Health in Your 40s

Women's Wellness in Your 40s: A Whole-Body Approach

At Patients Medical in New York City, we believe your 40s can be a time of vibrant health, not just hormonal havoc. Using functional and holistic medicine, we help women navigate this pivotal decade by addressing root causes—not just symptoms. From energy crashes and mood swings to weight gain and hormonal shifts, our personalized programs are designed to optimize your health from the inside out.

Why Your 40s Deserve Special Attention

Your 40s often mark the beginning of perimenopause—a transitional phase that can affect nearly every system in your body. Shifting hormones like estrogen, progesterone, and thyroid can trigger:

  • Irregular periods or heavier bleeding
  • Brain fog and memory lapses
  • Fatigue that doesn’t resolve with rest
  • Difficulty losing weight
  • Increased anxiety or irritability
  • Night sweats or sleep disruptions
  • Hair thinning or skin changes

Many women are told these symptoms are “just part of aging.” At Patients Medical, we know better.

What’s Really Going On?

Conventional medicine often treats each symptom in isolation. But functional medicine asks: Why is this happening? Our goal is to identify and correct imbalances driving your symptoms, including:

  • Hormonal fluctuations
  • Adrenal fatigue and cortisol imbalance
  • Insulin resistance and blood sugar dysregulation
  • Gut inflammation and microbiome disruption
  • Nutrient deficiencies (especially B12, iron, D3, and magnesium)
  • Toxin accumulation and liver sluggishness
  • Thyroid dysfunction (often missed by standard labs)

Diagnostic Testing: Going Beyond the Basics

Our comprehensive evaluations include:

Advanced Diagnostic Testing We Use

We blend conventional care with holistic therapies to restore balance and vitality.

Personalized Nutrition

Your metabolism and hormones are changing. We customize anti-inflammatory, hormone-supportive diets that may include:

  • Mediterranean or plant-forward meal plans
  • Elimination diets to identify food triggers
  • Blood sugar-balancing protocols
  • Gut-healing nutrition

Bioidentical Hormone Therapy (BHRT)

When appropriate, we offer gentle hormone replacement using bioidentical forms of estrogen, progesterone, and testosterone—always tailored and monitored to support safety and effectiveness.

Herbal & Nutraceutical Support

We use science-backed natural supplements to support hormone health, energy, and resilience:

  • Maca root and Vitex for hormone balance
  • Ashwagandha and Rhodiola for adrenal support
  • Magnesium, B-complex, and omega-3s

DIM and calcium-D-glucarate for estrogen detox

IV Vitamin Therapy

IV infusions deliver nutrients directly to your cells—especially helpful for fatigue, immune health, and nutrient repletion.

Stress & Sleep Support

Chronic stress and poor sleep exacerbate hormonal issues. We help you rebalance with:

  • Mindfulness, acupuncture, or breathwork
  • Adaptogenic herbs

Melatonin and sleep-promoting nutraceuticals

Thyroid Optimization

We carefully evaluate and treat both overt and subclinical hypothyroidism with nutrition, lifestyle changes, and (if needed) natural thyroid support.

Weight & Metabolism Support

We guide you through safe, physician-supervised weight loss protocols—because excess weight isn’t just about calories. It’s about hormones, inflammation, and metabolism.

Case Study: Lisa’s 40s Reset

Lisa, age 45, came to us with unrelenting fatigue, irritability, and unexplained weight gain. Despite being active, she felt “stuck.” Labs revealed high cortisol, low progesterone, and sluggish thyroid function.

Her 90-day personalized plan included:

  • Bioidentical progesterone cream
  • Gut-healing meal plan
  • Adrenal support herbs
  • Weekly IVs with B vitamins and magnesium
  • Guided stress management program

Within 3 months, Lisa lost 12 pounds, her sleep improved, and her mood stabilized. Her energy is now back—without caffeine or crash diets.

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

Yes, when used appropriately and monitored, bioidentical hormones are a safe and effective option to reduce symptoms and protect long-term health.

Not at all. Many women begin experiencing symptoms during perimenopause—in their late 30s or 40s. Early intervention can make a major difference.

We work with your existing care plan to optimize results and reduce the need for medications when possible.

We’re an out-of-network provider but offer superbills for reimbursement. Many advanced lab tests may be covered.