Melanie E. Watkins, MD

Melanie E. Watkins, MD Delivering babies and women's healthcare.

Board-Certified: American Board of Obstetrics and Gynecology
Fellow: American College of Obstetricians and Gynecologists
Residency: Obstetrics and Gynecology, Emory University School of Medicine, Atlanta, GA
MD: West Virginia University School of Medicine, Morgantown, WV
BSc: Emory University, Atlanta, GA

Today was good for the soul. We celebrated our sweet nurse Sami and her sweet little bean to be. 🩷Life has gotten so hec...
02/23/2026

Today was good for the soul.
We celebrated our sweet nurse Sami and her sweet little bean to be. 🩷
Life has gotten so hectic and busy it was wonderful to stop and pause and remember the joy of celebrating a new life loading. Love you Sami and all you do for our patients and practice.
Love this group of strong women. Let’s goooo! 🩷

❇️You’ve learned about 🅰️ and 🅱️…now it’s time for C! ❇️C is for Collagen! 💪🏼 🦴 Did you know that there is significant d...
02/15/2026

❇️You’ve learned about 🅰️ and 🅱️…now it’s time for C! ❇️

C is for Collagen! 💪🏼 🦴

Did you know that there is significant data and research showing that hydrolyzed collage can actually SIGNIFICANTLY reduce wrinkles? Collagen also can keep bones and muscles strong!

⭐️How Collagen Supplements Work for Skin⭐️

➡️Supports Skin Elasticity and Firmness
• Collagen peptides are digested into amino acids that your body can use to produce new collagen and other connective tissue proteins.
• Studies show improvements in skin elasticity after 8 weeks of daily supplementation

➡️Reduces Fine Lines and Wrinkles
• Clinical trials have found ‼️20–50% ‼️reductions in eye wrinkle volume after daily collagen peptide use for 8 weeks.
• Collagen supplementation stimulates pro-collagen type I and elastin, proteins that maintain the skin’s structural matrix.

⭐️Which ones to try?⭐️
‼️Look for HYDROLYZED collagen‼️
(It has most data for skin and joints)
➡️Verisol (Amazon, Costco)
➡️Collasel pro
➡️ bovine collagen (Spoiled child)

❇️Dose?

For dermatological applications, 2.5-10 g/day represents the effective range, with most studies using 8-24 week treatment periods. A meta-analysis of 19 studies (1,125 participants) found that 90 days of supplementation effectively reduces skin aging by improving wrinkles, elasticity, and hydration.

⭐️Other Health Benefits⭐️

❤️Metabolic and cardiovascular benefits include improved glucose homeostasis through enhanced insulin sensitivity , antihypertensive effects and favorable lipid profile changes with increased HDL-C and reduced LDL-C and triglycerides.

❤️Collagen peptides also promote satiety (fullness)and may support weight management through increased fatty acid oxidation.

❤️Musculoskeletal improvements extend to increased bone strength, density, and mass, which are particularly relevant for aging-related bone loss. When combined with resistance training, collagen supplementation enhances body composition and strength gains. It also reduces muscle soreness and aids recovery from exercise.

❤️Gastrointestinal and systemic effects include potential benefits for gastroesophageal reflux disease and restoration of gut microbiome balance.


I just bought Spoiled Child and am starting it soon will keep you posted! Making my husband take it too. 😜

Educate and empower yourself ladies!!

Leave in comments if you have a Collagen brand you love! 👇❤️

Raise your hand if you’ve heard the term ‘sunny side up baby’ 🙋‍♀️☀️Here’s what it means — and why it matters.⭐️Babies c...
02/08/2026

Raise your hand if you’ve heard the term ‘sunny side up baby’ 🙋‍♀️☀️
Here’s what it means — and why it matters.

⭐️Babies can be head down in the pelvis but down there in different ways!
As an OB I know the best way for them to be engaged in the pelvis is OA or Occiput Anterior (see photos)..this is smallest diameter and BEST way for momma and her pelvis.

