Fortify Health Insights

The Risk/Reward Window on Hormone Therapy: What It Is, and What It Isn't hormone therapy hormones perimenopause & menopause Aug 23, 2026

Written by: Meredith Paci, Functional Health Coach 

There is a reflex in medicine that sounds responsible, yet arguably, it's not: if it hasn't been proven in a randomized controlled trial, treat it as unproven, full stop, no further reasoning allowed. I understand where the reflex comes from. I re...

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Why Your Vaginal Exam Doesn't Stop at Menopause hormone therapy hormones perimenopause & menopause Aug 09, 2026

Written by: Meredith Paci Functional Health Coach 

I was talking to one of my mentees about a client of hers who had this exact experience, and honestly, it still gets me fired up every time I hear it. I find it atrocious.

I told her about a client of mine who had the identical experience. My clie...

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Transitioning Off Birth Control After 40: What to Expect and How to Prepare coaching insights estrogen hormone therapy hormones perimenopause & menopause Jul 30, 2026

Written by Sarah Bishop, MS Exercise Science, Functional Health Coach

A coach in our group mentorship brought us a case. Her client was 45, newly onboarded, and eager to come off hormonal birth control. She had been reading about hormone therapy online and wanted to know where she stood.

That ques...

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A Reader Asks: Am I Too Old for Hormone Therapy? hormone therapy hormones perimenopause & menopause Jul 25, 2026

Written by: Meredith Paci Functional Health Coach

What are you afraid of is a question I come back to often, one I've been asking long before this year. I land on it during any day, week, or season that starts to feel discombobulated, when overwhelm creeps in and I can't even name what I'm overwhel...

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Triaging Diarrhea: Root Causes, Red Flags, and a Functional Approach to Fixing It digestive health Jul 17, 2026

Written by Sarah Bishop, MS Exercise Science, Functional Health Coach

Diarrhea… even the word sounds annoying. 

But chronic or persistent loose stool isn’t just annoying. It can tell us a lot about digestive health, stress, or even your immune system. In this post, we’re breaking down what’s norma...

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A Reader Asks: Will Estrogen Bring My Endometriosis Back? endometriosis estrogen hormone therapy perimenopause & menopause Jul 12, 2026

Written by: Meredith Paci Functional Health Coach 

A reader wrote in via our anonymous form "Ask Fortify here.with a question:

Last year I had a hysterectomy with one ovary removed due to stage 3 deep infiltrating endometriosis, along with complete surgical removal of all endo including a bowel ...

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A Reader Asks, Part Two: How Do You Choose a Delivery Method? estrogen hormone therapy hormones perimenopause & menopause Jun 27, 2026

Written by: Meredith Paci Functional Health Coach

This is part two. There is a two-part series here answering a reader question submitted through our anonymous form. If you have not read part one, [it's linked here]. It discusses the nuts and bolts of evidence on estradiol, progesterone, and testos...

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Why Your Iron Is Still Low (Even Though You're Taking Supplements) functional nutrition Jun 17, 2026

Written by Sarah Bishop, MS Exercise Science, Functional Health Coach

 

Iron deficiency is common, especially in active females. You may have personally experienced the impacts in not just your training, but everyday life of iron deficiency or anemia (which aren't the same and I will explain more ...

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A Reader Asks: She is 36-40 y.o. and Cycling Normally: What are the potential Benefits of Hormone Therapy? hormones perimenopause & menopause Jun 07, 2026

Written by: Meredith Paci | Functional Health Coach

A female in her late thirties wrote into the anonymous question form asking two things: what are the actual benefits of hormone therapy (menopausal hormone therapy and TRT), and what delivery methods are available?

Before I get into the answers, ...

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PCOS Is Now PMOS. The Criteria Still Were Not Built for Perimenopause or Menopause. hormones pcos perimenopause & menopause pmos May 16, 2026

Written by: Meredith Paci | Functional Health Coach

If you have been following us for any length of time, none of this will shock you. But it should sharpen how you think about it.

On May 12th, 2026, PCOS was formally renamed to PMOS, Polyendocrine Metabolic Ovarian Syndrome. Published in The Lanc...

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Creatine 101: Benefits, Myths, Dosage, and Why It’s Worth Taking functional nutrition Apr 25, 2026

Written by Sarah Bishop, MS Exercise Science, Functional Health Coach

Although creatine is one of the most widely researched sports supplements out there, there is still a lot of confusion and myths around its use.

Ironically, despite the overwhelming evidence supporting its benefits, women especi...

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The Conversation About Fragility That Nobody Wants to Have (And Why Your Thyroid Might Be Part of It) metabolism & energy perimenopause & menopause thyroid Apr 18, 2026

Written by: Meredith Paci | Functional Health Coach 

If you've been following along, you probably already know where my head has been.

When I flew to be with my father earlier this year, after the traffic light, after the diagnosis, after all of it, one of the many things that hit me hard was not ...

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