Sherrie Koenigseder, MSN, APRN, NP-C

Sherrie Koenigseder, MSN, APRN, NP-C Certified Family Nurse Practitioner since 2016 with an Autonomous APRN and RN license in Florida

01/01/2026

My 2026 Commitments & Vision

In 2026, I’m committing to growth that is intentional, ethical, and sustainable.

✨ Personally: protecting my peace with strong boundaries so I can be present, healthy, and grounded for my family.

🩺 Professionally: continuing to grow Navarre Primary Care as an NP-led clinic that prioritizes prevention, education, and root-cause care—not rushed, symptom-only medicine.

🤍 Collectively: advocating for nurse practitioners through mentorship, precepting, leadership, and legislative involvement—because patient-centered care depends on empowered clinicians.

This year isn’t about doing more.
It’s about doing what matters—well, and with purpose.

— Sherrie Koenigseder, APRN

12/29/2025

Today, we remember and honor Dr. Loretta Ford on what would have been her 105th birthday. A veteran, nurse and academic, Dr. Ford made history by founding the nurse practitioner role alongside Dr. Henry Silver in 1965. Dr. Ford’s legacy lives on through the high-quality health care provided by NPs in nearly a billion patient visits annually. Learn more about this nursing legend: bit.ly/Remembering-Dr-Ford.

12/29/2025

⚡ What Is "Good Energy" by Dr. Casey Means About?

At its core, "Good Energy" teaches that most chronic diseases share one root problem: poor metabolic health.

When our cells can’t make energy efficiently, the body shows it through:

• Fatigue
• Brain fog
• Weight gain
• Hormone issues
• Inflammation
• Anxiety
• Chronic disease

💡 The solution isn’t more meds—it’s supporting cellular health through food, movement, sleep, stress regulation, and blood sugar balance. I have yet to meet a patient deficient in any medication.

Healthy cells = good energy = better health.

✅ A Simple “Good Energy” Checklist for Everyday Health

According to Dr. Casey Means, improving health doesn’t require perfection—just consistency.

✔️ Prioritize whole, real foods
✔️ Build meals around protein, fiber, and healthy fats
✔️ Reduce ultra-processed foods and added sugars
✔️ Keep blood sugar stable (avoid constant snacking)
✔️ Move your body daily (walks count!)
✔️ Build muscle with resistance training
✔️ Get morning sunlight
✔️ Protect sleep like it’s medicine
✔️ Manage stress (nervous system health matters)
✔️ Limit alcohol
✔️ Support gut health
✔️ Listen to your body—not just the scale

✨ Small daily choices compound into big health changes.

Your body wants to heal—it just needs the right environment.

12/29/2025

🧠🌸 Perimenopause & Neurodivergent Women: What’s the Connection?

For neurodivergent women, perimenopause can feel especially disruptive—and often confusing—because hormonal changes directly affect the brain.

Perimenopause is the hormonal transition (often starting in the late 30s–40s) when estrogen and progesterone begin to fluctuate. These hormones don’t just regulate periods—they play a major role in brain function, mood, focus, and sensory processing.

💡 Why perimenopause can hit neurodivergent women harder:

🧠 Hormones & the Brain Estrogen supports:
• Dopamine (focus, motivation, executive function)
• Serotonin (mood stability)
• GABA (calm and stress regulation)

When estrogen fluctuates or declines, existing neurodivergent traits can intensify.

⚡ Common Worsening Symptoms Neurodivergent women may notice:
• Increased ADHD symptoms (brain fog, poor focus, forgetfulness)
• Emotional dysregulation or mood swings
• Heightened anxiety or panic
• Sensory overload (noise, lights, crowds)
• Increased burnout and fatigue
• Sleep disruption
• Feeling “less resilient” to stress

🔁 Loss of Coping Capacity Many women unknowingly relied on estrogen to help compensate for:
• Executive function challenges
• Emotional regulation
• Social masking

As hormones shift, the systems that once helped you cope may no longer work—leading many women to feel like they’re “falling apart,” when in reality, their biology is changing.

