Wisdom · Learn
Clear, evidence-based answers about symptoms, treatment and healthy aging, written in language that makes sense.
Tell us how you’re feeling in your own words, or explore the questions that matter to you.

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What’s happening to me?Perimenopause, menopause, and what is normal.Why do I feel like this?Hot flashes, sleep, mood, brain fog, aches, one at a time.What can I do about it?Hormone therapy and the other treatments that help.How do I get through the day?Sleep, food, movement, and calming your nervous system.What about my health long term?Your heart, bones, brain, and metabolism from here on.How do I get good care?When to see someone, and what to ask when you do.Ask Effica
A place to ask the questions you didn’t get to finish asking in a ten minute appointment. Send us what you’re wondering about, and Dr. Nese answers in plain language, with the evidence behind it and no product to sell you.
Questions are answered generally, for everyone reading. Nothing here replaces care from your own clinician, but it can help you walk into that room knowing what to ask.