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Bonza Health Blog

Gain the tools and understanding you need to help manage the challenges of perimenopause and beyond.

Women experiencing perimenopause or menopause can reclaim their health and vitality. At Bonza Health, we help women see hormone changes as a natural midlife transition and provide the doctor-backed information women need to navigate hormonal health conditions with confidence. 

Check out our latest blog posts from our leading physician’s best tips and tools for easing hormonal symptoms, special announcements on our courses and services, and much more! Be a part of our ever-growing community of like-minded women who are thriving in health -- even with perimenopause or menopause conditions.

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Fatigue, Wellness, Brain fog Sarah Bonza MD Fatigue, Wellness, Brain fog Sarah Bonza MD

Methylated B12: The Key to Vitality in Perimenopausal and Menopausal Women

During menopause, declining estrogen impacts neurotransmitter production, mitochondrial function, and the nervous system. B vitamins, especially B12, are critical for mood regulation, nervous system health, and adrenal support. Vitamin B12 exists in several forms, but methylcobalamin is the active, methylated form that your body can use immediately. Unlike the synthetic form, cyanocobalamin, methylcobalamin does not require conversion in the body, making it especially important for individuals with genetic variations (such as MTHFR mutations) or age-related declines in nutrient absorption.


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Wellness, Fatigue, Hormone Sarah Bonza MD Wellness, Fatigue, Hormone Sarah Bonza MD

Hysterectomy in Perimenopause: Beyond the Physical

Research shows that changes in sexual desire and sensation after hysterectomy are highly individual. Some women experience improved sexual satisfaction, especially if pain or bleeding was a problem before. Others notice a decrease in desire or sensation, particularly if the cervix is removed or if hormonal changes occur following removal of the ovaries. What matters most is that your experience is honored and that you have space to process the changes—physical, emotional, and spiritual.

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Wellness Sarah Bonza MD Wellness Sarah Bonza MD

Top Science-Backed Anti-Aging Therapies for Menopausal Women

The evidence for GHK-Cu, Niacinamide, and Rapamycin as anti-aging interventions is compelling, especially for women navigating the challenges of menopause. By combining these therapies with proven lifestyle and hormonal strategies, we can help women not only live longer, but thrive through midlife and beyond.

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Wellness, Hormone Sarah Bonza MD Wellness, Hormone Sarah Bonza MD

Migraines During Perimenopause: Understanding the Role of Estradiol

The relationship between perimenopause, migraine, and estradiol is complex and highly individualized. While traditional guidelines have cautioned against estrogen therapy in women with migraine with aura, transdermal estradiol, used at the lowest effective dose and in continuous regimens, may offer benefits for perimenopausal women with migraine.

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Wellness, Hormone Sarah Bonza MD Wellness, Hormone Sarah Bonza MD

DEXA Scans in Perimenopausal Women: The Case for Earlier Bone Health Screening

The current medical paradigm typically recommends bone density screening through dual-energy X-ray absorptiometry (DEXA) scans beginning at age 65, yet mounting evidence suggests that the most critical period for bone health occurs during the perimenopausal transition. Early screening and intervention are not just beneficial, but essential for optimal long-term outcomes.

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Hormone, Wellness Sarah Bonza MD Hormone, Wellness Sarah Bonza MD

Under-Eye Dark Circles After 40? It Could Be Perimenopause—Here’s What Your Skin Is Telling You

Dark circles under the eyes often appear as a shadowy discoloration around the lower eyelids. In midlife women, these circles can be one of the first subtle signs of hormonal changes. Instead of dismissing under-eye circles as mere “vanity issues,” consider them a potential early clue of perimenopause.

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Weight, Hormone, Wellness Sarah Bonza MD Weight, Hormone, Wellness Sarah Bonza MD

Creatine Supplementation During Perimenopause Mitigates Sarcopenia, the Age-Related Loss of Muscle Mass and Strength

Estrogen levels decline sharply during perimenopause, reducing muscle protein synthesis and accelerating sarcopenia. Supplementing with creatine monohydrate enhances cellular energy production and muscle protein synthesis, protecting against muscle catabolism during perimenopause.

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Hormone, Fatigue, Wellness Sarah Bonza MD Hormone, Fatigue, Wellness Sarah Bonza MD

Reclaiming Your Spark: A Physician’s Guide to Libido in Menopause

Menopause reshapes your hormonal landscape. Estrogen decline thins vaginal tissues, reduces lubrication, and dulls sensitivity—a trifecta that can make sex feel like a chore. Progesterone fluctuations disrupt sleep and amplify anxiety, while testosterone plummets—sapping desire and arousal. But hormones alone don’t tell the whole story.

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Hormone, Wellness, Fatigue, Brain fog Sarah Bonza MD Hormone, Wellness, Fatigue, Brain fog Sarah Bonza MD

Testosterone Replacement Therapy in Perimenopausal and Menopausal Women

While testosterone is commonly associated with men, it plays a vital role in women’s health as well. For perimenopausal and menopausal women experiencing symptoms such as low libido, fatigue, or brain fog, testosterone replacement therapy (TRT) can be a transformative option. By addressing issues like low libido, fatigue, and cognitive decline, TRT has the potential to restore vitality during this transitional phase of life.

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Hormone, Wellness, Mood Sarah Bonza MD Hormone, Wellness, Mood Sarah Bonza MD

Rethinking the Pill in Perimenopause: Why Menopause Hormone Therapy May Be a Better Fit

For years, the go-to solution to managing perimenopause symptoms has been oral contraceptives. And in certain situations, they can help—especially when contraception is still a must. But here’s the catch—and it’s an important one: oral contraceptives suppress your body’s natural hormone production. That’s where menopause hormone therapy (MHT) comes in. This approach mimics the way your body would naturally produce hormones if you were still ovulating regularly. Instead of suppressing your hormonal landscape, MHT can support and strengthen it.

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Wellness, Weight Sarah Bonza MD Wellness, Weight Sarah Bonza MD

Collagen vs. Protein Powder: A Guide for Vegetarian Women to Build Muscle and Maintain Youthful Skin

Choosing between collagen and protein powder can be confusing, especially for vegetarian women striving for both muscle strength and youthful skin. While traditional collagen supplements are animal-based, plant-powered alternatives can still support collagen production through vitamin C, lysine, and antioxidants. Meanwhile, pea protein offers a high-quality, muscle-building option that rivals whey—allowing you to fuel your body effectively without compromising your values.

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Wellness Sarah Bonza MD, MPH, MSCP, FAAFP, NHWC Wellness Sarah Bonza MD, MPH, MSCP, FAAFP, NHWC

What It Means to Be a Strong Woman

This piece highlights the quiet yet powerful resilience of women facing midlife changes, emphasizing that strength goes far beyond physical power. It acknowledges the dismissals many experience in healthcare and calls on them to stand firm in seeking the care and support they deserve. Ultimately, it offers an invitation to join a community where women can lift each other up, challenge outdated norms, and embrace their evolving bodies with confidence.

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