Dr. Nicole Tully

10/16/2026

Five things that actually lower your breast cancer risk…

You can’t change your genes or your age. But there are things you can do to lower your breast cancer risk:

1. Drink less alcohol. Even one drink a day raises risk by about 7–10%, and it goes up with every drink.

2. Move. Aim for 150–300 minutes of moderate activity a week.

3. Maintain a healthy weight after menopause, when fat tissue becomes your main source of estrogen.

4. Breastfeed if you’re able to and it works for you; longer total breastfeeding brings more benefit.

6. Know your family history on both sides. It guides screening, genetic testing and risk-lowering options.

These steps lower risk; they don’t eliminate it. And if you are diagnosed, it is never your fault.
Which one surprised you most? Tell me in the comments.

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10/12/2026

The single best predictor of how a breast cancer story ends is often how early it was found.

In 2024, the U.S. Preventive Services Task Force lowered its recommended starting age for mammograms from 50 to 40, with screening every 2 years through age 74. Some organizations recommend yearly screening, and women at higher risk may need to start earlier or add an MRI or ultrasound.

When breast cancer is caught while it’s still confined to the breast, 5-year survival is about 100%. Once it has spread to distant organs, that number falls to roughly 1 in 3. Mammograms are how we find cancer early, often years before anything can be felt.

The right plan depends on your personal risk. If you’re 40 or older and haven’t had a mammogram, this is your sign. If you’re under 40, now is a great time to talk with your doctor about your risk.

At TullyMD, concierge care means unhurried visits, direct access to your doctor, and a screening plan built around you. We track when you’re due, order your imaging and walk you through every result. Call TullyMD to make your appointment.

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10/04/2026

1 in 8. You probably know her. She might be your mother, your sister, your best friend, or you.

Breast cancer is the most common cancer in American women, and it’s rising in women under 50. But the story doesn’t end there. Death rates have fallen dramatically since 1989, largely because of earlier detection and better treatment. When breast cancer is caught while it’s still localized, nearly everyone is alive 5 years later.

That’s why screening matters, and why every woman deserves access to it.

This month I’m sharing a series on breast cancer: screening, risk, symptoms, and the parts no one talks about, like mood and s*x during and after treatment.

Follow along, and send this to someone who’s due for her mammogram.

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09/29/2026

What a night! ✨

Our TullyMD member party was a full house, with our rooftop party buzzing from start to finish with our members, our incredible specialists, and so many familiar faces we’ve come to know and love. My heart is so full.

Honestly, the night was so lively that I didn’t think to grab my camera until the very end, so I’m sorry to everyone I missed in these photos! Please know how grateful I am to each and every one of you who came out to celebrate with us. And here’s to those who stayed until the very last moment, soaking in a beautiful evening together. 🥂

Nights like this remind me why I practice concierge medicine. At its heart, it’s about relationships. It’s knowing your story and not just your chart. It’s having the time to truly listen, being there when you need us, and building a team of trusted specialists who care about you as much as we do. Our members aren’t numbers in a waiting room; they’re people we know everything about and genuinely look forward to seeing.

That personal connection is the foundation of better care, and seeing so many of you together in one room made that feel more real than ever.

Thank you for being part of the TullyMD family. We’re so lucky to care for you.

09/23/2026

As a women’s health provider who puts a woman’s s*xual desire, intimacy, and ability to have a satisfying s*x life front and center, it’s been genuinely frustrating to explain to my patients why I’m prescribing something that isn’t FDA-approved.

Last week, testosterone became the most talked-about issue in women’s health. Here’s why, as a provider, that conversation is personal for me. There are 26+ FDA-approved drugs for male s*xual dysfunction. For women? Basically two. Vi**ra hit the market in 1998. It took the FDA almost 20 more years to approve anything for women’s s*xual dysfunction. And even then, the options we do have to treat low s*xual desire in women are expensive and can come with significant side effects.

So like many providers who treat low libido and s*xual dysfunction, I prescribe it off-label. Some patients see real, meaningful improvements. Others notice no change at all. That’s the honest reality of practicing medicine in a gap the FDA hasn’t filled.

*xualwellness 

My point isn’t that testosterone is a miracle drug. The causes of low s*xual desire vary widely, but testosterone has shown real benefit for some women. And that’s exactly why there should be a safely dosed, FDA-approved option, so women can make an informed choice with their physician instead of relying on an off-label workaround.

