Slán NYC

Menopause Management, Metabolic Management, Healthy Aging,
Libido Support for Men & Women, Gynecology & Longevity

02/12/2026

To my perimenopausal women: don’t let anyone dismiss you with “your labs are normal” or “you’re still getting periods, so you’re fine.” Perimenopause is defined by hormonal fluctuation—labs can look “okay” on paper while symptoms are very real. Your symptoms + your story matter most.

If you’re dealing with sleep disruption, mood changes, anxiety, brain fog, heavier periods, joint pain, or “not feeling like yourself,” you deserve an evidence-based plan—not a shrug.

👉 Book via the link in bio for a personalized perimenopause consult (Flatiron + Rye 2×/month + Telehealth).
Educational only; not medical advice.

02/09/2026

Testosterone isn’t just a “male hormone.” Before menopause, women produce significantly more testosterone than estrogen, and levels can decline with age. Research (including a major Lancet review) supports that testosterone therapy—when appropriately prescribed and monitored—can improve s*xual desire and satisfaction in postmenopausal women, and may also support bone and lean mass.

The frustration? There are still limited female-specific formulations, which makes access and dosing more complicated than it should be.

If libido, energy, or muscle changes are affecting your quality of life, you deserve a real medical conversation—not a brush-off.
👉 Book via the link in bio for a personalized evaluation and evidence-based options (Flatiron + Rye 2×/month + Telehealth).

02/04/2026

Slán NYC x Women Artists: Now Showing ✨
Our new Flatiron space is evolving—and we’re honored to feature work by Monique Rollins and Shivani Dugar in a gallery-style installation throughout the office. We believe healing spaces should feel inspiring, calming, and intentionally curated—because your environment matters, too.
Come see it in person at your next visit (and stay tuned for more as the space continues to unfold).
👉 Book via the link in bio.

02/02/2026

Old rule-of-thumb: “Only start within 5 years of your last period—and stop at 59.”
New reality: Age and timing matter, but there isn’t a universal cutoff. For some healthy patients, hormone therapy may still be an option beyond those older limits—if an individualized risk–benefit review supports it.

Key point: this is never DIY. It’s about your health history, symptoms, goals, and the safest formulation for you.

Curious whether you’re a candidate? Book via the link in bio for a personalized consult. Flatiron + Rye (2×/month) + Telehealth.
Educational only; not medical advice.

01/28/2026

Seed oils get a lot of heat online—so I went to the data. When polyunsaturated fats (like those found in many seed oils) replace saturated fats, research consistently shows cardiometabolic benefits. And the claim that seed oils automatically “cause inflammation”? That’s not supported by high-quality evidence at typical dietary intake levels.

Practical takeaway: focus on more whole foods, fiber, protein, and healthy fats, and less ultra-processed foods overall.

Want a personalized metabolic plan that actually fits your life? Book via the link in bio.

01/26/2026

There’s a major difference between oral and transdermal estrogen when it comes to clot risk. Evidence consistently shows that transdermal estrogen (patch/gel) is associated with a lower clot-risk profile than oral estrogen, in part because it bypasses first-pass metabolism in the liver and has less impact on clotting factors.

Key point: a personal or family history of clotting concerns does not automatically rule out hormone therapy—but it does mean you need an individualized risk review and the right formulation.

If you’ve been told “no hormones” without a nuanced discussion, we can help you review your history and options. Book via the link in bio.
Educational content only; not medical advice.

01/23/2026

Breast tenderness can be a common, temporary adjustment when starting hormone therapy, often improving as the body adapts. If symptoms persist or feel unusual, a clinician can review dosing and overall breast health screening—because reassurance should always come with a plan.

Want guidance tailored to you? Book via the link in bio for an evidence-based consult (Flatiron + Rye 2×/month + Telehealth).
Educational content only; not medical advice.

01/21/2026

For educational purposes. Bone health deserves more attention. Osteoporosis risk rises in midlife and beyond, and prevention is not complicated—but it does need to be intentional: strength training, weight-bearing movement, balance work, nutrition, and vitamin D guided by labs. For some patients, hormone therapy may also be part of a comprehensive prevention plan.

If you want a personalized strategy (screening timing, labs, and prevention plan), book via the link in bio. Flatiron + Rye (2×/month) + Telehealth.

01/19/2026

Systemic HRT (patch/gel) and vaginal estrogen do different jobs—and for many, you need both.
• Systemic HRT treats whole-body symptoms (hot flashes, sleep, mood, bone/heart protection).
• Vaginal estrogen is local for GSM (dryness, atrophy, pain with s*x, recurrent UTIs) and has minimal systemic absorption.
If your pharmacy or EMR flags “duplicate therapy,” it’s not—these are complementary treatments.

Book via the link in bio for a personalized plan. Educational only; care is individualized.

01/15/2026

Woke up to another estradiol patch shortage across NYC (multiple doses out at several pharmacies). If it’s here, it’s likely elsewhere—and women deserve reliable access to essential medication.
Let’s figure this out!
👉 Book via the link in bio for an immediate HRT game plan.
Now seeing patients in Flatiron (54 W 21st St, Suite 910) + Rye 2×/month + Telehealth.

01/12/2026

Most evidence shows HRT does not inherently cause weight gain—the weight shift that many notice is driven by menopause itself (lower estrogen → slower metabolism, more visceral fat, less lean mass). In fact, HRT can help preserve muscle, so changes in body composition may be modest and vary by person.

What helps:
• Protein at each meal + strength training 2×/week
• Prioritize sleep & stress management
• Track the right labs (A1C, fasting insulin, ApoB/LDL, hs-CRP)
• Consider adjuncts (e.g., GLP-1s) when clinically appropriate

This is educational, not medical advice—your plan should be individualized.

👉 Book via the link in bio for a personalized strategy.
Now seeing patients in Flatiron (54 W 21st St, Suite 910) + Rye 2×/month + Telehealth.

01/09/2026

Last year felt…extra. Max protein, zero wine, “lift heavy or bust”—and some of us busted. This year, we’re choosing sustainable:
• Protein at each meal—enough to support muscle, not misery
• Strength training 2×/week + daily walking and fresh air
• Sleep first—and yes, an occasional weekend glass of wine if it fits your goals

Progress beats perfection. If you want a plan that works in real life, we’ll tailor it to your hormones, metabolism, and schedule.

👉 Book via the link in bio.
Now seeing patients in Flatiron (54 W 21st St, Suite 910) and Rye 2×/month, plus Telehealth.

MetabolicHealth

Address

54 W 21st Street
New York, NY
10010

Website

http://slannyc.com/

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