protective effects on heart health, bone density, and cognitive function—benefits that extend to immune resilience.

As we continue to explore the intersection of menopause, inflammation, and autoimmunity, it’s clear that personalized, evidence-based care—including hormone therapy and novel anti-inflammatory agents—can empower women to navigate this life stage with strength and clarity.

For more information on my concierge/membership practice benefits and treatment programs – and other blog posts – visit my website at elizabethstorymd.com

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