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Who I See at Dragonfly Menopause Care
At Dragonfly Menopause Care, I see a wide range of women—from those in their late 30s beginning to notice subtle perimenopausal changes, to women in their 60s and beyond who wonder if they’ve “missed the boat” on hormone therapy but still want to feel better.
Wherever you are in your menopause journey, you are not too early, too late, or too complex for care. You are welcome here.
waymire
May 31, 20253 min read


Perioral Dermatitis, Hormones, and the Skin Barrier: Why This Frustrating Condition Deserves More Attention
Perioral Dermatitis is one of the most frustrating skin conditions I see women struggle with.
And honestly, this condition is very personal to me.
waymire
4 days ago5 min read


NAD, Menopause, and Healthy Aging: Can NAD Help Energy, Metabolism, and Brain Fog?
If you’ve spent any time in the wellness world lately, you’ve probably heard about NAD, NAD+, or NADH. These compounds are showing up everywhere — from anti-aging clinics and IV lounges to podcasts about metabolism, energy, and longevity.
waymire
May 64 min read


Brain Fog, Fatigue, and HRT: Could Methylation Be the Missing Piece?
At Dragonfly Menopause Care in Chanhassen, Minnesota, a big part of what I do is helping women feel better by getting hormones right:estrogen, progesterone, testosterone, thyroid, and adrenal support.
waymire
Apr 273 min read


The Midlife Exercise Equation: What Actually Works
What used to work doesn’t always work anymore—and it’s not about effort. It’s physiology.
Estrogen is declining. Muscle is harder to build. Bone is turning over faster. So the answer isn’t to do more random exercise. It’s to start doing what actually works.
waymire
Apr 84 min read


Endometriosis in Perimenopause and Menopause: What You Need to Know
Endometriosis in Perimenopause and Menopause: What You Need to Know
waymire
Mar 314 min read


🦵 Lipedema: What We Know, What We Don’t, and Why I’m Paying Attention
Lipedema is one of those conditions that, the more you look into it, the more you realize:
👉 We don’t have all the answers yet.
waymire
Mar 273 min read


Why I Don’t Use Birth Control to Treat Perimenopause and Menopause
Birth control uses synthetic hormones designed to do one primary thing:shut down your ovaries so you don’t ovulate and don’t get pregnant.
waymire
Feb 243 min read


Tretinoin and Midlife Skin: When It’s Too Much and What to Do Instead
When Tretinoin Stopped Working for My Skin
With perimenopause, my skin simply didn’t tolerate tretinoin the way it had in the past. My skin barrier had clearly changed and needed repair. What once felt manageable began to cause dryness, flaking, and irritation that I just couldn’t push through anymore.
waymire
Feb 103 min read


Insulin, Hormones, and Midlife Metabolism
When we talk about metabolic health, insulin often gets a bad reputation. We hear phrases like “insulin resistance” and assume insulin itself is the problem.
waymire
Feb 43 min read


Supporting Insulin — Nutrition, Movement, and Supplements That Help
When we talk about metabolic health, insulin often gets a bad reputation. We hear phrases like “insulin resistance” and assume insulin itself is the problem.
waymire
Feb 23 min read


Why Insulin Matters — Long Before Diabetes
When we talk about metabolic health, insulin often gets a bad reputation. We hear phrases like “insulin resistance” and assume insulin itself is the problem.
waymire
Jan 303 min read


Understanding HDL: The Good Cholesterol and Its Functionality
For years we believed more HDL meant more protection, but newer research shows that isn’t always true. Some women with very high HDL actually have dysfunctional HDL.
Let’s break down what that means — in simple, clear terms.
waymire
Jan 64 min read


PART 2: HRT, LDL, LDL-P, ApoB & Triglycerides — What Really Predicts Heart Disease
If I had to choose one intervention to protect a woman’s cardiovascular system in midlife, my top choice is hormone replacement therapy (HRT).
waymire
Jan 23 min read


PART 1: Cholesterol Through a Functional Medicine Lens
Most women are told their cholesterol is “high” and immediately fear heart disease. But in functional medicine, we ask a different question:
Why is cholesterol elevated?
waymire
Dec 30, 20252 min read


GLP-1s: How They Work, What Your Body Already Does, and When I Use Them
GLP-1 medications are everywhere right now, but before jumping to prescriptions, I want women to understand one important thing:
You already make your own GLP-1. 🙌
And we can often support it naturally before turning to medication.
waymire
Dec 11, 20252 min read


Why I Often Recommend Biest Cream
If you’ve been in my clinic, you’ve probably noticed that I reach for Biest cream often. Not because it’s fancy or complicated — but because it more closely mirrors human physiology and offers a level of balance, customization, and reassurance that many women deeply appreciate.
waymire
Dec 8, 20253 min read


Genitourinary Syndrome of Menopause: Why Vaginal Estrogen Is a Game-Changer
If you’ve been in my clinic recently, you’ve probably heard me say this: vaginal estrogen is one of the most underrated, safest, and most effective treatments I offer. And nothing highlights this more than the women I saw just yesterday—two separate patients whose years of recurrent UTIs completely disappeared once they started vaginal estrogen.
This happens all the time in my practice, and honestly… it still blows me away.
But before we dive in, let’s talk about what’s rea
waymire
Dec 6, 20253 min read


Midlife Medicine Is Evolving — And Women Deserve More Than “You’re Fine.”
If you had told me two years ago that the most meaningful part of my 16-year medical career would unfold inside a tiny one-room clinic in Chanhassen, I never would’ve believed you. Back then, I was balancing busy emergency medicine shifts, raising kids, training for certification after certification…and unknowingly entering my own perimenopause. What started as a “side gig” has become the most fulfilling work of my life — and a place where women finally feel seen, heard, and
waymire
Dec 4, 20253 min read


⭐ Phase 1: Hormones
One of the most surprising things I’ve learned in my functional medicine training is how important amino acids are for how women feel — especially in midlife.
waymire
Nov 24, 20254 min read
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