Dr. Susan Hardwick-Smith

02/16/2026

With Louise Newson, Aoife O’Sullivan and Jill Chmielewski 🤍

ISSWSH hosts an incredible annual meeting of diverse professionals dedicated to advancing women’s sexual wellness. Of the many topics discussed, my biggest takeaway was from Dr. Newson’s studies regarding the cognitive benefits of testosterone.

Her patient data in England (which includes more than 2,000 patients every month) has shown that testosterone replacement significantly reduces symptoms of depression, anxiety, and even suicidality in perimenopausal and menopausal patients with testosterone deficiency, and allows patients to reduce or discontinue antidepressants that were often misprescribed for menopausal symptoms.

Louise is a tireless clinician and researcher fighting to educate patients, physicians, and the public about the many benefits of menopausal hormone therapy, including testosterone. She is the founder and developer of the Balance app, which is an ever-growing and remarkable resource for menopausal women and physicians.

.chmielewski

02/13/2026

6 Emsella sessions + 1 O-Shot | $1,500 💌 Laugh. Lift. Love Again.

When pelvic weakness or changes in sensation begin to affect daily life, confidence can quietly slip away.

Emsella rebuilds strength and coordination throughout the pelvic floor, improving control and stability. The O-Shot supports circulation and tissue vitality, helping many women experience greater sensitivity and arousal.

💗 A thoughtful combination designed to help you feel present, secure, and connected again.

Now $1,500 (regularly $2,000)
$500 savings

Ready to feel more like yourself? Book today.
Link in bio.

02/12/2026

Changes in intimacy are one of the most common concerns I hear from women moving through perimenopause and menopause.

In this episode, I explain how we evaluate a drop in desire, what may be driving it, and which treatments truly make a difference.

You might hear the medical term Hypoactive S*xual Desire Disorder (HSDD) — used when a persistent change creates personal distress or affects a relationship. Diagnosis starts with a careful conversation, a review of your health history, and sometimes a validated screening tool.

Why desire shifts is rarely just one thing. It can involve:

✔️ changing levels of estrogen, progesterone, and testosterone
✔️ brain chemistry and stress load
✔️ sleep and fatigue
✔️ emotional or partnership dynamics
✔️ medical issues or medications

I also walk through five treatment paths, blending published science with decades of caring for midlife women, and share what tends to work best in real life.

Here’s the most important part ❤️
If desire matters to you, you are not expected to simply accept losing it. There are evidence-based ways to help.

🎥 Watch the full conversation through the link in bio.
📚 You’ll also find my book S*xually Woke there.
💻 Appointments can be requested via the same link.

02/11/2026

Decreased sexual desire is the most common concern I hear about changing sexuality during perimenopause and menopause.In this video, I discuss how we diagnose low libido, what may be contributing to it, and the treatment options that can genuinely help.

You may hear the term Hypoactive S*xual Desire Disorder (HSDD). This is a medical diagnosis used when a persistent drop in desire creates distress for a woman or strain within a relationship. Evaluation involves a thoughtful clinical conversation, review of health history, and often the use of a validated tool such as the Decreased S*xual Desire Screener (DSDS).

The reasons desire changes are rarely simple.

They often include a combination of:
✔️ hormonal shifts involving estrogen, progesterone, and testosterone
✔️ changes in brain chemistry and stress pathways
✔️ sleep and energy disruption
✔️ relationship or emotional dynamics
✔️ medical conditions or medication effects

I walk you through five categories of treatment, combining published science with what I’ve learned from caring for thousands of midlife women — including which approaches tend to work best in real life.

Most importantly, low desire is not something you are required to accept as an unavoidable part of aging. If it matters to you, there are meaningful, evidence-based ways to make it better.

💻 Interested in booking an appointment? Click the link in bio

Decreased sexual desire is the most common concern I hear about changing sexuality during perimenopause and menopause.In this video, I discuss how we diagnos...

02/09/2026

Peptides are getting a lot of attention lately 🧬
But what actually is a peptide?

In this quick overview, I explain the basics — what peptides are, how they act in the body, and why they matter in hormone and longevity medicine.

Want the deeper story?

