Integrative Health Solutions, LLC

03/29/2026

THIS- the truth

03/27/2026

Good health takes effort. It takes time. It takes intention. And yes, sometimes it takes investment.

But feeling better, thinking clearer, sleeping deeper, and showing up stronger in your everyday life is worth it.

At Integrative Health Solutions, we believe your health is not something to keep putting on the back burner. It is worth the care. It is worth the work. And most of all, you are worth it.

03/25/2026

The beginning of spring has a way of making people pay closer attention to how they feel in their own skin.

If you feel like you are doing everything right and still not seeing progress, it may be time to stop blaming yourself and start looking at the full picture. Weight loss is not always about willpower. Hormones, metabolism, inflammation, stress, and overall health all play a role. At Integrative Health Solutions, we help patients build realistic, personalized plans that support long-term progress.

Spring is a strong time to reset your goals with a plan that actually fits your body.

03/24/2026

Check out this interview featuring Sandy Doyal, FNP-C, from the latest Evexipel hormone and peptide training our providers attended. She shares how hormone replacement therapy transformed her life and why she’s so deeply passionate about helping others feel their best.

03/20/2026

A lot of women are going to see headlines about this new hormone therapy study and come away frightened.

They shouldn’t.

This is a good example of why one study, especially an observational one, should never be allowed to override decades of better evidence.

The new Israeli study looked at more than 83,000 women and concluded that starting hormone therapy after age 65 was associated with higher risks of cancer and vascular events. That part is not especially shocking. It is broadly consistent with what we already believed about late initiation of hormone therapy. 

But that is not the part that caught my attention.

What stood out was how extreme the reported risks were in women who started hormone therapy between ages 50 and 65. In that group, the study reported a 749% higher cancer risk, a 1,569% higher stroke risk, and an 817% higher risk of ischemic heart disease or heart attack. For women who started after age 65, the reported increases were actually much smaller: about 122% higher cancer risk, 170% higher stroke risk, and roughly 139% higher risk of ischemic heart disease or heart attack. 

Think about that for a second.

The study is basically implying that starting hormone therapy at ages 50 to 65 was far more dangerous than starting it after 65.

That does not make physiologic sense. It does not fit clinical experience. And it does not fit the larger body of evidence we already have. 🙄

That is a giant red flag 🚩

This was not a randomized trial. It was a retrospective observational study. Women were not randomly assigned to hormones or no hormones. Doctors prescribed treatment based on symptoms, baseline health, prior hysterectomy status, cardiovascular risk, and many other factors that are hard to fully account for in a database. The authors also acknowledged missing historical information before 2000, which makes confounding even harder to sort out. 

That is how you can end up with numbers that look statistically polished but clinically implausible.

In fact, the Menopause Society’s summary of the study makes the problem pretty obvious. In crude analyses, women who started hormone therapy between 50 and 65 actually had lower rates of ischemic heart disease and MI before adjustment. Then, after adjustment, that apparent benefit flipped into massive harm. When a model reverses the story that dramatically and spits out huge risk estimates, you have to question whether the model is correcting for confounding or creating distortion. 

And this is exactly why one large study should not bulldoze decades of better evidence.

The broader literature has been much more consistent. When hormone therapy is started in women younger than 60, or within 10 years of menopause, the benefit-risk profile is generally the most favorable. Multiple reviews and scientific statements have supported the idea that earlier initiation is associated with lower coronary heart disease risk and lower all-cause mortality, while later initiation looks less favorable. 

The breast cancer story is also far more nuanced than most headlines suggest.

In the long-term follow-up of the Women’s Health Initiative, women with prior hysterectomy who took estrogen alone had lower breast cancer incidence and LOWER breast cancer mortality than women assigned to placebo. There were 238 breast cancers in the estrogen-alone group versus 296 in the placebo group, and 30 breast cancer deaths versus 46. That translated to a 22% lower breast cancer incidence and a 40% lower breast cancer mortality with estrogen alone. 

That is not a trivial detail. That is one of the most important and most misunderstood findings in this entire field.

By contrast, combined estrogen plus progestin is different. In the same long-term WHI follow-up, combined therapy was associated with higher breast cancer incidence, 584 cases versus 447 with placebo, or about a 28% increase. Breast cancer mortality, however, was not significantly increased. 

So the type of hormone therapy matters. A lot.

And age at initiation matters. A lot.

The bottom line is that this new Israeli study does not overturn the existing evidence base. If anything, it reinforces the point that starting hormone therapy later in life is riskier. But the dramatic findings in the 50 to 65 age group should be viewed with real skepticism, because they clash with biology, clinical experience, and much stronger prior evidence. 

📌 If you are under 60, or within about 10 years of menopause, and you have bothersome symptoms, hormone therapy remains a very reasonable option for many women after an individualized discussion of risks and benefits. If you have had a hysterectomy, estrogen-alone therapy may actually LOWER your breast cancer risk. If you are older, especially beyond 65, the decision becomes more cautious and more individualized. 

This is the bigger lesson.

Large studies are not automatically good studies.

If a result does not make clinical sense, it deserves scrutiny, not blind acceptance.

Good medicine means looking at the totality of evidence, understanding who the patient is in front of you, and not letting one flawed study drive the entire conversation.

Study: https://journals.lww.com/menopausejournal/fulltext/9900/health_outcomes_of_hormone_therapy_initiated_or.608.aspx

03/20/2026

Spring is here, and for a lot of people, that means one thing: it is time to stop ignoring the way you’ve been feeling. Low energy, brain fog, stubborn weight changes, poor sleep, hormone shifts, and feeling “off” should not be brushed aside. At Integrative Health Solutions, care starts with listening and looking at the full picture.
If your body has been trying to get your attention, this is a good season to answer.

03/19/2026

Schedule your first XERF skin tightening treatment and become part of the collagen club! Just give us a call or shoot us a direct message to get started!!

03/18/2026

When it comes to breast health, early detection is everything...and having options matters.
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We’re excited to share that Her Scan will be offering FREE, sponsored breast ultrasound screenings in Kingsland on October 2 & 3, and spots are already filling QUICKLY!
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For many women, especially those with dense breast tissue or those looking to avoid radiation exposure, ultrasound screenings can be a powerful, non-invasive option to stay proactive about their health.
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At our clinic, we often recommend Her Scan to our hormone replacement patients as a supportive, preventative resource alongside their care.
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This is about empowering you with knowledge, options, and peace of mind. 💗
📣Appointments are limited, so don’t wait!
Secure your spot today and take a proactive step toward your health: https://herscan.com/registration

03/13/2026

Krysta and Sandy bring well-rounded, thorough care to Central Texas patients through Integrative Health Solutions. And now, with the addition of Beautiful Revenge Aesthetics, that same level of intention reaches even further.

Inside and out, their approach is rooted in listening well, caring deeply, and helping each patient feel supported, confident, and cared for at every step.

This is care that boosts self-confidence while also looking beyond the surface.

03/11/2026

One thing we hear far too often from women today is this:

“I didn’t feel like anyone was really listening.”

At Integrative Health Solutions, every part of your visit is meant to feel different. From the moment you walk through the door to the moment you check out, our team works to make sure you feel welcomed, respected, and heard.

Good care is not only about treatments and lab results. It is about compassion, patience, and taking the time to understand what someone is going through.

Every member of our team plays a role in creating that experience.

Because when patients feel comfortable, supported, and listened to, better care naturally follows.

03/11/2026