Rochele Nicolas-Wedige, FNP

10/28/2026

🎃 **GET RID OF THOSE SCARY LINES!** 👻

Halloween may be almost here, but the treats are getting even better!

💉 **Botox or Dysport — just $11 per Botox-equivalent pricing unit!**

Same simple pricing. No confusing unit conversions. Just personalized treatments to help you look refreshed, not frozen.

✨ **AND HERE'S AN EXTRA TREAT!**

**November 2–7 ONLY: DOUBLE ASPIRE REWARDS!**

Have ASPIRE Rewards points? They're worth DOUBLE when redeemed toward a qualifying Dysport treatment!

$20 in rewards = $40 toward your Dysport treatment!

**YES, you can combine this with my Halloween special!**

That means special pricing PLUS double rewards. And if you have points about to expire, this is a great time to use them!

📅 **Halloween pricing extended through November 13!**

📍 True Wellness & Aesthetics | San Antonio

📱 Call or text (210) 819-4884 to schedule.

Because the only thing scary should be your Halloween costume — not your expression lines! 😉

*20 Botox-equivalent pricing-unit minimum. Botox and Dysport use different dosing units; pricing is standardized for convenience. Actual dosing is individualized. Double ASPIRE Rewards applies to eligible Dysport treatments November 2–7 only. Offer terms and restrictions apply.*

10/28/2026

How many squares are you checking? 😂

Perimenopause can show up in ways women don’t always connect to hormone changes — sleep disruption, anxiety, palpitations, brain fog, skin changes, irregular periods, temperature changes, and yes… occasionally wanting to rage-load the dishwasher. 😅

The important part: symptoms can overlap with thyroid issues, anemia, sleep problems, medication effects, and other conditions, so it’s worth looking at the whole picture rather than assuming every symptom is “just hormones.”

But if this bingo card feels a little too familiar… you may have entered the perimenopause club. 🤍

10/21/2026

Let’s talk testosterone in women.

Testosterone isn't just a “male hormone.” Women produce it too, and our levels gradually decline with age—often beginning long before menopause.

As testosterone declines, some women notice:
❤️ Lower libido — less desire, arousal or s*xual satisfaction
⚡ Lower energy and motivation
💪 Changes in muscle mass, strength or exercise capacity
🧠 Brain fog or difficulty concentrating
😕 Changes in mood or overall sense of well-being

So, can testosterone therapy help?
Yes—and for some women, the difference can be meaningful.

The strongest evidence for testosterone therapy in women is for persistent, distressing loss of s*xual desire. Treatment can improve s*xual desire, arousal, or**sm and s*xual satisfaction.

Women also commonly ask about testosterone because they've noticed changes in energy, motivation, strength, mood or mental clarity. Some women report improvement in these areas with treatment, although the research isn't strong enough yet to recommend testosterone specifically for these symptoms.
That doesn't mean those symptoms should be dismissed.

And a testosterone level that falls within a lab's “normal” range doesn't automatically mean “nothing is wrong.” There is no single blood-test cutoff that diagnoses testosterone deficiency in women.

That's why I don't treat a number. I look at what has changed, along with testosterone, estrogen, thyroid function, sleep, medications, metabolic health and other factors that may be contributing.

When testosterone therapy is appropriate, treatment should be individualized and monitored to maintain physiologic female levels.

💙 Women deserve more than “your labs are normal.” They deserve a conversation about what changed and why.

The goal isn't simply more testosterone. It's helping you feel like yourself again.
— True Wellness & Aesthetics

10/19/2026

😰 "I've never been an anxious person. Why do I suddenly feel like this?"

This is something I hear from women navigating perimenopause.
We talk a lot about hot flashes and night sweats, but what about the anxiety, irritability, and feeling overwhelmed by things that never used to bother you?
During perimenopause, progesterone production can become less consistent as ovulation changes.
Progesterone also plays a role in brain chemistry through its metabolite, allopregnanolone, which interacts with GABA receptors involved in calming nervous system activity.
Could hormonal changes be contributing to your anxiety? Absolutely.
But that doesn't mean every woman experiencing anxiety needs progesterone. Estrogen fluctuations, thyroid dysfunction, poor sleep, and other factors can contribute.
💙 The important thing is recognizing that new-onset anxiety during midlife deserves a closer look—not simply being dismissed as stress or aging.
This article offers an interesting perspective on a topic that deserves more attention.

Perimenopausal anxiety isn't simply in our patients' heads. It's often the result of complex physiologic changes involving hormones, sleep, metabolism, and the nervous system.

10/15/2026

🐑 **Counting sheep again? Let's talk PROGESTERONE!**

October is Menopause Awareness Month, and while estrogen gets most of the attention, progesterone deserves some love, too! 💜

During perimenopause, ovulation becomes less predictable, which means progesterone levels can fluctuate or decline.

These hormonal changes may contribute to:

🌙 **Poor sleep** – Difficulty falling or staying asleep.