🎥 My newly released episode dives into sermorelin — how it works, where it acts in the growth hormone pathway, and what you should know before considering treatment.

Watch the full video to understand the physiology, the benefits, and the clinical realities. Link 🔗 in bio

If you’re looking for expert, physician-guided care, our team at Complete Midlife Wellness Center is here for you.

www.completemidlifewellness.com

02/04/2026

In this video, I review sermorelin — a growth hormone–elevating peptide — and explain where it fits within the growth hormone axis.

We start with the basics: what peptides are, what “growth hormone–elevating” actually means, and what sermorelin is (and is not).

From there, I walk through how sermorelin works physiologically — stimulating endogenous, pulsatile growth hormone release at the level of the pituitary, rather than bypassing the system with exogenous GH.

I also explain why that distinction matters, how growth hormone signaling affects sleep, bone health, muscle, skin, and cognition, and why we don’t simply administer growth hormone itself.

If you want to understand sermorelin in a clear, physiology-based way — this video is for you.

If you’d like a physician-guided evaluation, you can learn more at Complete Midlife Wellness Center
🔗 https://completemidlifewellnesscenter.com






https://youtu.be/CELUYjxRs9k

In this video, I review sermorelin, a growth hormone–elevating peptide, and explain where it fits physiologically within the growth hormone axis.I begin by d...

02/04/2026

In this video, I review sermorelin — a growth hormone–elevating peptide — and explain where it fits within the growth hormone axis.

We start with the basics: what peptides are, what “growth hormone–elevating” actually means, and what sermorelin is (and is not).

From there, I walk through how sermorelin works physiologically — stimulating endogenous, pulsatile growth hormone release at the level of the pituitary, rather than bypassing the system with exogenous GH.

I also explain why that distinction matters, how growth hormone signaling affects sleep, bone health, muscle, skin, and cognition, and why we don’t simply administer growth hormone itself.

If you want to understand sermorelin in a clear, physiology-based way — this video is for you. Link in bio 🔗

If you’d like a physician-guided evaluation, you can learn more at Complete Midlife Wellness Center
🔗 https://completemidlifewellnesscenter.com

01/29/2026

If you’ve been thinking about starting our Holistic Medical Weight Optimization for Midlife program, this is your moment.

👉 Book by the end of January and receive $500 off
👉 If you don’t have time to come in this month, don’t worry — we’ll honor your January booking and schedule your start later

No pressure. No rushing your body or your calendar.

About the program
This is a 12-week, physician-guided medical weight optimization program designed specifically for midlife bodies and changing metabolism. It’s built around a comprehensive, whole-person approach and includes:

• A personalized medical evaluation and body composition assessment
• Physician-guided care and ongoing check-ins throughout the program
• Nutrition and lifestyle guidance focused on fat loss while preserving muscle
• Hormone and metabolic support to address midlife changes
• Medically supervised use of weight-loss medications, including Tirzepatide, when appropriate
• Accountability, education, and support every step of the way

This program is recommended for individuals carrying 15–50+ pounds or more than 10% excess body fat, based on body composition.

💰 January Offer:

$3,200 → $2,700
Save $500

🗓 January booking. Flexible start.

Secure the offer now — start when you’re ready.
DM, email us us or visit the link in bio to book your January spot.

01/28/2026

In this 20-minute HIIT workout, Kelley and I guide you through a simple four-move, full-body rotation designed to build strength, balance, coordination, and cardiovascular fitness—while supporting midlife bodies. VIDEO 🔗 IN BIO

The format is straightforward, repeatable, and adaptable, so you can meet your body where it is on any given day.

⏱ Workout Format
40 seconds work / 20 seconds rest
4 moves
5 rounds
20 minutes total

🔁 The 4-Move Rotation
Squat (chair or bodyweight)
Push-up (wall, bench, or floor)
Reverse lunge (alternating)
Low-impact mountain climber or standing knee drive

💡 Why this matters in midlife
This style of movement supports muscle, bone density, balance, and cardiovascular health—without punishment or extremes. It trains your body for real life and long-term strength.

Simple doesn’t mean easy.
And consistency matters more than intensity.

