Alise Greenfield

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Alise Greenfield I’m an NP helping women with mystery symptoms find and treat the root cause to feel better than fine

10/20/2026

If you’ve been told you’re too young for perimenopause, this is for you.

Perimenopause is the 10-15 years around menopause. It’s a transition, not a single moment.

Menopause itself is a single moment: one day. The one day after you haven’t had a period for 12 months. (This definition doesn’t work for women who have had surgical menopause).

The average age of menopause in the US for white women is 51. For women of color, it is suspected to be earlier (though we have studied them more poorly than other women).

This means you can absolutely be in perimenopause in your late 30s and early 40s.

Your provider not knowing isn’t your fault. But staying in the dark about this doesn’t have to be your story.

If you’re in your late 30s or early 40s and something feels off — your sleep, mood, energy, stress resilience — it’s worth looking at what your hormones are doing.

Comment CLARITY and I’ll send you the link to book your Hormone Clarity Consult — your first step to actually getting the full picture.

Fallon was 42 and feeling fatigued, anxious, gaining weight despite nothing changing in her routine. She was feeling gen...
10/13/2026

Fallon was 42 and feeling fatigued, anxious, gaining weight despite nothing changing in her routine. She was feeling generally unwell and just not like herself.

Her doctor told her: “This is just your middle aged body now.” And offered her an IUD.

She came to me instead.

Here’s what we found at her Hormone Clarity Consult:

Low testosterone and DHEA-S — androgens that directly impact mood, energy and tell us how her adrenals are functioning.

B12 and folate technically in range,  but lower than optimal, which absolutely contributes to fatigue and mood symptoms.

Signs of inflammation and early insulin resistance. This affects energy, weight, sleep and hormone function.

Borderline thyroid. “Normal” when her P*P looked at it, but not when you know what you’re actually looking for.

Post-ovulation estrogen and progesterone in the toilet — also technically “normal” unless you understand what optimal looks like in the luteal phase.

Vitamin D in range but touching the low-end.

Every single one of these was either missed or dismissed. Together, they explain so much of how she walked in feeling.

This is what “normal labs” can look like when nobody’s actually looking.

Comment CLARITY and I’ll send you the link to book your Hormone Clarity Consult.

I struggled with my health for a long time. It didn’t come naturally to me to choose myself or to decide I was worthy of...
10/12/2026

I struggled with my health for a long time.
It didn’t come naturally to me to choose myself or to decide I was worthy of feeling good.

I practiced it. I made my health part of my values. I put habits into play that supported this.

For me and my family, one of the ways we do this is through meal prepping on Sundays so we have nourishing food ready for the week.

It’s a habit that is now routine and largely protected.

What’s one thing you do — or want to do to set yourself up for the week?

Functional medicine is brilliant. It changed my life and so many of my patients. It connects systems, uncovers root caus...
10/09/2026

Functional medicine is brilliant. It changed my life and so many of my patients.

It connects systems, uncovers root causes, looks at the whole picture.

And it still largely misses women’s hormones.

Not because it isn’t trying. But because functional medicine operates from the belief that fixing everything else will fix the hormones.

Sometimes that’s true. Often it isn’t — especially in perimenopause.

So women do all the work. The gut protocols, the adrenal support, the nervous system regulation. They might feel better. But not always.

And their hormones are still in the toilet while we gate-keep things like HRT because it “should be a last resort.” (Insert big sigh here).

That’s not a failure of the woman or not “functional medicining hard enough.”

That’s a gap in the model and a misunderstanding of women’s hormonal symphony.

Your functional medicine provider may be excellent. And they may not be a hormone expert. Those two things can both be true.

If I had a dollar for every time a woman told me she was offered birth control instead of HRT because “HRT is dangerous,...
10/08/2026

If I had a dollar for every time a woman told me she was offered birth control instead of HRT because “HRT is dangerous,” I think I could retire. I don’t have enough eyes to roll anymore.

The hormones in birth control are multiple times stronger than the hormones in standard HRT. Yet we’re scared of HRT like Captain Hook is afraid of the croc.

HRT’s benefits and safety have been shown time and again. Birth control has side effects most women never get told about.

We’re conflating old data, holding onto dogma and women are getting stuck in the crossfire.

Perimenopause has over 30 recognized symptoms, and counting. Most symptoms don’t register as hormone related because our...
10/07/2026

Perimenopause has over 30 recognized symptoms, and counting.

Most symptoms don’t register as hormone related because our medical system largely ignores 50% of the population. 🫠

What’s one symptom you had that nobody told you was hormonal?

10/07/2026

Too many women are told their symptoms are “normal aging.”

Except this misses the key change: hormones.

see women’s symptoms dismissed as “just getting older” far too often.

Medicine does a really good job of turning a blind eye to women’s hormones and how they’re connected to literally every system in their body. They’re not an afterthought and they’re not only important when you’re trying to get pregnant. They’re important at every stage of life.

Symptoms that women — and medicine — brush off as normal aging are vast. My patients come to me questioning whether they’re being over dramatic because they’re having fatigue, brain fog, trouble concentrating, feeling more stressed, having joint pain, can’t tolerate the same foods they used to. They’re conditioned to expect this as part of getting older.

We don’t have to tolerate these symptoms in the name of aging. Especially when hormones are largely ignored and are a powerful influence on how you feel.

I help women get the answers and clarity they deserve and stop brushing everything off as “normal aging.” It starts with someone actually looking. Comment CLARITY to get started.

When I stopped thinking of my female body and menstrual cycle as something to fix but rather to celebrate, my whole worl...
10/03/2026

When I stopped thinking of my female body and menstrual cycle as something to fix but rather to celebrate, my whole world changed.

It’s part of why I do this work — so other women can feel that shift too. 💜

10/01/2026

While we are teaching our daughter’s to start a revolution, let’s also teach our sons about consent, humanity and what it actually means to be a good man.

Stay loud 💪🏼

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Dover, NH
03820

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