Dr. Viva Zima, DNP, APRN, FNP-C
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My hair didn’t get healthier in my 40s because I found one magical shampoo.
I started looking at what was happening inside my body.
Hormones.
Testosterone.
Thyroid.
Iron and ferritin.
Nutrition.
Stress.
And the nutrients hair follicles actually need to grow.
As a hormone specialist, one of the biggest things I’ve learned is that hair is often part of a much bigger picture.
👉Testosterone matters—but more is not always better. Both inadequate androgen activity and excessive androgen/DHT activity can be relevant depending on the woman and the type of hair change.
👉Thyroid function matters. Hair follicles are metabolically active, and thyroid dysfunction can affect the normal hair-growth cycle.
👉Estrogen changes during perimenopause and menopause may matter too. And then there are the things we sometimes overlook: iron status, protein intake, vitamin and mineral deficiencies, medications, rapid weight loss, stress, genetics and scalp conditions.
👉That’s why I don’t believe in looking at one number—or one hormone—in isolation.
For me, the goal has been to support my body from the inside out: optimize my hormones and thyroid based on my individual needs, prioritize protein and nutrition, address deficiencies when present, and support the follicle itself.
And yes, Nutrafol is one of the tools I use as part of that bigger picture. 🌱
The goal isn’t simply “normal labs.”
It’s understanding your symptoms, your history, your labs and the whole clinical picture—and figuring out what your body needs.
My hair in my 40s?
I’ll take it. 💁🏼♀️
👉If your hair has changed during perimenopause or menopause, don’t assume you simply have to live with it. Start asking why.
Educational information only; not individualized medical advice.
Weekend energy. On a Monday. ☀️🌧️
Kind of busy… living. 🤍
#MondayMood #WeekendVibes #MainCharacterEnergy #LifeLately #SageHormoneHealth
Sometimes the hardest symptom to explain is simply:
“I don’t feel like myself anymore.”
That feeling deserves curiosity, not dismissal.
Save this Method and start identifying what changed.
#HormoneHealth #WomensHealth #MensHealth #HealthyAging #Wellness
IYKYK 😎
#HormoneOptimization #HormoneHealth #Perimenopause #Menopause #SageHormoneHealth
Is it your hormones… or is cortisol crashing the party? 👀
5 signs your stress response may be out of balance:
🔥 Belly fat — especially increasing weight around the middle
😴 Sleep disruption — trouble falling asleep, staying asleep, or waking too early
⚡ Wired but tired — exhausted, but your body refuses to shut down
💇🏼♀️ Hair shedding or thinning — chronic stress can disrupt the normal hair-growth cycle
🍫 Cravings + blood sugar changes — feeling hungrier, craving carbs/sweets, or experiencing energy crashes
Here’s where it gets interesting for women 40+:
These symptoms can look a LOT like perimenopause.
Estrogen and progesterone changes, thyroid dysfunction, insulin resistance, inadequate nutrition, iron deficiency—and chronic stress—can all create overlapping symptoms.
That’s why I don’t like guessing based on symptoms alone.
Test when appropriate. Look at the whole picture. Treat the WHY. 🧬
And no, the answer isn’t simply “lower your cortisol.” 😉
Educational purposes only. These symptoms are nonspecific and do not diagnose elevated cortisol or a cortisol disorder.
