Start with a symptom
What are you noticing?
Not sure what's going on? Pick the question that sounds most like you to see likely causes and the guides that explain your options.
Why am I gaining weight in my 30s or 40s without changing anything?
Insulin resistance, PCOS, thyroid problems, perimenopause, sleep and medications are common, checkable contributors.
Why am I exhausted all the time — is it perimenopause?
Perimenopause can disrupt sleep, but low iron, thyroid disorders, mood and sleep apnea should be checked too.
Why can't I focus or remember words anymore?
Brain fog is common in the menopause transition and is closely tied to sleep, mood and stress.
Why do I have jawline acne as an adult?
Adult acne is often androgen-driven and can be a sign of PCOS when cycles are irregular.
Hot flashes and night sweats are ruining my sleep. What works?
Hormone therapy is the most effective treatment for appropriate candidates; non-hormonal options exist too.
My periods are irregular or have stopped. Should I worry?
Irregular cycles can signal PCOS, thyroid issues or perimenopause and are worth evaluating.
Sex has become painful or I'm dry all the time.
Genitourinary syndrome of menopause is common and very treatable, including with low-dose vaginal therapy.
Pellets, injections, patches or pills — which hormone option is best?
Each delivery method has trade-offs in convenience, dose control, safety and cost. JennWell offers Biote pellets and FDA-approved options and helps you compare them.
Is GLP-1 medication like semaglutide or tirzepatide right for me?
GLP-1 medications can help adults who meet BMI guidelines lose meaningful weight alongside lifestyle changes; your health history and pregnancy plans determine if they are safe.
My libido has disappeared and I'm exhausted. Could it be my hormones?
Changing estrogen and testosterone in perimenopause and menopause can affect libido, energy and sleep; hormone therapy, including Biote pellets, may help some women.
Talk it through with Jennifer
Book an unhurried visit with Jennifer Neilan, WHNP, in Gretna — serving Omaha and Eastern Nebraska.