Monday Mar 23, 2026

Women's Key to Longevity Part 2: Perimenopause, Sleep, HRT, Bone Density, and GLP-1s with Dr. Lizellen La Follette

In part two of my conversation with Dr. Lizellen La Follette, we go deeper into the midlife health questions so many women are asking right now. We talk about what really supports longevity in perimenopause and menopause, including walking, resistance training, better sleep habits, and why prevention matters more than waiting until something becomes a full blown health issue.

We also get into the emotional side of perimenopause, including anxiety, mood changes, sleep disruption, cortisol, and how hormonal shifts can affect the way women feel in their 40s and beyond. Dr. La Follette explains why these changes are real, why women should not dismiss them, and what options may help, from lifestyle shifts to HRT and more individualized care.

In this episode, we also discuss bone density and why waiting until age 65 may be too late for many women, how to think about prevention earlier, and why muscle, movement, and body composition matter so much for healthy aging. We also talk openly about GLP-1s, peptides, metabolic health, side effects, weight loss, cardiovascular risk, and what women need to know before jumping on the latest trend.

And because no midlife conversation is complete without it, we also talk about sex, libido, vaginal health, dryness, intimacy, and why women are not doomed to lose that part of themselves as they age. This is an honest, empowering conversation about taking your health seriously, making yourself a priority, and creating a vibrant second half of life with more knowledge, more confidence, and more support.

Dr. Lizellen La Follette is a longtime OB-GYN based in Greenbrae, California, in Marin County. She has been dedicated to women’s health since 1993 and is deeply engaged in clinical care, research, clinical trials, speaking engagements, and the growing conversation around women’s healthspan, prevention, and longevity. In addition to her private practice, she has a strong interest in helping women navigate perimenopause, menopause, bone health, sleep, sexual wellness, and healthy aging.

Disclaimer: This podcast is for informational and educational purposes only. Nothing in this episode is intended to be medical advice, diagnosis, or treatment. I am sharing this conversation to inform and empower women, but I always encourage you to speak with your own qualified medical provider about your personal health, symptoms, medications, and treatment decisions.

How to find Dr. Lizellen La Follette
Dr. Lizellen La Follette is in private practice in Greenbrae, California in Marin County.
Website: https://www.lflmd.com
Phone: (415) 461-5755

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