Resources for the Community:

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Find Your US Representatives

https://www.usa.gov/elected-officials

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This isn’t medical advice — always talk to your doctor before making any health decisions.

Listener note: This episode includes candid discussion about sexual health and intimacy. Private listening is recommended if children are nearby.

For many women in their late 30s, 40s, and 50s, treating metabolic dysfunction with a GLP-1 is only part of the story. Labs may improve. Weight may shift. But sleep changes. Mood feels different. Body composition moves in unfamiliar ways. Libido quietly declines.

Perimenopause and menopause often unfold alongside metabolic treatment, and the hormonal transition can complicate everything.

In this episode, we connect midlife hormone changes with metabolic health. Dr. Cathleen “Dr. Cat” Brown, board-certified OB/GYN and Medical Director at Winona, joins us along with Kelly Miller, Winona Patient Ambassador, to discuss what’s happening during perimenopause and menopause, why hormone replacement therapy is back in the conversation, and what changed after the black box warning.

We also speak candidly about sexual health in midlife, an area that rarely gets the honesty it deserves.

For women navigating GLP-1 treatment or broader obesity care, this conversation widens the lens. Hormones matter. Context matters. And stigma around menopause deserves the same challenge as stigma around obesity.

As always, this episode is for educational purposes only and is not medical advice.

Get started with Winona

https://start.bywinona.com/lp-menopause-care-with-winona?promocode=evergreen20&irclickid=yaKyxywNmxyKR9j1Qg0X3Rj3Uku2WWUNQXbEyw0&irgwc=1&afsrc=1&utm_

Community Guest:

Kelly Miller - Winona Patient Ambassador

Professional Guest:

Dr. Cathleen Brown

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