Move with intention.
Your future self is built one choice at a time.

🎓 Train with Kelley
Master personal trainer Kelley Workman
Explore custom training and support at www.kelleymoves.com

01/28/2026

Strong. Capable. Resilient. That’s what midlife movement can feel like when it’s done with intention.

In this 20-minute HIIT workout, Kelley and I guide you through a simple four-move, full-body rotation designed to build strength, balance, coordination, and cardiovascular fitness—while supporting midlife bodies.

The format is straightforward, repeatable, and adaptable, so you can meet your body where it is on any given day.

⏱ Workout Format
40 seconds work / 20 seconds rest

4 moves

5 rounds

20 minutes total

🔁 The 4-Move Rotation
Squat (chair or bodyweight)

Push-up (wall, bench, or floor)

Reverse lunge (alternating)

Low-impact mountain climber or standing knee drive


💡 Why this matters in midlife
This style of movement supports muscle, bone density, balance, and cardiovascular health—without punishment or extremes. It trains your body for real life and long-term strength.

Simple doesn’t mean easy.
And consistency matters more than intensity.

Move with intention.
Your future self is built one choice at a time.

🎓 Train with Kelley
Master personal trainer Kelley Workman
Explore custom training and support at www.kelleymoves.com

KelleyWorkman 💪

https://youtu.be/EIKu2VKOUNo

Strong. Capable. Resilient.That’s what midlife movement can feel like when it’s done with intention.In this 20-minute HIIT workout, Kelley and I guide you th...

01/26/2026

There’s so much judgment swirling around weight loss medications like semaglutide and tirzepatide. I hear it all the time — “Why don’t they just eat better?” “Why not exercise more?” But here’s the truth: most people who turn to these medications have already tried — many, many times — and felt like failures when nothing worked.

These medications aren’t shortcuts. They’re tools — science-backed, life-saving tools — for people who are struggling with obesity, a condition that carries serious health risks. If we had a safe and effective way to treat any other chronic disease, wouldn’t we use it without shame?

The key is using them wisely — as part of a comprehensive, medically supervised program that focuses on real, sustainable health changes. That’s exactly what we do at Complete Midlife Wellness Center through our Holistic Medical Weight Optimization Program.

So let’s stop judging others for choosing a path that works for them. Let’s offer support, compassion, and a little more understanding.

💬 Drop your thoughts below — and if you’re curious about how our 12-week program works, all the details are linked in bio.

✨ Limited-Time Offer: $500 Off
Enroll in our Holistic Medical Weight Optimization for Midlife program and get the full 12-week Tirzepatide-based plan for $2,700 (regularly $3,200).

01/23/2026

If weight loss feels harder than it used to, it’s not because you’re doing something wrong — it’s because your body has changed.

I’m excited to share a newly released offer for our
Holistic Medical Weight Optimization Program — a 12-week, physician-guided program designed specifically for midlife bodies.

This program is recommended for women who:
• Have 15–50+ pounds to lose, or
• Have more than 10% body fat to lose based on body composition

✨ Limited-time offer

💰 $2,700 ($500 off our regular price)

This particular offer is built around terzepatide (Mounjaro) — a medication that has shown more significant weight-loss results than Ozempic in clinical trials and in our own clinic experience. When used appropriately and medically, it can be a powerful support — not a shortcut.

But medication alone is never the solution.
Lasting results come from addressing the whole system.

Our 6 pillars for success

1️⃣ Nutrition
No restrictive “diets.” We focus on nutrition that supports your metabolism and feels sustainable.

2️⃣ Movement
Not punishment — just consistent movement that builds muscle and supports fat loss.

3️⃣ Hormones
Midlife hormone shifts, including insulin resistance, make weight loss harder. We address this medically.

4️⃣ Mindset
Past attempts don’t define your future. Belief and support matter more than willpower.

5️⃣ Medication
Terzepatide, prescribed and monitored weekly, as part of a comprehensive medical plan.

6️⃣ Accountability & Support
A structured 12-week commitment with guidance every step of the way.

If you’re ready to stop fighting your body — and start working with it — this program was designed for you.

— Dr. Susan 🤍