MenopauseWize

MenopauseWize Hi! Wondering why the latter is a positive thing? Was I going to have brain fog, a belly, wrinkled skin, achy bones, etc etc?

I am Dr. Sukhpreet Patel, and these are some of the positive ways that I like to describe myself: a medical doctor with over 25 years of experience, a lifestyle enthusiast, a mother of two amazing adult children, a perennial student, and a post-menopausal woman. Having practiced as an MD Gynaecologist for a couple of decades, and having understood all the problems associated with menopause, I was

petrified of ‘what lies beyond’ from the day I turned 40. Eventually, when the transition took the form of bothersome symptoms for me at the age of 45, I began my search for non-prescription methods of getting through them. Soon it became apparent to me that I needed to drop the anxiety and start planning for a kickass Sukhpreet 2.0. Considering my decision against the use of hormone replacement for myself, I researched (and continue to research) and applied every bit of lifestyle modification that could contribute to this upgrade. And today, I can confidently say that I feel stronger in every aspect of health (mental, physical, emotional, and spiritual) than I ever did.

​Nevertheless, in hindsight, I wish I had spent more time preparing for the inevitable instead of fearing it. NoPausingMe is my attempt to share my experiences and knowledge with women with the goal of making them better equipped for the transition during perimenopause, reducing their struggle during menopause, and working toward an upgraded version of themselves beyond menopause without the use of prescription drugs.

​

29/07/2026

You're taking a GLP-1 medication... but have you thought about your bones?

Weight loss can improve metabolic health, but it also raises important questions about bone density, fracture risk, and preserving muscle, particularly during perimenopause and menopause.

In this episode of the MenopauseWize podcast, I sit down with endocrinologist Dr. Susan Brian to discuss what every woman should know before, during, and after starting a GLP-1 medication.

We discuss:
• Does weight loss affect bone density?
• Do GLP-1 medications directly affect bone health?
• Who should consider a DEXA scan?
• The importance of lifestyle while on GLP-1 medications
• The role of menopausal hormone therapy
• Practical strategies to protect your bones while improving your metabolic health

If you're taking a GLP-1, considering one, or caring for women who are, I hope you'll find this conversation helpful.

Link: https://open.substack.com/pub/menopausewize/p/taking-glp-1s-dont-forget-your-bones-a88?

Educational purposes only. This content is not medical advice and should not replace consultation with a qualified healthcare professional.

14/07/2026

GLP-1 medications are everywhere.

But alongside the excitement has come a lot of confusion.
Are they just another weight loss drug?
Who are they actually for?
How do they work?
Will they work for everyone?
And if you start one... will you have to stay on it forever?

In this episode of the MenopauseWize podcast, I sit down with Dr. Michelle E Gordon, a physician board certified in obesity medicine, lifestyle medicine, and general surgery, to unpack the science behind GLP-1 medications.

We discuss why obesity is now recognised as a chronic, multifactorial disease, why "eat less and move more" doesn't tell the whole story, and why weight management often becomes so much more challenging during perimenopause and menopause.

We also cover:
- How GLP-1 medications work
- Who is (and isn't) an appropriate candidate
- Why BMI doesn't always tell the whole story
- What to realistically expect after starting treatment
- Common side effects and how they're managed
- The health benefits that extend beyond weight loss
- Whether GLP-1 medications are intended to be lifelong

If you've been curious about GLP-1 therapies, this episode is a great place to start.

Link: https://menopausewize.substack.com/p/glp-1s-everything-you-need-to-know-396

Listen now on Substack, Spotify, Apple Podcasts, or wherever you get your podcasts.


Educational purposes only. This content is not medical advice and should not replace consultation with a qualified healthcare professional.

Stroke risk and hormone therapy is often oversimplified.Here’s what actually matters.• Stroke risk with MHT is not unifo...
05/06/2026

Stroke risk and hormone therapy is often oversimplified.

Here’s what actually matters.

• Stroke risk with MHT is not uniform
• It depends on timing, dose, and route
• Starting before 60 or within 10 years of menopause → risk appears similar to non-users
• Starting later → risk becomes more relevant
• Oral estrogen and higher doses may carry higher risk
• Transdermal options (patch, gel, spray) at lower doses may be associated with lower risk

This is why MHT is never about a “yes or no” answer.

It is about choosing the right therapy, at the right time, in the right way — for the right woman.

This content is for educational purposes only and is not medical advice. Always consult your healthcare provider for personalised care.

04/06/2026

While mobility challenges can be fun, we can incorporate them in our daily routines.
When was the last time you used an Indian style toilet?

Given a choice, it’s my preference in all public places. But, I’ve seen enough people who lose the ability to get into that position over the years often due to restrictions in mobility.

The truth is lose it if you don’t use it! So let’s keep using all the tiny muscles and joints for as long as we can.

03/06/2026

Comment PODCAST for link to the full episode

In this episode of the MenopauseWize Podcast, I am joined by Dr. Paula Gordon, pioneering breast radiologist and Clinical Professor at UBC, to talk about what dense breasts really mean, how it impacts your screening, and what every woman deserves to know.

We discuss:
- What breast density means and how common it is
- Why mammograms can miss cancers in dense breast tissue
- What supplemental imaging options are available
- Why interval cancers are a real and underrecognized risk
- The key messages every woman should hear

This is a conversation about closing the diagnostic gap and making sure no woman is left without the full picture.
Listen to the full episode on the MenopauseWize Podcast.