☀️ Sunny side up or Occiput Posterior AKA OP babies are harder for momma. This position can make for longer, more painful labor and be much more difficult for mommas to push out! It also delays the natural cervical ripening that occurs as the head descends into the pelvis through late pregnancy..🤰

💙So as an OB what do I do to help and what can your OB or midwife do to help you?🩷

❇️Around 35-36 weeks I feel abdominally on momma’s belly to see if baby is starting to engage..I can typically feel if baby is OA or OP. I repeat this every time I see my patient.
❇️If my patient has an ultrasound near term I also check here (see photos). Patients love seeing their babies faces but I don’t once they are term!!! It immediately tells me they are OP!
❇️I give my patients exercises to do at home on their own and with their partner that encourage the baby to rotate like my video. 😊🤪
❇️If baby is still OP in labor we do additional exercises to help the baby rotate…more to come on that!

❤️Educate and Empower yourself friends!

Wegovy is now approved in pill form in addition to injections. Woohoo!! This is AWESOME !👏🏼 This may be helpful for thos...
01/31/2026

Wegovy is now approved in pill form in addition to injections. Woohoo!! This is AWESOME !👏🏼

This may be helpful for those seeking weight loss but worried about the shots 💉

Studies show same efficacy but does show LESS severe GI side effects then injection
4 different doses
Does look cheaper
Compounded not available yet but coming
No word on zepbound pill yet

Here is some education . Let me know if you desire a weight loss consult my local friends! I can likely get you scheduled at the Buford office. ❤️ Just PM me

✅What is Oral Wegovy?
Oral Wegovy (semaglutide) is a once-daily tablet approved by the FDA to help adults lose weight and keep it off. It works by reducing your appetite, helping you feel full longer, and slowing how quickly food leaves your stomach.
Wegovy must be used together with a reduced-calorie diet and increased physical activity.

✅Wegovy is now approved in injection form and pill form.
Doses are below:

Wegovy injection: 0.25mg --> 0.50mg--> 1.0mg--> 1.7mg--> 2.4mg
Wegovy pill 1.25mg--> 4mg--> 9mg--> 25mg

✅Cost if not covered by insurance
Oral Wegovy tablets cost $149-$299 per month depending on dose, compared to $349 per month for injectable Wegovy


✅Weight Loss Results:

In clinical studies, people taking oral Wegovy 25 mg lost an average of 13.7% of their body weight over 64 weeks, compared to 2.3% with diet and exercise alone.
About 70% of people achieved at least 5% weight loss, and nearly one-third lost 20% or more of their body weight.
Approximately 79% of participants taking oral Wegovy achieved ≥5% weight loss, 63% achieved ≥10% weight loss, and 30% achieved ≥20% weight loss—proportions that closely mirror those seen with the injectable formulation.

➡️Important: Wegovy works best when combined with healthy eating and regular physical activity. Weight regain can occur if you stop taking the medication and go bco to old habits a, so this can be a long-term treatment. BUT I do see large percentage of patients who are motivated keep it OFF!!‼️



✅Common Side Effects
Most side effects are gastrointestinal (stomach and digestive) problems that are usually mild to moderate and improve over time:
SEVERE GI side effects appear less with the pill.

For injectable Wegovy 2.4 mg, the most common adverse reactions (≥5% and more frequent than placebo) include nausea, diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, dyspepsia, dizziness, abdominal distension, eructation, hypoglycemia in patients with type 2 diabetes, flatulence, gastroenteritis, and gastroesophageal reflux disease.
Severe gastrointestinal adverse reactions occurred in 4.1% of injectable Wegovy-treated patients versus 0.9% of placebo-treated patients.
Overall, 6.8% of patients discontinued injectable Wegovy due to adverse reactions, with nausea (1.8%), vomiting (1.2%), and diarrhea (0.7%) being the most common reasons for discontinuation.


