Evolve Menopause & Cardiometabolic Clinic

01/07/2026

Many women between 40–60 are told their symptoms are “normal,” “just stress,” or “part of aging.”
In reality, these symptoms are common — but not normal — and they deserve proper evaluation and care.

Top 5 symptoms often dismissed in midlife women:

• Persistent fatigue that doesn’t improve with rest
• Weight gain or body composition changes despite the same lifestyle
• Brain fog, memory lapses, or difficulty concentrating
• Mood changes, anxiety, or irritability without clear cause
• Sleep disruption or waking unrefreshed

Hormonal shifts during perimenopause and menopause impact the brain, metabolism, cardiovascular system, and overall quality of life. When symptoms are ignored, women are left untreated — often for years.

You are not “too young.”
You are not “just stressed.”
And you are not imagining it.

Evidence-based, personalized care matters.

If this resonates with you, it may be time to look deeper.

12/30/2025

12/26/2025

Gaining weight while feeling exhausted is one of the most common — and confusing — changes of midlife.
During perimenopause and menopause, declining estrogen reduces mitochondrial efficiency, meaning your body produces less usable energy from the same food intake. At the same time, hormonal shifts disrupt sleep and raise cortisol, which promotes abdominal fat storage and muscle breakdown.
Loss of muscle lowers resting metabolic rate, so fewer calories are burned at baseline. Meanwhile, menopause-related insulin resistance makes it harder for cells to use glucose for energy, driving fatigue after meals, cravings, and increased fat storage — even when diet and activity have not changed.
This creates a cycle:
Low energy → muscle loss → metabolic slowdown → weight gain → worsening fatigue.
This is not a motivation issue. It is physiology.
Midlife weight gain with fatigue requires a hormonal and metabolic approach — not simply eating less or exercising more.
📞 Schedule a consultation to address the root causes and restore metabolic health.

12/12/2025

The holidays are joyful — but they can also be one of the most challenging times for hormone balance. Between stress, travel, late nights, sugar, and endless gatherings, it’s easy for cortisol, insulin, estrogen, and progesterone to shift out of rhythm.
The good news? Small, intentional habits can keep your hormones steady and your energy strong all season long. From sleep and blood-sugar control to boundary setting and daily movement, these strategies protect your mood, metabolism, and overall wellbeing.
Your hormones don’t take a holiday — but with the right support, you can feel grounded, vibrant, and in control no matter how busy the season becomes.
Share this with someone who deserves to feel their best this holiday season.

12/06/2025

ANDROPAUSE — The “Male Menopause” No One Talks About
Andropause is real—yet often overlooked.
As men age, testosterone naturally declines, but for many, it drops faster and earlier than expected, leading to fatigue, weight gain, reduced libido, mood changes, and muscle loss.
These symptoms aren’t “just aging.”
They’re signals of hormonal and metabolic imbalance.
At Evolve, we help men understand their hormones, optimize metabolic health, and support longevity through personalized, evidence-based care.
Balanced hormones = better aging.
Better energy. Better confidence. Better life.
Evolve Menopause & Cardiometabolic Clinic
Personalized hormone & metabolic care for both women and men.

12/02/2025

Breaking the stigma around GLP-1 medications starts with understanding the science—not the stereotypes.
GLP-1s are not “the easy way out.” They’re evidence-based, physician-guided tools that help correct real metabolic and hormonal dysfunction, especially during perimenopause and menopause.
At Evolve, we see every day how GLP-1 therapy can transform energy, cravings, blood sugar, inflammation, and overall metabolic health. When paired with personalized hormone optimization and lifestyle support, these medications help women reclaim their vitality—not just their weight.
It’s time to replace shame with compassion.
Blame with biology.
Judgment with science.
GLP-1s aren’t cheating—
they’re healing.

11/20/2025

Am I too old for hormone therapy?”
One of the most common questions women ask — and one of the most misunderstood.

Here’s the truth: Age alone does NOT determine whether hormone therapy is safe.
What matters most is your health profile, your symptoms, and working with a provider who specializes in menopause medicine.

Women in their 50s, 60s, and even 70s can often start or restart hormone therapy safely when properly evaluated. Sleep, mood, bone health, joint pain, and vaginal health can all improve — even years after menopause.

At Evolve, Stephanie Elder, DNP, MBA, ARNP, MSCP (Menopause Society Certified Provider) provides personalized, evidence-based hormone care designed for midlife and beyond. You’re not “too old.” You simply deserve the right support.

If you’re ready to explore whether HRT is right for you, we’re here to help you feel like yourself again — with clarity, confidence, and renewed vitality.

11/19/2025

The FDA has officially removed the outdated black box warning on menopause hormone therapy — and this is a huge win for women’s health.

For over 20 years, millions of women were denied safe, evidence-based treatment because of fear created by misunderstood data from the 2002 WHI trial. Today, modern research tells a very different story.

Here are the Top 5 reasons the FDA reversed course:
1. Modern bioidentical HRT is far safer than the synthetic hormones used in the original study.
2. The WHI risks were significantly overstated due to the age and health of participants.
3. HRT actually supports cardiovascular longevity for the right candidates.
4. Breast cancer risk was misunderstood — estrogen alone lowered risk.
5. The benefits for bones, brain, metabolism, and quality of life are too strong to ignore.

Midlife women deserve facts, not fear.
If you’re confused about HRT — you’re not alone. A certified menopause provider can help you understand what’s right for your body.

11/08/2025

✨ Primary Care vs. Concierge Menopause Care ✨

Most women are told “your labs look normal” — but still feel exhausted, foggy, and not themselves. That’s because not all menopause care is the same.

At Evolve Menopause & Cardiometabolic Clinic, Stephanie Elder, DNP, MBA, ARNP, MSCP offers expert, personalized hormone care that goes beyond prescriptions.
💉 Fine-tuned HRT dosing
🧬 Advanced hormone & metabolic testing
🫀 Heart, brain, and midlife wellness focus
💬 Concierge-level support — every step of the way

Your body deserves more than “good enough.”
It deserves balance, vitality, and care that evolves with you. 💛

📍 Issaquah, WA
🌐 www.evolvelifeclinic.com

11/06/2025

10/28/2025

Most women don’t realize that perimenopause can begin up to 10 years before menopause — and it’s when most symptoms actually start.
Mood swings, brain fog, poor sleep, and sudden weight gain aren’t “just aging.” They’re your hormones signaling change.
At Evolve Clinic, we help women identify which phase they’re in and guide them through customized hormone optimization and metabolic care to restore energy, balance, and confidence.
💫 You deserve to feel like yourself again — no matter your age.