The SHOW Center

The SHOW Center We provide specialized care to empower, educate, and inspire women to optimize their health.

09/03/2026

Melatonin is not always the answer to your 3 a.m. wake up.

Melatonin helps regulate the timing of sleep, but that does not mean it addresses every reason sleep becomes disrupted during perimenopause and menopause.

Hormonal changes, vasomotor symptoms, stress, mood, sleep apnea, restless legs, medications, alcohol, and other factors can all play a role. The key is figuring out what is actually disrupting your sleep instead of repeatedly reaching for the same solution.

This month we are diving deep into sleep in midlife, what changes, what the evidence tells us, and what may actually help.

MidlifeHealth HormoneHealth

09/02/2026

Not every 3 a.m. wake up is the same.

Waking up hot, sweating, and throwing off the covers may point to changes in temperature regulation during perimenopause. Waking up suddenly alert with a racing heart and a mind that will not shut off may have a different story behind it.

Sleep disruption in midlife is complex. Hormones, stress physiology, circadian rhythm, blood sugar, sleep disorders, medications, and lifestyle can all play a role.

The goal is not just to tell women to sleep more. It is to understand why they are waking up in the first place.

This month we are going deep into perimenopause and sleep because better sleep starts with asking better questions.

WomensHealth

09/02/2026

There are moments in your career that feel bigger than a publication. This is one of those moments for me.

I am incredibly proud to share that our article, “Menopause and the Social Determinants of Health,” has officially been published in Obstetrics & Gynecology, the Green Journal.

This truly feels like a pinnacle moment in my career.

Menopause does not happen in a vacuum. It happens while women are working, raising families, caring for others, navigating relationships, managing financial pressures, carrying past experiences, and trying to find their way through a healthcare system that does not always recognize their needs.

Our article examines how economic stability, education and health literacy, healthcare access and quality, and social and community context can influence how menopause is experienced, recognized, discussed, and treated. One line from our conclusion captures the heart of this work:

“Menopause is biologically universal but socially inequitable.” I have spent much of my career working in the spaces where women feel unheard, dismissed, or unable to access the care they deserve. Seeing this conversation represented in the Green Journal is incredibly meaningful.

I am so grateful to my brilliant coauthors and everyone continuing to push women’s healthcare forward.

This is a career moment I will never forget. And there is still so much work to do. .perelmuter .kudzai

WomensHealthcare

09/01/2026

September is here, and we are going deep.

September is Perimenopause Awareness Month, and all month long we are also diving into one of the most common and overlooked symptoms of the perimenopause transition: sleep.

Why are you suddenly waking up at 3 a.m.? Why can you fall asleep but not stay asleep? Why does sleep start changing before your periods do? And what do estrogen, progesterone, cortisol, blood sugar, hot flashes, and even sleep apnea have to do with it?

We are unpacking ALL of it this month.

Bring your questions. Bring the things you have been told are “just stress” or “just aging.” We are going to talk about what is actually happening in the perimenopausal brain and body and what we can do about it.

Welcome to September. Welcome to Perimenopause Awareness Month. And welcome to our deep dive into SLEEP.

08/31/2026

Heart disease remains the leading health threat for women, but risk is not always captured by the standard conversation.

Your ten year risk is only part of the picture. Your thirty year risk, ApoB, Lp(a), family history, pregnancy history, menopause timing, and coronary artery calcium can all add important context.

The goal is not more testing for everyone. It is knowing which questions to ask and which tools may help clarify your individual risk.

08/30/2026

A calcium score of zero does not necessarily mean zero plaque.

A coronary artery calcium scan detects calcified plaque, often called hard plaque. It does not directly identify noncalcified or soft plaque.

That distinction matters because plaque exists on a spectrum. Some noncalcified plaque may be more biologically active, while calcification often represents a later stage in the plaque process.

This is why cardiovascular risk assessment should never rely on one test alone. Your calcium score is one piece of the puzzle. Lipids, ApoB, Lp(a), blood pressure, blood sugar, inflammation, family history, symptoms, and overall risk all matter.

Screening is a tool, not the whole story. Cardiovascular prevention is nuanced, especially for women.

08/29/2026

A CAC score can be helpful, but it is not the whole cardiovascular story.

Coronary artery calcium scoring is a screening tool that can help refine risk when the picture is not clear. It should never be interpreted in isolation. Age, symptoms, family history, blood pressure, cholesterol, ApoB, Lp(a), metabolic health, smoking history, and other risk factors all matter.

And a CAC score of zero does not mean zero cardiovascular risk. It tells us there is no detectable calcified (hard) coronary plaque at that moment, but it does not exclude noncalcified (soft) plaque.

Cardiovascular risk assessment is nuanced. CAC is one piece of the puzzle, not the entire puzzle.

08/28/2026

25 years as a Women’s Health NP. I’ve lost count of how many women sat across from me saying something was wrong after being told it was nothing. Hormones. Anxiety. ‘New mom stuff.’

Watching the Lindsay Clancy trial, I recognize that pattern immediately. This isn’t really about one case it’s about how often we minimize postpartum symptoms until they become emergencies.

08/27/2026

Menopause before age 45 is more than a reproductive health milestone. It is an important cardiovascular risk enhancer that deserves attention.

Your menopause history matters when evaluating your long term heart health, even when your cholesterol and blood pressure look good. Knowing when menopause occurred can influence what we monitor, which labs we prioritize, and how early we begin conversations about cardiovascular prevention.

Make sure your menopause history is part of your heart health conversation.

08/26/2026

Today, 8/26, we celebrate two milestones that mean so much to me!

Today is Women’s Equality Day, marking 106 years since the 19th Amendment secured women’s right to vote and honoring the women who refused to be told to wait, be quiet, or accept less.

And today, The SHOW Center turns SIX! 🎂🥂

For six years, we’ve had the privilege of showing up for women especially in midlife listening when they say something doesn’t feel right, taking their symptoms seriously, and helping them feel heard, understood, and empowered in their health.

There’s something incredibly fitting about sharing our anniversary with Women’s Equality Day. Because at the heart of both is the same belief:

Women deserve a voice. Women deserve to be heard. And women deserve better.

To every woman who has trusted us with her story and her health thank you. You are the reason we do this work.

Happy Women’s Equality Day and happy 6th birthday to The SHOW Center! Here’s to many more years of showing up for women.

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1301 Shiloh Road NW Bldg 450
Kennesaw, GA
30144

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