For oral Wegovy 25 mg tablets, severe gastrointestinal adverse reactions occurred in 2% of tablet-treated patients versus 0% of placebo-treated patients—notably lower than the 4.1% rate seen with injections.
The gastrointestinal adverse reactions were most frequently reported during dosage escalation for both formulations.


✅Both formulations carry the same warnings for serious adverse reactions, including risk of thyroid C-cell tumors, acute pancreatitis, gallbladder disease, acute kidney injury due to volume depletion from gastrointestinal side effects, and hypersensitivity reactions.
Patients should be monitored for signs of pancreatitis (persistent severe abdominal pain), and renal function should be monitored in those experiencing gastrointestinal reactions that could lead to dehydration.

✅The key practical difference is that oral Wegovy appears to have a lower rate of severe gastrointestinal adverse reactions (2% vs 4.1%), though both formulations have similar overall gastrointestinal tolerability profiles with most reactions being mild to moderate and transient.



Nausea (affects about 47% of people)

Vomiting (affects about 31% of people)

Diarrhea (affects about 30% of people)

Constipation (affects about 24% of people)

Abdominal pain (affects about 20% of people)

Heartburn or acid reflux (affects about 8-18% of people)

These side effects typically occur during the first few weeks and when your dose is increased. They usually last only a few days and resolve without needing to stop the medication.



❌Who Should NOT Take Wegovy❌



Have or have had medullary thyroid cancer

Have a family history of medullary thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

Are allergic to semaglutide or any ingredients in Wegovy

Are pregnant or planning to become pregnant (stop Wegovy at least 2 months before trying to conceive)

Have a history of pancreatitis



Remember: Wegovy is a tool to help you lose weight, but it works best when combined with healthy eating and regular physical activity.

🙂❤️

➡️Let’s move onto the next letter in the ABCs of perimenopause! 🅱️ is for Brain Fog!!Yes dear friends…brain fog IS a kno...
01/26/2026

➡️Let’s move onto the next letter in the ABCs of perimenopause!

🅱️ is for Brain Fog!!

Yes dear friends…brain fog IS a known symptom of perimenopause. It is not a myth or something women have made up. Brain fog is well documented in Menopause, Neurology and Psychiatry journals.
So symptoms such as :
Trouble concentrating or staying focused
• Forgetfulness (names, words, why you walked into a room) 😵‍💫
• Slowed thinking or feeling “mentally cloudy”🫩
• Difficulty finding the right words🤔
• Poor short-term memory🤯
• Trouble processing information or multitasking😤

Can all be related to perimenopause!!!

➡️How? 🤷🏼‍♀️

Well it is known that estradiol… the most potent estrogen our body makes plays a 🔑 role in our brain health. During perimenopause estradiol levels can fluctuate wildly and then start a steady decline. This fluctuation and then withdrawal can wreak havoc in our 🧠!
These changing levels disrupt multiple neurological processes including brain energy metabolism, neurotransmitter systems, and structural brain changes.

Studies also have demonstrated widespread brain remodeling during perimenopause, including changes in brain structure, connectivity and energy metabolism.

➡️How can you help yourself?

Natural methods to alleviate brain fog include dietary modifications, physical exercise, cognitive activities, adequate sleep, and specific nutritional supplements.

✅Diet
- The Mediterranean diet, characterized by high consumption of fruits, vegetables, and olive oil, is associated with slower cognitive decline. The MIND diet (Mediterranean-DASH Intervention for Neurodegenerative Delay), which emphasizes green leafy vegetables and berries, may be particularly protective against cognitive impairment
-Get your protein and limit naked and simple carbs!!

✅Exercise
- Aerobic (walking, swimming,running) and resistance training, may positively affect cognitive function through cardiovascular benefits and effects on blood pressure.