❗ Often Misdiagnosed As:
• Anxiety disorder
• Depression
• “Just stress”
• Aging
• Burnout

✨ The Truth Nothing is “wrong” with you. Your brain isn’t failing. Your hormones are changing.

When we understand the intersection of neurodivergence and perimenopause, we can:
✔️ Normalize the experience
✔️ Avoid mislabeling
✔️ Provide better support
✔️ Personalize care

💚 Awareness is power. Understanding your hormones can help you reclaim clarity, confidence, and compassion for yourself.

If this resonates—you’re not alone, and help exists.

12/29/2025

🧠 What Does “Neurodivergent” Mean?

You may be hearing the word neurodivergent more often—and wondering what it actually means.
Neurodivergent describes people whose brains process information differently than what’s considered “neurotypical.” It’s not a diagnosis and it’s not a flaw—it’s a way of recognizing natural differences in how brains function.

Neurodivergence can include people with:
• ADHD
• Autism spectrum
• Dyslexia or learning differences
• OCD
• Tourette’s
• Sensory processing differences
• Anxiety, mood, or executive function differences

💡 Important things to know:
✔️ Neurodivergent brains are not “broken”
✔️ Many people have unique strengths like creativity, pattern recognition, empathy, or problem-solving
✔️ Challenges often show up when environments don’t support how someone’s brain works

🧠 How it may show up in daily life:
• Difficulty with focus or transitions
• Sensory sensitivity (noise, light, textures)
• Needing structure—or flexibility
• Thinking deeply, creatively, or outside the box
• Feeling overwhelmed or burned out more easily

✨ Neurodiversity reminds us that there isn’t one “right” way for a brain to work.

Understanding how your brain functions can be empowering—and can guide better support, routines, lifestyle choices, and care.
If you’ve ever felt like your brain works “a little differently,” you’re not alone—and you’re not wrong.

💚 Awareness leads to compassion.
🧠 Support leads to thriving.

12/28/2025

Insulin Resistance Doesn’t Always Look Like Diabetes 👀

Most people think insulin resistance only matters if you have diabetes.
But long before blood sugar is “high,” your body may already be struggling.
Here’s how insulin resistance often feels and looks ⬇️

⚠️ Persistent fatigue
Especially after meals or in the afternoon
⚠️ Weight gain that won’t budge
Most commonly around the belly — even with “healthy” eating
⚠️ Cravings for carbs or sugar
Followed by crashes, irritability, or brain fog
⚠️ Brain fog & poor focus
Feeling mentally “sluggish” or unfocused
⚠️ Hormonal symptoms
• Irregular cycles
• Worsening PMS
• PCOS features
• Perimenopause symptoms that feel intense or sudden
⚠️ Skin clues
• Darkened skin around the neck or underarms
• Skin tags
• Acne that persists into adulthood
⚠️ Elevated labs (even if glucose is normal)
• High fasting insulin
• Elevated triglycerides
• Low HDL
• Mildly elevated A1c
• Fatty liver changes
⚠️ Inflammation & chronic conditions

Insulin resistance is strongly linked to:
• Heart disease
• Fatty liver
• PCOS
• Autoimmune conditions
• Alzheimer’s (sometimes called “Type 3 diabetes”)

👉 You can be insulin resistant and still have “normal” blood sugar.
That’s why early screening matters — and why symptoms should never be ignored just because labs look “okay.”

The good news?
Insulin resistance is reversible with the right approach:

✔ Nutrition
✔ Muscle-building movement
✔ Sleep optimization
✔ Stress regulation
✔ Targeted labs & individualized care

If this sounds familiar, your body may be asking for support — not waiting for a diabetes diagnosis.

12/22/2025

Florida NPs....

12/18/2025

Autoimmune disease doesn’t happen overnight — and it’s rarely caused by just one thing.