😰 **Anxiety** – Feeling unusually worried, overwhelmed, or on edge.

😤 **Irritability** – Little things suddenly feel like BIG things.

🧠 **Feeling tired but wired** – Exhausted, but your brain refuses to shut off.

**Here's the science:** Progesterone is converted into *allopregnanolone*, which interacts with GABA receptors in the brain involved in calming nervous system activity.

But not every sleepless night or anxious feeling is caused by low progesterone. Estrogen fluctuations, thyroid problems, stress, and other factors matter, too.

💙 **The takeaway?** If you're suddenly feeling anxious, irritable, or struggling with sleep during perimenopause, your hormones may be part of the picture.

At True Wellness & Aesthetics, we look at the whole picture—not just one hormone or lab result.

10/12/2026

October is Menopause Awareness Month. 💙

Menopause may finally be getting the attention it deserves, but menopause care isn’t new to me.
I’ve been managing hormone therapy for more than a decade, and one thing I’ve learned is that there is no single “menopause protocol” that works for every woman.
Some women want to discuss hormone therapy. Some can’t or don’t want to use hormones. And sometimes what feels like “just menopause” also involves thyroid, metabolic health, sleep, s*xual health, or something else entirely.
Good menopause care starts with listening, looking at the whole picture, and finding the right options for you.
This month, I’ll be sharing a little more education about perimenopause, menopause, hormones, and the symptoms women are too often told to simply live with.
Menopause is a normal stage of life. Feeling dismissed during it shouldn’t be.

10/08/2026

**Low estrogen: it’s about a lot more than hot flashes.**

As estrogen begins to fluctuate and decline during perimenopause and menopause, the effects can show up throughout the body—and sometimes in ways you may not immediately connect with hormones.

Common changes can include:

🔥 Hot flashes & night sweats
🌸 Vaginal dryness, painful s*x & urinary changes
😴 Trouble sleeping
🧠 Brain fog, mood changes & irritability
💪 Joint and muscle aches
❤️ Lower libido
🩸 Irregular or changing periods
✨ Changes in skin, hair & body composition

But declining estrogen can also affect things you **can’t necessarily feel.**

Over time, lower estrogen is associated with **bone loss, changes in cholesterol and cardiovascular risk, loss of muscle mass, and changes in metabolic health.**

You don’t have to experience every symptom—or even have hot flashes—to be going through the menopause transition.

And you don’t have to simply suffer through it.

There are hormonal and non-hormonal treatment options available. The right approach depends on your symptoms, health history, risks, goals, and where you are in the menopause transition.

**Menopause care should be individualized—not one-size-fits-all.**

True Wellness & Aesthetics
Individualized perimenopause & menopause care

10/01/2026

🍷 **“Why can’t I have a glass of w**e anymore without getting HOT?”**

If this started happening in perimenopause, you are definitely not the only one. 😅

Alcohol is a common hot-flash trigger for some women—and there may be more than one reason why.

During perimenopause and menopause, the brain’s temperature-regulating system becomes more sensitive. Things that didn't bother you before can suddenly push you over the edge:

🔥 alcohol can dilate blood vessels and cause flushing
🔥 alcohol and its breakdown products can trigger sweating
🔥 w**e contains compounds such as histamine and other biogenic amines that some people are more sensitive to
🔥 alcohol can also interfere with the body's ability to break down histamine

So that innocent glass of w**e may suddenly equal:

🍷 ➡️ 🥵 ➡️ “WHY AM I SWEATING?!”

Does that automatically mean you have “histamine intolerance”? **No.**

Does it automatically mean your HRT dose is too low? **No.**

But if alcohol suddenly triggers hot flashes—or you're still having significant symptoms despite being on HRT—it may be worth looking at the bigger picture.

Perimenopause has a funny way of changing the rules on things your body tolerated perfectly well for years. 🙃

If your body suddenly changed the rules on w**e, there may be more going on than you realized. 🍷🥵

08/13/2026

When even the rock is getting on your nerves… 😅

Irritability can be a very real part of andropause, perimenopause and menopause. As a Nurse Practitioner with over 13 years of experience in menopause management, I offer personalized care that may include HRT, other medications, and supplements when appropriate.

Did summer get busy? If you’re due for a follow-up or treatment—or you’re ready to get started—schedule your appointment today.

07/31/2026

One of my favorite texts to receive...

A patient's husband reached out today after her Dysport treatment and said:

"She got carded."

She happens to be 42.

Did Dysport magically make her 21 again? Of course not. 😊

But when we soften frown lines and restore a more rested, approachable appearance, people often notice that something looks different—they just can't always put their finger on it.

That's always my goal: natural, refreshed results that still look like **you**.

As a nurse practitioner, I love helping my patients feel confident in their own skin. Sometimes the biggest compliment isn't what they tell me—it's what someone else notices.

(Shared with permission and without identifying details.)