✅ Stimulate your brain!
-stop the mindless scrolling and try to read more and play cognitively engaging games as this can help maintain cognition and function

✅get your 💤 🛌
-Women in their 40s should work on sleep hygiene and getting 7-9 hrs if possible

✅Natural supplements/food focus
-Specific phytochemicals and supplements show potential benefits:
-Blueberries, blackberries, strawberries 🍓 🫐
- Spinach, kale, arugula, Swiss chard 🥗
-Broccoli, cauliflower, Brussels sprouts, cabbage 🥬 🥦
- Turmeric, rosemary, cinnamon, ginger
-Lentils, chickpeas, black beans 🫘
- Walnuts, flaxseed, chia 🌰
- Tomatoes & Red Peppers 🌶️ 🍅

✅Finally if you are still struggling talk to your OBGYN or local menopause expert on benefits of estradiol and hormone replacement therapy!!

That is all! Hope you all had a fun filled snow/ice day with your families!!

Empower and educate yourselves friends!!❤️

https://www.tandfonline.com/doi/10.1080/13697137.2021.1942700?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

https://pubmed.ncbi.nlm.nih.gov/36178170/

Ok let’s do it! ❤️There is SOO much info out there right now on perimenopause and menopause for patients…I mean it’s eve...
01/22/2026

Ok let’s do it! ❤️
There is SOO much info out there right now on perimenopause and menopause for patients…I mean it’s everywhere..tik tok, instagram, Facebook, podcasts..you name it! It has to be so hard for women to sift through it all and find REAL education that is backed by research that they can trust. Even I find it hard to get through the journals and research that comes out daily to make sure I am current and have all of my education ready for my patients.

Soooo to keep it all in order and be able to share with more women I thought it might be a good idea to start the ABCs of perimenopause and menopause!

Let’s goooo and start with 🅰️

🅰️is for alcohol. 🍷 🍺 🍸
I love wine. Sauvignon blanc from New Zealand is my absolute FAVE. I’m not picky the 9.99 Costco brand is just fine!!!

But did you know that alcohol is one of the worst things for a perimenopausal woman to put in her body? 🤨

As we age and approach menopause, we become more vulnerable to alcohol's effects due to lower levels of alcohol dehydrogenase enzymes and higher body fat-to-water ratios, causing alcohol levels to rise more quickly and persist longer than when we were younger. This altered pharmacokinetics means the same amount of alcohol produces greater physiological impact.

Alcohol consumption WORSENS hot flashes,night sweats and sleep quality.
Yes that glass of wine before bed tastes so good but can REALLY disrupt your sleep which is so so important during the perimenopause transition. 😴🫩
Alcohol too has been linked to worsening anxiety and depression which perimeno women are already at increased risk for.😵‍💫
Alcohol also can increase breast cancer risk. 🩷
Finally because it is harder for our bodies to process alcohol as we age and we become more insulin resistant it increases are belly fat and fat in our liver. 😳

I learned first hand about all of this as my husband and I are doing dry January.
I felt the changes almost immediately .
I am sleeping better and my mood is improved and night sweats are gone. It’s crazy. I feel so much better that I plan on just drinking wine socially as to me it’s just not worth it!

But dang my life and my job are STRESSFUL and I work late hours on my computer charting and sending labs and tasks so still needed something to sip while I’m calming down after a CRAZY day of running around delivering babies and then being a Mom. Soooooo I also have taken to sampling all of the new alcohol free relaxing beverages and I definitely have found some that really do help with relaxation and allow me to destress after my wild days!!!! They have different natural supplements like ashwaganda, magnesium, L thianine, lions mane and kava that have a calming effect.

Definitely worth a try!!!
Photos below..so far my faves are:
➡️strawberry Trip (Amazon (cheaper) or Target)
➡️peach ginger Trip (Amazon)
➡️raspberry Urelax (website)
➡️neo Calm strawberry or orange (Costco (cheaper)/Target)
➡️NEW fave just tried De Soi (target)

❤️That is all for now!
Educate and Empower yourselves my dear friends!