Many autoimmune conditions are influenced by multiple root causes that slowly push the immune system out of balance over time. Some of the most common contributors include:

🧬 Gut dysbiosis – Loss of healthy gut bacteria can increase intestinal permeability and immune activation
🔥 Chronic inflammation – Keeps the immune system in constant “attack mode”
😴 Poor sleep – Reduces immune repair and regulatory T-cell function
😣 Chronic stress – Ongoing cortisol elevation disrupts the gut-brain-immune connection
🧪 Medications & chemicals – Certain drugs and environmental exposures can damage gut and immune tolerance
🌿 Environmental toxins – Heavy metals, mold, and pesticides overload detox pathways
🌀 Hormonal imbalances – Thyroid, estrogen, or progesterone shifts affect immune signaling
💡 Light & circadian disruption – Too much screen time and too little daylight confuse immune-regulating hormones
🍎 Blood sugar swings – Glucose instability fuels inflammation and flare-ups
🩸 Low oxygen or circulation – Poor blood flow or anemia limits immune cell function
💊 Nutrient deficiencies – Low vitamin D, zinc, selenium, or omega-3s weaken immune regulation
💧 Redox & hydration imbalance – Oxidative stress and dehydration impair cellular repair

✨ The goal isn’t to “blame” the immune system — it’s to understand why it’s reacting and how to support balance again.

If you’ve been managing symptoms without clear answers, looking upstream matters.

Education only. Always discuss personalized care with your healthcare provider.

12/18/2025

Gut Health Myth vs Truth

🌿 So much information online about gut health is confusing — so let’s clear it up.

❌ Myth #1: You need a probiotic to fix your gut.

✔️ Truth: Most people need fiber, protein, and less sugar before they need a probiotic. However, a good quality probiotic may be needed if your diet has not been good for a long time or if you've been on a lot of antibiotics.

❌ Myth #2: Bloating is normal.

✔️ Truth: Occasional bloating is common, but daily bloating is a sign of imbalance, inflammation, or food intolerance.

❌ Myth #3: “Healthy” foods like salads work for everyone.

✔️ Truth: If you have gut inflammation, raw veggies can actually make symptoms worse.

❌ Myth #4: Gut health only affects digestion.

✔️ Truth: Gut health is tied to weight, hormones, immunity, skin, mood, and brain health.

❌ Myth #5: You need a cleanse to reset your gut.

✔️ Truth: Sleep, stress management, and balanced meals do more than any “cleanse.”

12/17/2025

🎄 The 12 Days of Christmas — Explained

Fun fact: The 12 Days of Christmas do NOT lead up to Christmas Day.
They actually begin on Christmas Day and run after Christmas!

✨ Here’s how it really works:

📅 Day 1: December 25 – Christmas Day
📅 Day 12: January 5 – The eve of Epiphany

The 12 Days mark the celebration from the birth of Jesus to the arrival of the Wise Men.

✨ So what is Epiphany? ✨

🎁 Epiphany (January 6) celebrates the moment the Wise Men (Magi) arrived to visit Jesus, recognizing Him as King.
It represents the “revealing” of Christ not just to Israel, but to the entire world — Gentiles included.

This day traditionally marks: • The end of the Christmas season
• The visit of the Wise Men
• The blessing of homes
• King cakes, crowns, and the colors purple, green, and gold

🎭 Now here’s where Mardi Gras comes in… 🎭

💜 Epiphany is also known as “Twelfth Night” — and it marks the BEGINNING of Mardi Gras season.

From January 6 (Epiphany) to Fat Tuesday (Mardi Gras) is a season of celebration before Lent begins.

Historically: • Feasting began after Epiphany
• Mardi Gras was a time to enjoy rich foods before Lenten fasting
• King Cake honors the Three Kings — whoever finds the baby is “king” for the day
• Parades and celebrations grew from these traditions

📅 Mardi Gras always ends the day before Ash Wednesday, which begins Lent.

💡 The big picture:
• Christmas Day → Birth of Christ
• Epiphany → Christ revealed to the world
• Mardi Gras → Final celebration before Lent
• Lent → Preparation, reflection, and renewal

So yes… Christmas leads straight into King Cake season 👑🎂💜

✨ One long, beautiful season — not separate holidays, but a connected story.

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