Call TullyMD for to discuss personalized options in evaluating and treating low s*xual desire, pain with s*x or any aspects you need to address to be satisfied with your s*xual wellness.

09/17/2026

TullyMD Anniversary Party

We’re celebrating another year together, and more importantly, the members who make it all possible.

Members and their guest are warmly invited to join us for our Anniversary Party on September 23rd at 5:30pm at TullyMD.

🥂 Dinner and drinks will be served

Please RSVP at https://tullymd.com/events/ by September 18th.

09/11/2026

Twenty-five years.
I still remember exactly where I was on September 11, 2001 as most of us do. That kind of memory doesn’t fade with time, it just changes shape. What started as raw shock has, for many of us, settled into something quieter: a yearly pause to remember, to grieve, and to be grateful.

I was driving to my medical school classes that morning when the first plane hit. My medical school was across the river in New Jersey, close enough that we braced for what we assumed was coming: a wave of injured needing care. We were asked to stay on through the day, ready to help. But the survivors we prepared for never arrived. That waiting to hear from our loved ones, watching the tv screen and seeing the devastation geared up to help and realizing help wasn’t going to be needed in the way we expected because so few people made it out of those towers.

I already lived in Hoboken at the time, a community that sits right across the water from where the towers once stood, and one that absorbed real, personal loss that day. So many people in our community didn’t come home and others that did were impacted by this day for the rest of their lives.

As a physician, this day carries a particular weight for me beyond that morning, too. I think about the first responders and medical teams who ran toward danger, the paramedics, the ER staff, the nurses and doctors at hospitals across lower Manhattan who braced for patients much the way we did in NJ. I think about the responders and residents who spent months afterward in the wreckage and the dust. Many people are, a quarter century later, still living with the health consequences of that exposure. Respiratory disease. Cancers. PTSD. The World Trade Center Health Program still cares for tens of thousands of people today because of what happened that morning. Their fight didn’t end when the towers came down. For many, it was just beginning. Medicine teaches you that healing is rarely a single moment,it’s a long, unglamorous process that continues long after the cameras leave.

09/11/2026

09/06/2026

What The New Guidelines Say And What Treatment Actually Looks Like

The newest cardiology guidance recommend doctors to start assessing cholesterol risk earlier in their patients, in some cases as young as 30, and it specifically calls out reproductive history, such as early or premature menopause, preeclampsia, or gestational diabetes as red flags that put women at higher risk, and earlier than you’d expect.

That matters, because two women with the exact same cholesterol number on paper can have very different real risk depending on their history.

If you’ve tried diet and exercise and your cholesterol is still high or climbing, it’s worth asking about your personal risk and being open to medical treatment if it’s warranted.

Starting a statin can lower your risk of heart attack and stroke by up to 30 percent, and some research suggests it may lower dementia risk as well, though that evidence is still developing.

I know the biggest fear people have is muscle aches, and yes, some people do get them. But most of the time, that resolves with a lower dose, a different statin, or a simple adjustment. It is rarely a reason to give up on treatment altogether.

This is exactly why individualized care matters. At a concierge practice like TullyMD, I have the time to actually explore your risk factors, explain your options clearly, and build a plan around your body, not a generic protocol.

Call (201) 241-2626 today to make an appointment or go to www.TullyMD.com to learn about your cardiac risk, so you can live a longer, healthier life.

09/04/2026

“Why Menopause Puts Your Heart at Risk”

Heart disease is the number one cause of death for women in the United States, not breast cancer. It kills more women than all cancers combined, and about 1 in 3 women will die from heart disease. And menopause is a big part of why.

Before menopause, estrogen actually helps protect your heart, it helps keep cholesterol in a healthier range, keeps your blood vessels flexible, and plays a role in how your body manages inflammation and blood pressure. But once estrogen declines through perimenopause and menopause, that protection fades quickly.

Bad cholesterol starts to rise, blood pressure often creeps up, and fat distribution shifts toward the abdomen. So a woman can be doing everything the same as she did in her 30s…same diet, same workouts…and still watch her numbers move, simply because the hormonal environment protecting her heart has changed.
This is exactly why perimenopause is such an important window to pay attention to your cardiac risk, not after something happens, but before.

In my next video, I’ll walk you through what’s actually changed in the guidelines, and what treatment really looks like.

At any point, if you want to learn more about your risks, go to www.TullyMD.com to make an appointment or call (201)241-2626.