‼️PSA‼️Ladies!! Stop the madness! Stop using Testosterone pellets. They are dangerous and have so so many risks that are...
01/19/2026

‼️PSA‼️
Ladies!! Stop the madness! Stop using Testosterone pellets. They are dangerous and have so so many risks that are NOT disclosed to you by the businesses that inject them in you! The fact is those businesses are just that businesses that are making money off of you while they are putting you and your health in jeopardy.
Advocate and empower yourself and know your risks before you pay 💰 💰 💰 for something that is not safe and then is stuck in you for 3 months. I have 3-5 consults a week with patients who are suffering with the long term complications of T pellets..and 99% of the time they were never educated on the following:
➡️increased risk of hypertension, stroke , cardiovascular disease, heart attack
➡️weight gain especially in belly
➡️abnormal bleeding risk/abnormal endometrial cells/uterine cancer/hyperplasia
➡️likely increased breast cancer risk
➡️excess hair growth on face
➡️acne
➡️enlarged cl****is
➡️anxiety/depression
➡️voice changes
➡️55% increased risk of hysterectomy

The problem is most if not all women initially feel great so they sell you on them, take your money and then desert you when the complications come later on down the line. They don’t follow your levels , they don’t educate they just inject and send you out the door. Most of these centers are not even managed by an actual physician .

Testosterone CREAM is safe as is hormone replacement therapy when it is prescribed by a licensed doctor who follows your levels and educates you on all risks.

Please see me if you need education or are considering using T pellets. There are much more safe and affordable options available. ❤️❤️

This is great podcast:

https://podcasts.apple.com/us/podcast/dr-streichers-inside-information-menopause-midlife/id1615785832?i=1000741769624r

My New Year’s resolution was to get stronger and to use weight training as a way to continue to bond with my teenage son...
01/09/2026

My New Year’s resolution was to get stronger and to use weight training as a way to continue to bond with my teenage son. ❤️
I cherish these moments and he also helps to motivate me…he is a beast in the gym!

Perimenopause rocked my world a bit in 2025 with hot flashes, night sweats, anxiety and horrible sleep....I have found weight training as something that has helped me tremendously.

The data supports it too!! Evidence shows that resistance training in perimenopause helps to:

-decrease amount and severity of hot flashses and night sweats ✅
-improve sleep quality✅
-improve metabolism✅
-decrease anxiety and depression✅
-increase bone mass /decrease risk of osteoporosis ✅

Get it done ladies!! Empower yourself!!

The Georgia Health Department is also offering free mammograms to those that qualify too. 🩷
01/08/2026

The Georgia Health Department is also offering free mammograms to those that qualify too. 🩷

To all my local patients without insurance!! Squish those bo***es! It’s not that bad. 😜🤓🩷
01/05/2026

To all my local patients without insurance!! Squish those bo***es! It’s not that bad. 😜🤓🩷

Merry merry Christmas !!! Life is so good . ❤️I just wanted to send a little love your way and wish you a season and  Ne...
12/26/2025

Merry merry Christmas !!!
Life is so good . ❤️

I just wanted to send a little love your way and wish you a season and New Year filled with peace, joy, and wonder.

It has been such an honor to be part of your journey and to help welcome your precious babies into the world. Being present for such a meaningful moment in your family’s story is something I never take for granted, and I feel incredibly grateful to have shared it with you. Every time I deliver a babe I am reminded that He is the reason and I feel His presence on my right shoulder. ❤️

I hope your Christmas was full of cozy moments, tiny miracles, and memories you’ll treasure for years to come. May your home be filled with laughter, warmth, and the special kind of joy that only this season—and a new life—can bring. And for those still making their family I hope
i can help you and promise I wil do everything I can to bring you the joy of new life and family.


Wishing you and your family a very Merry Christmas and a New Year full of health and love and happiness.

I love you all!!❤️❤️

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Lawrenceville, GA
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