Committed to You
Patient Testimonials
Dr. Viva Zima FNP at Sage Hormone Health is amazing! She’s so thoughtful, knowledgeable, and always available ...
Viva is wonderful!! She takes time with you and really listens. She very intelligent and knows what she's ...
Follow Us On Instagram
When your menopause symptoms are under control, sometimes you almost forget how disruptive they can be…
Until you spend five minutes talking to another woman in perimenopause. 😂
Hot flashes.
3 AM wake-ups.
Brain fog.
Weight that suddenly has its own agenda.
Mood changes.
Low libido.
Fatigue.
I may not be feeling all of those symptoms anymore…
but as a hormone specialist, I definitely still feel the pain. 😂
And that’s exactly why I talk about this so much.
These symptoms are common—but that doesn’t mean every woman should be told to simply accept them as the price of getting older.
There are evidence-based options. There are modifiable factors. And for appropriate candidates, hormone therapy can be one of those options.
Menopause is inevitable.
Suffering through every symptom isn’t.
So if I keep talking about hormones, it’s because I know how different this chapter can feel when you finally figure out what works for you. 💛
Educational purposes only. Treatment should be individualized based on symptoms, medical history, risks and goals.
Wide awake at 3 AM again? 😳
Your body may be giving you a clue worth investigating. Save this one for tonight.
#SleepHealth #HormoneHealth #Menopause #BetterSleep #TheHormoneMethod
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


