On the podcast, I had Sonali Lal, MD, and she shared how regenerative medicine is using a patient’s own cells to help support healing.
While a lot of people associate it with facials or hair loss, it can also be used for tendon and ligament injuries. She explained that for some runners with hamstring tears who are not improving with physical therapy and want to avoid surgery, PRP can be a really promising option. It involves taking your own blood, concentrating the platelets, and using ultrasound guidance to inject it directly into the area of injury.
🎧 Want the full episode? Listen on Spotify, Apple, or YouTube.
Feeling great on HRT matters too.
If lowering the dose stops the bleeding but brings back insomnia, low energy, and all the symptoms you were trying to treat, that is not always the best answer. Sometimes the better approach is to tweak the regimen, whether that means adjusting progesterone, considering an IUD, or finding a better balance so you can feel good without constant disruption.
HRT should be individualized, not one-size-fits-all. If this sounds like you, talk with a menopause-trained clinician about your options. Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.
28/03/2026
Being outside the “HRT window” does not always mean there are no options left.
Menopause care should be individualized, and there may still be safe, thoughtful approaches worth discussing based on your symptoms, health history, and goals.
Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.
The loss of estrogen can change the pH of the genitourinary tract, and when that tissue changes, symptoms often follow.
This is why vaginal dryness, irritation, pain with s*x, urinary urgency, and recurrent UTIs should not be brushed off as something you just have to live with. This is not cosmetic, minor, or optional care.
If you’re struggling with these symptoms, go to jointhecollaborative.com and talk to a menopause-trained provider about your options at The Collaborative.
27/03/2026
Ever wonder why migraines can suddenly start during perimenopause? When estrogen levels drop, it can irritate certain parts of the brain and trigger migraines. Hormone fluctuations, not just stress or dehydration, are often the real culprit.
Understanding why it happens is the first step to finding real relief.
💖 Click here for The Perimenopause Survival Guide https://amzn.to/3KIsBKz
Frozen shoulder can be incredibly painful, but treatment has come a long way. Rather than forcing the shoulder under anesthesia, a more modern approach uses targeted injections followed by immediate, aggressive physical therapy to help break up adhesions and restore movement. When done together, this can be highly effective and often leads to major improvement in just a few visits.
Check out my YouTube channel to hear the full conversation
drsonali.nyc
25/03/2026
Perimenopause can hit harder when your brain is already more sensitive to hormonal change. If you have a history of anxiety, depression, ADHD, or postpartum depression, there may be a real reason this season feels especially difficult.
If you need help navigating perimenopause, click here for The Perimenopause Survival Guide https://amzn.to/3KIsBKz
25/03/2026
Spotting on HRT can be frustrating, but in perimenopause and early menopause, it’s often very common and not usually a sign that something is wrong. Treatment may include changing how progesterone is taken, adjusting hormone doses, or considering an IUD such as Mirena or Kyleena.
If you’re dealing with bleeding or chronic PMS on HRT, The Collaborative can help you find the right approach for your body. Check out jointhecollaborative.com and get matched with a Collaborative clinician who can walk you through your symptoms and your options.
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I am Board certified in Internal Medicine and completed advanced fellowship training in Women’s Health at the Cleveland Clinic. My specialty practice includes internal medicine and office gynecology with a focus on menopausal hormone therapy, contraception and family planning, breast health, s*xual dysfunction, and urinary incontinence. Fellowship training included an emphasis on scholarly activity, development of women’s health curriculum, clinical research and leadership. My clinical work and research centers on inequalities or unanswered questions in the field of women’s health, specifically in menopause and its role in chronic disease development and in evaluating the harms of over-screening for chronic diseases. My Academic work centers on enhancing women’s health curriculum for the fellow, resident, and medical student.
