Kelly’s Clinic

02/19/2026

Dr. Gunter, I have no books. I have no Substack. I have no TV series, no TED podcast, no New York Times column, no speaking tour. I have no kickbacks. I have no corporate sponsors.
What I have is over thirty years of experience working in, with, on the front lines of our canadian health care system . I have witnessed and now I advocate and Act! -a virtual clinic I built from scratch — no funding, no support — because I could not watch one more woman decline at the peak of her life while the system looked the other way.
Your book helped open this opportunity for us to act. And I’m not profiting from menopause. I’m working in it. Every day. Blood, sweat, and tears.

02/18/2026

I just read a quote from a doctor that I need to speak to.
"Every good doctor wants you to live longer. You don't need elaborate protocols or a lot of money. What longevity medicine does is convince people there's a first-class ticket you can buy."
I'm a good nurse practitioner. And I want everyone to be healthy throughout life — not just alive longer.
So when a woman at 47 can't sleep, can't think, and is having 20 hot flashes a day — I don't tell her to exercise more. I treat the hormonal event that's actually happening. Because estradiol protects her heart, her bones, her brain, and her sleep. And no amount of lifestyle will replace what her body stopped making.
When a man at 52 is losing muscle, losing cognition, and developing insulin resistance — I don't call him lazy. I check his testosterone. Because it matters.
You cannot exercise your way out of estrogen deficiency. You cannot deadlift your way out of testosterone decline.
She frames this as American. She's Canadian. In Canada, this is primary care — family doctors and nurse practitioners. We are the ones doing this work every day.
Many people don't have pensions. Can't afford the broken hip. Can't afford dementia care. Prevention isn't a first-class ticket. It's the only ticket.
30 years. No books. No speaking tours. A clinic built from scratch. Because I'm a good nurse practitioner who believes fighting frailty is not a crime. It's modern medicine.
The most expensive thing in healthcare is not prevention. It's the catastrophe you didn't prevent.

02/16/2026

The company making your hormones and the companies deciding whether to cover them have been sitting at the same table for 23 years.
And the pharmacy chain they’re funneling you toward? It’s owned by a $12.4 billion grocery conglomerate that now controls dispensing, distribution, AND primary care clinics.
Meanwhile, Canada has the fewest HRT options of any comparable developed country. 92 estradiol shortages since 2017. And your insurer is still operating on a “lowest dose, shortest time, cheapest option” model that was never about your health.
This isn’t a conspiracy theory. It’s a business model.
Swipe through to see exactly how the pipeline works — from who sits at the table, to how your formulary gets designed, to why better products aren’t coming.
The system isn’t broken. It’s working exactly as designed.
It’s just not designed for women.
Next carousel: What we can DO about it.
Save this. Share it. Tag a woman who’s been told her options are limited without being told why.
🔗 Sources in comments.
HRTAccess

02/16/2026

Canada ranks DEAD LAST for HRT access among comparable countries. 🇨🇦
28 brands vs Sweden’s 67.
92 shortages since 2017.
Women forced off medications. Symptoms returning.
While other developed nations provide OPTIONS, Canadian women are left managing menopause with the smallest formulary and chronic supply disruptions.
This isn’t healthcare. This is systematic neglect of women’s health.
Your symptoms matter. Your quality of life matters. You deserve better.

02/15/2026

Hair loss myths vs. reality. Low ferritin, vitamin D, insulin resistance, thyroid issues, hormone deficiency—your hair is reflecting your health, not punishing you. Test, treat, give it time.".

02/15/2026

You won’t discuss hormone replacement. But you’ll take the medications that suppress what little hormones you have left. That’s not a choice. That’s a choice nobody told you you were making.

02/15/2026

I want you to understand how common meds like statins and GLP-1s affect hormones you’re barely producing after menopause, and why that matters for your health. 💊🌿

02/14/2026

You don’t have to choose. You get both. ❤️
Somewhere along the way women were told that losing their s*x drive was just part of the deal. Part of aging. Part of menopause. Part of the medication. Part of getting healthier.
No.
You can take metformin for your insulin resistance AND keep your libido.
You can take a GLP-1 for your metabolic health AND still want to be touched.
You can take a statin for your heart AND feel like yourself in the bedroom.
You can be on HRT AND have a s*x drive that actually works.
The problem was never that these medications don’t work. They do. The problem is that no one is watching what they take from you while they’re working.
No one is checking your free testosterone. No one is running your DHEA-S. No one is looking at your SHBG. No one is asking you about your desire, your arousal, your ability to or**sm.
And when you bring it up — you get a shrug. Or worse — “that’s normal for your age.”
It’s not normal. It’s neglect.
In my practice women don’t pick. They don’t trade their metabolic health for their s*xuality. They don’t sacrifice how they feel in their body to fix a number on a lab sheet.
I monitor. I anticipate. And when a medication lowers your androgens — which I expect it to — I add them back. Including testosterone.
Because your health includes your libido. Your s*xuality IS part of your wellness. And you were never supposed to lose it just to get better.
You get to have both. Full stop.
🔗 Link in bio.
Ozempic

02/14/2026

02/14/2026

Why your GLP-1 killed your libido — and why I expected it. 👇
Did you know we actually prescribe GLP-1 agonists to lower androgens in women with PCOS? We use them for fatty liver. For insulin resistance. That’s what these drugs DO.
So when your s*x drive disappeared on Ozempic or Mounjaro — that’s not a mystery side effect. That’s the pharmacology.
And it’s not just GLP-1s. Research shows that for every 1 kg a woman loses, her testosterone drops about 0.8% — regardless of age or menopause status. Meanwhile men’s testosterone goes UP with weight loss. The hormonal impact is s*x-specific. (Int J Obesity, 2024)
A meta-analysis confirmed GLP-1 agonists reduce total testosterone and increase SHBG in women with PCOS. (Biology of Reproduction, Oxford Academic)
Then add the dopamine layer — GLP-1s suppress the same reward pathways in your brain involved in s*xual desire and arousal.
So you’re looking at:
⬇️ Androgens from weight loss
⬇️ Androgens from insulin sensitization
⬇️ Dopamine from the drug itself
A predictable multi-hit to your libido.
In my practice — I don’t wait for the complaint. I monitor hormones from the start. And when they drop — I add them back. Including testosterone.
Your doctor should have seen this coming.
You shouldn’t have to choose between your metabolic health and your s*xuality. You can have both.
🔗 Link in bio to learn more.

02/13/2026

No need to push yourself too hard!