Slán NYC

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

02/23/2026

This matters. Menopause is associated with changes in brain health risk for women, and declining estrogen is one piece of a very complex puzzle. Timing, formulation, and duration all matter—and the research is still evolving—but estrogen has multiple neuroprotective roles in the brain.

Some meta-analyses suggest that starting estrogen therapy within ~5 years of menopause is associated with a lower Alzheimer’s risk in certain patients. That doesn’t mean it’s right for everyone—but it does mean we should be talking about hormones as part of long-term health, not just hot flashes.

👉 Want an individualized risk–benefit discussion? Book via the link in bio (Flatiron + Rye 2×/month + Telehealth).
Educational only; not medical advice.

02/20/2026

Menopause isn’t just about symptoms—it can be a turning point for long-term brain health. Research suggests that the menopause transition is associated with changes in cognitive function and may intersect with Alzheimer’s risk in women, potentially influenced by declining estrogen. The science is complex (timing, formulation, and duration matter), but estrogen is known to play neuroprotective roles in the brain—and some large analyses suggest that starting hormone therapy closer to menopause may be associated with lower dementia/Alzheimer’s risk in certain patients.

Bottom line: if you’re navigating perimenopause or menopause, you deserve a nuanced, evidence-based conversation that looks beyond hot flashes.

👉 Book via the link in bio to review your symptoms, risks, and options with an individualized plan (Flatiron + Rye 2×/month + Telehealth).
Educational content only; not medical advice.

02/16/2026

This confusion is everywhere—even at the pharmacy—so let’s make it crystal clear: vaginal estrogen and systemic estrogen are not “duplicate therapies.”
• Systemic estrogen (patch/gel) supports whole-body symptoms and long-term health goals.
• Vaginal estrogen is local therapy for GSM (dryness, irritation, recurrent UTIs, painful s*x). It has minimal systemic absorption and is designed to treat tissue changes that systemic dosing often doesn’t fully resolve.
If you’ve ever been told “you can’t take both,” or your Rx was flagged as “duplicate,” ask your clinician to clarify—because comfort and quality of life matter.
👉 Want a personalized plan for symptoms and intimacy? Book via the link in bio.

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.

Address

54 W 21st Street
New York, NY
10010

Website

http://slannyc.com/

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