591: The Metabolic Trifecta in Perimenopause and Menopause + HRT Basics and Best Practices to Thrive in Midlife with Jackie Piasta

Listen to the Episode Here

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Frustrated with not feeling heard by your primary care doc? 

You’re not the only one who feels like your menopause symptoms and concerns are getting dismissed

As women, we go through a whirlwind of changes– physically, emotionally, and hormonally– during perimenopause and menopause. 

And these days, we KNOW menopause isn’t only about hot flashes. 

It’s so much more. 

We become a different person on the other side of menopause.  

Women’s health practitioner and menopause expert Jackie Piasta joins me to speak to how we’re ALL affected by midlife hormonal changes– and how to feel empowered going through this time of your life. 

Listen to the show now for her top tips on navigating all aspects of midlife with ease, so you can feel your best through perimenopause and menopause!  

Jackie Piasta

Jackie Piasta is a Women’s Health Nurse Practitioner (WHNP) and a certified clinician by the Menopause Society. She’s the founder and owner of Monarch Health– a midlife and menopause clinic in Marietta, GA– working to advance women’s health over the past 15 years. Jaclyn is on the medical advisory committee for The National Menopause Foundation and is active in multiple professional medical and nursing societies including The Menopause Society.


  1. Jackie’s experience working in the menopause space 
  2. Major gaps in health care knowledge around menopause care 
  3. Effects of childbearing later in life and during perimenopause 
  4. Major misconceptions about perimenopause and menopause 
  5. What’s the metabolic trifecta in perimenopause and menopause? 
  6. Key complementary medicine tips on how to THRIVE in midlife
  7. The benefits and side effects of hormone replacement therapy 
  8. Non-negotiables for managing menopause effectively 


Jackie’s Instagram  

Monarch Health Instagram

Monarch Health Website 


583: The Truth About Menopause That You Deserve to Know with Dr. Mary Claire Haver

579: Hormone Replacement Options and Hormone Testing for Women in Midlife + Self Advocacy for Optimal Health with Esther Blum

586: What You Can Do in Perimenopause to Optimize Your Energy, Resilience and Brain Power with Dr. Mariza

#404: Do Women Need to Wait till Menopause to Begin Hormone Replacement Therapy? With Esther Blum

Get My Top 14 Hormone-Balancing Recipes!

Filling your body with the right fuels has an incredible impact on your hormones and energy. Download my free guide to the best hormone-balancing recipes here! Download Dr. Mariza’s Hormone Recipes Here

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