Follow for more information on dense breasts

BreastCancerScreening Mammogram WomensHealth MenopauseEducation KnowYourBreasts BreastDensity MidlifeWomen

01/06/2026

When it comes to monitoring our health, we check cholesterol, we check blood sugar, we stay focused on our hearts and metabolic health. But a recent study published in the journal Menopause suggests that a DEXA scan may be providing us with information beyond just bone density.

This study followed nearly 3,000 postmenopausal women and found that low bone mineral density in the femur was associated with a 47% higher risk of all-cause mortality.

And it makes sense when you think about what bone density actually reflects. It is a readout of so many different factors - our bones are just such high demand structures - reflecting our nutritional status, our hormonal environment, the load we place on our bodies, and the cumulative effect of every lifestyle factor over decades.

In that sense, your DEXA scan is more than a fracture risk score. It is a window into your systemic health.

And the good news: bone density is one of the most modifiable markers we have.

•⁠ ⁠weight-bearing and resistance exercise
•⁠ ⁠protein and calcium-rich nutrition
•⁠ ⁠vitamin D optimisation
•⁠ ⁠hormone therapy in appropriate candidates
•⁠ ⁠medications where indicated

If you have not had a DEXA scan and you are in perimenopause or postmenopause, this is worth discussing at your next visit.

Reference: Menopause, May 2026. PMID: 42118555

Last 2 days to avail the Early Bird Offer! Join us for a 2-day, fully interactive MHT (HRT) Workshop designed exclusivel...
30/05/2026

Last 2 days to avail the Early Bird Offer!

Join us for a 2-day, fully interactive MHT (HRT) Workshop designed exclusively for clinicians with a clear, practical, India-focused approach to menopausal hormone therapy.

8–9 August 2026
Krishna Palace Hotel, Mumbai
9:00 AM – 4:00 PM both days

Here’s what’s waiting for you:
- Estrogens & progestogens — the full picture
- STRAW+10 staging & diagnostic clarity
- Landmark trials decoded (WHI, ELITE, KEEPS & more)
- Perimenopause & postmenopause prescribing protocols
- India-specific formulations & combinations
- Risk frameworks & confident patient conversations
- ⁠Post Workshop WhatsApp Community Support

Seats are limited to keep it truly interactive.. so don’t wait!

Use code EARLYBIRD10 for 10% off before 31 May 2026.

Comment MHT for the link in your Inbox

For further information: [email protected] | +91 95945 69493

ObGyn MedEd ClinicalWorkshop MumbaiEvents MenopauseWize HormoneTherapy IndianGynaecologist MenopauseCare

Most women don’t think about their bones until something breaks.But osteoporosis doesn’t start at the time of fracture.I...
29/05/2026

Most women don’t think about their bones until something breaks.

But osteoporosis doesn’t start at the time of fracture.
It starts years earlier, often silently, around menopause.

Up to 1 in 2 to 1 in 3 women will experience an osteoporotic fracture in their lifetime. These are not just “minor injuries.” They can impact mobility, independence, and long-term quality of life.

Here’s where menopausal hormone therapy (MHT) comes in.

MHT helps:
• Slow down bone breakdown
• Maintain bone strength
• Reduce fracture risk

For many women in early menopause, especially those with symptoms, this creates a dual benefit:
→ Relief from menopausal symptoms
→ Protection of bone health

But it’s important to be clear about one thing: MHT is not a magic fix.

It does not make bones unbreakable.
And it does not replace the foundations of bone health.

Strong bones are built through a combination of:
Weight-bearing and resistance exercise
Adequate protein intake
Calcium and vitamin D
Movement patterns that support balance and prevent falls

Another important point:
When MHT is stopped, bone density declines and often returns to pre-treatment levels within about two years.

This is why your strategy cannot stop at “starting MHT.”
It has to include what comes before, during, and after.

Yes, there are other osteoporosis medications available.
But many are used for limited durations and are not free of side effects. Bone health, on the other hand, is a lifelong concern.

So the real question is not:
“Should I take MHT or not?”

The real question is:
“How am I planning to protect my bones over the next 20–30 years?”

MHT can be one part of that plan.
But the long-term outcome depends on how early you start thinking about it, and how consistently you support your bones beyond it.

Your bones are not just structure.
They are your independence, your mobility, your ability to live life on your terms.

Start planning accordingly.

This content is for educational purposes only and is not medical advice. Always consult your healthcare provider for personalised care.

27/05/2026

Learn about Interval Cancers and dense breasts in this episode of the MenopauseWize Podcast, where I am joined by Dr. Paula Gordon, - the knowledgeable breast radiologist and Clinical Professor at UBC, to talk about what every woman deserves to know about dense breasts. Dr. Gordon is a tireless advocate for women with dense breasts - a non-profit organization made up of dedicated individuals and healthcare professionals committed to raising awareness and advocating for optimal breast cancer screening 👏👏

We discuss:
- What breast density means and how common it is
- Why mammograms can miss cancers in dense breast tissue
- What supplemental imaging options are available
- Why interval cancers are a real and underrecognized risk
- The key messages every woman should hear

This is a conversation about closing the diagnostic gap and making sure no woman is left without the full picture.
Listen to the full episode on the MenopauseWize Podcast available on Spotify, Apple Podcasts, and YouTube

Link in Bio
Or
Comment Podcast for the link

BreastHealth BreastCancerScreening Mammogram WomensHealth MenopauseEducation KnowYourBreasts BreastDensity MidlifeWomen

26/05/2026

Any informed decision requires understanding, learning, discussing, and much much more.
It’s never the easy way out 😃

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