13 Steps to Maintaining a Healthy Menopausal Female Brain

  1. When you are perimenopausal, begin hormone therapy using physiological doses of bioidentical hormones, and check for low thyroid.
  2. Do all you can to limit exposures to environmental toxicants.
  3. Do all you can to limit exposure to mold and other biotoxins.
  4. Treat herpes and other infections rapidly and aggressively.
  5. Test for Lyme Disease — it can mimic anything. Look for other infections by testing antibody titers — as an example, consider chronic Beta Strep infections, which can lurk deep within the tonsils. Test levels of inflammatory markers.
  6. Test for autoimmunity and gluten/gliadin antibodies.
  7. Get seven to eight hours of sleep nightly. Sleep in a very dark room or with a sleep mask.
  8. Get regular exercise — preferably in the morning. High intensity interval training (HIIT) is best.
  9. Get sunlight regularly and work to keep the proper beat of the circadian rhythm.
  10. Laugh and smile a lot and practice mind/body medicine to adequately control stress.
  11. Replete nutrient deficiencies and maintain a healthy and properly functioning gut.
  12. Take targeted supplements to improve brain health and lower inflammation.
  13. Practice time restricted eating — a 13 hour overnight fast, last meal by 7 PM, no snacks, and utilize regular periodic fasting or (preferred)the fasting mimicking diet.



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Dr Felice Gersh

Dr Felice Gersh


Obstetrician/gynecologist and founder of Integrative Medical Group of Irvine. Author of PCOS SOS. Find her on Twitter at @DrFeliceGersh.