--- title: "Learn — Clinical Deep-Dives & Guides | Pause + Reset" description: "Expert deep-dives on hormones, supplements, peptides, and emerging therapies for perimenopause and menopause." lang: en json-ld: | { "@context": "https://schema.org", "@type": [ "MedicalBusiness", "LocalBusiness" ], "name": "Pause & Reset", "description": "Atlanta's dedicated perimenopause and menopause practice offering bioidentical hormone therapy, comprehensive hormone testing, GLP-1 weight loss management, peptide therapy, IV nutrient therapy, hyperbaric oxygen therapy, and functional medicine in Dunwoody GA.", "url": "https://pausereset.com", "telephone": "+14044458344", "email": "hello@pausereset.com", "image": "https://pausereset.com/assets/logo-Cj2twgJt.webp", "priceRange": "$$$$", "paymentAccepted": "Cash, Credit Card", "currenciesAccepted": "USD", "openingHours": [ "Mo-Fr 10:00-16:30", "Sa 09:00-15:30" ], "address": { "@type": "PostalAddress", "streetAddress": "8735 Dunwoody Place, Suite 110", 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Georgia" }, { "@type": "City", "name": "Stone Mountain, Georgia" }, { "@type": "City", "name": "Norcross, Georgia" }, { "@type": "City", "name": "Peachtree Corners, Georgia" }, { "@type": "City", "name": "Duluth, Georgia" }, { "@type": "City", "name": "Suwanee, Georgia" }, { "@type": "City", "name": "Lawrenceville, Georgia" }, { "@type": "City", "name": "Lilburn, Georgia" }, { "@type": "City", "name": "East Point, Georgia" }, { "@type": "City", "name": "College Park, Georgia" }, { "@type": "City", "name": "Vinings, Georgia" }, { "@type": "City", "name": "Mableton, Georgia" }, { "@type": "City", "name": "Cumming, Georgia" }, { "@type": "City", "name": "Canton, Georgia" }, { "@type": "City", "name": "Woodstock, Georgia" }, { "@type": "City", "name": "Acworth, Georgia" }, { "@type": "City", "name": "Holly Springs, Georgia" }, { "@type": "City", "name": "Dallas, Georgia" }, { "@type": "City", "name": "Douglasville, Georgia" }, { "@type": "City", "name": "Snellville, Georgia" }, { "@type": 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Therapy", "description": "Personalized bioidentical estrogen, progesterone, and testosterone therapy for perimenopause and menopause symptoms." }, { "@type": "MedicalTherapy", "name": "GLP-1 Weight Loss Management", "description": "Semaglutide and tirzepatide prescribed alongside hormone optimization for menopause-related weight management." }, { "@type": "MedicalTherapy", "name": "Peptide Therapy", "description": "Evidence-based peptide protocols for tissue repair, sleep, body composition, immune support, and recovery during midlife." }, { "@type": "MedicalTherapy", "name": "IV Nutrient Therapy", "description": "Lab-guided intravenous nutrient infusions customized to documented deficiencies for perimenopause and menopause support." }, { "@type": "MedicalTherapy", "name": "Hyperbaric Oxygen Therapy", "description": "Pressurized oxygen therapy for tissue repair, inflammation reduction, and cellular recovery during the menopause transition." }, { "@type": "MedicalTherapy", "name": "EBOO Ozone Therapy", "description": "Blood oxygenation and filtration therapy for inflammation, immune support, and detoxification during perimenopause and menopause." }, { "@type": "MedicalTest", "name": "Comprehensive Hormone Testing", "description": "15+ marker hormone panel including estradiol, progesterone, testosterone, full thyroid, insulin, and nutrient levels." }, { "@type": "MedicalTest", "name": "DUTCH Hormone Testing", "description": "Dried urine testing for hormone metabolism pathways showing how the body processes and clears estrogen." }, { "@type": "MedicalTherapy", "name": "Pelvic Floor Rehabilitation", "description": "Treatment for urinary leaking, urgency, and painful intercourse caused by menopause-related tissue and muscle changes." }, { "@type": "MedicalTherapy", "name": "Medical Weight Loss", "description": "Comprehensive metabolic evaluation and treatment for menopause-related weight gain including hormones, GLP-1, and nutrition." }, { "@type": "MedicalTherapy", "name": "Nutrition and Metabolic Counseling", "description": "Personalized nutrition, supplementation, and metabolic strategy for women in perimenopause and menopause." } ] }, "sameAs": [ "https://www.instagram.com/pausenresetco", "https://atlantatrichology.com", "https://ninaross.co" ], "founder": { "@type": "Person", "name": "Dr. Nina Ross", "jobTitle": "Menopause Specialist", "url": "https://ninaross.co", "sameAs": [ "https://ninaross.co", "https://atlantatrichology.com" ] } } --- [![pause + reset](/assets/logo-Cj2twgJt.webp)](/) Symptoms Treatments Atlanta [About](/about) Book Learn # Clinical deep-dives for informed decisions Evidence-based guides on hormones, supplements, peptides, and emerging therapies — written by our clinical team. [ Featured Free Guide ## Menopause Hormone Restoration Guide What BHRT does, what to test, and how to know if it's right for you. Read the Guide ](/guides/menopause-hormone-restoration) AllWeight LossHormonesSupplementsTestingPeptidesDiet & LifestyleEmerging Therapies 23 guides [ ![Semaglutide vs tirzepatide comparison — which GLP-1 weight loss medication is right for women in perimenopause and menopause — Pause & Reset](/assets/treatment-semaglutide-vs-tirzepatide-BbywEK71.webp)Deep Dive ### Semaglutide vs. Tirzepatide — Which GLP-1 Medication Is Actually Right for Your Body? Both are GLP-1 medications. Both produce significant weight loss. But they work differently, cost differently, and perform differently depending on your metabolic profile. This is the comparison your provider should be walking you through — and for women in perimenopause or menopause, the answer depends on more than just which one is newer. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 9 min read ](/learn/semaglutide-vs-tirzepatide) [ ![Silver-haired Black woman in robe looking at reflection in bathroom mirror with peptide vials on marble counter — retatrutide triple-agonist weight loss medication for menopause](/assets/treatment-retatrutide-1RTuOkH7.webp)Deep Dive ### Retatrutide: The Triple Agonist That's About to Change Everything Semaglutide activated one pathway. Tirzepatide activated two. Retatrutide activates three — GLP-1, GIP, and glucagon — making it the most powerful metabolic medication ever tested for weight loss. Phase 3 trials are showing 28.7% average body weight loss. FDA approval is projected for 2027-2028. And if you're paying attention to the functional medicine world, you already know that a lot of people aren't waiting. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 10 min read ](/learn/retatrutide) [ ![Black woman in sage blouse holding berberine supplement capsule in sunlit kitchen with glucose monitor and fresh vegetables — natural blood sugar and metabolic support during menopause](/assets/learn-berberine-C9aHu_ka.webp)Deep Dive ### Berberine: Separating the Science From the TikTok Hype Berberine went viral as 'nature's Ozempic.' That comparison is oversimplified — berberine doesn't work the same way as GLP-1 medications and it won't produce 15-25% weight loss. But the compound IS genuinely interesting for metabolic health, blood sugar management, cholesterol, and inflammation — especially for women going through the hormonal transition. Here's the honest picture: what berberine actually does, what it doesn't do, and where it fits in a comprehensive protocol. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 8 min read ](/learn/berberine) [ ![Black woman with short hair flexing bicep in mirror wearing teal athletic wear with peptide pen on shelf — compounded tirzepatide for menopause weight loss and body composition](/assets/learn-sermorelin-Dte0Z7a4.webp)Deep Dive ### Compounded Tirzepatide: The Affordable Alternative to Mounjaro — What's Real, What's Risky, and What to Look For Brand-name tirzepatide (Mounjaro/Zepbound) costs over $1,000 per month without insurance. For many women, that's not sustainable — even if the medication is clearly the right choice. Compounded tirzepatide has emerged as a significantly more affordable alternative. But the landscape is complicated: regulatory scrutiny, quality variation, and evolving availability make this a topic where accurate information matters. Here's the honest picture. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 7 min read ](/learn/compounded-tirzepatide) [ ![Black woman in cream sweater sitting on bed holding warm mug at sunrise — cortisol management and stress relief strategies for perimenopause and menopause](/assets/learn-cortisol-UEwwOyPg.webp)Deep Dive ### How to Actually Lower Cortisol — Not the Instagram Version Cortisol is the most searched stress-related term on the internet right now. And most of what you're reading about it is oversimplified, decontextualized, or flat-out wrong. If you're a woman over 40 and your cortisol is elevated, the answer isn't a cortisol cocktail recipe or a list of foods to avoid. The answer starts with understanding WHY your cortisol is high in the first place — and for most women in perimenopause, the reason is hormonal. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 10 min read ](/learn/how-to-lower-cortisol) [ ![Black woman with braids chopping broccoli in kitchen with DIM supplement bottle on cutting board — diindolylmethane for estrogen metabolism support during perimenopause](/assets/learn-dim-BS8BB-na.webp)Deep Dive ### DIM: The Supplement That Helps Your Body Handle Estrogen Better DIM (diindolylmethane) is what your body makes when it breaks down cruciferous vegetables — broccoli, Brussels sprouts, cauliflower, kale. The supplement gives you a concentrated, consistent dose of what those foods partially provide. What DIM actually does is influence how your liver processes estrogen. Estrogen has more than one breakdown pathway, and the route it takes matters. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 4 min read ](/learn/dim-supplement) [ ![Black woman with locs completing DUTCH hormone test kit at kitchen table with collection cards and instructions — comprehensive dried urine hormone testing for menopause](/assets/learn-dutch-test-Boch39Ov.webp)Deep Dive ### The DUTCH Test: Why It Shows What Blood Work Can't The DUTCH test (Dried Urine Test for Comprehensive Hormones) has become the gold standard in functional medicine for evaluating hormones — not just their levels, but how your body METABOLIZES them. Standard blood work tells you how much estrogen you have. The DUTCH test tells you that AND how your liver is processing it, which metabolic pathways are favored, what your cortisol pattern looks like throughout the day, and how your hormones are interacting. For women in perimenopause, this is the difference between a snapshot and a movie. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 6 min read ](/learn/dutch-test) [ ![Black woman in pajamas holding magnesium supplement bottle in bed at nighttime — magnesium for better sleep and relaxation during menopause](/assets/learn-magnesium-sleep-XK5EFBkp.webp)Deep Dive ### Magnesium & Sleep: Why This One Mineral Changes Everything — And Which Type Actually Works If you're dealing with insomnia, anxiety, muscle cramps, restless legs, or the 3 AM wake-ups — there's a very good chance your magnesium is depleted. An estimated 50-80% of Americans are below optimal magnesium levels. During perimenopause, that number climbs even higher because stress, poor sleep, and hormonal changes all burn through magnesium faster. Here's what you need to know — including the part most articles skip: which TYPE of magnesium matters, and why most supplements on the shelf aren't doing what you think. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 8 min read ](/learn/magnesium-sleep) [ ![Black woman researching methylene blue supplement at laptop with blue dropper bottle — cognitive support and mitochondrial health during menopause](/assets/learn-methylene-blue-DCIkqrku.webp)Deep Dive ### Methylene Blue: The Century-Old Compound That Biohackers Rediscovered — And What the Science Actually Shows Methylene blue is one of the oldest synthetic compounds in medicine — first synthesized in 1876, used to treat malaria, urinary tract infections, and as a surgical dye. Now it's the hottest nootropic in the biohacking community, studied for mitochondrial support, cognitive enhancement, and neuroprotection. For women in perimenopause dealing with brain fog, fatigue, and cognitive decline, the mechanism is genuinely interesting. Here's what's real, what's speculative, and what you need to know before trying it. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 7 min read ](/learn/methylene-blue) [ ![Black woman with braids receiving NAD+ IV infusion in comfortable wellness clinic — cellular restoration and energy support during menopause](/assets/learn-nad-u_DGVzH0.webp)Deep Dive ### NAD+: The Molecule Your Cells Can't Function Without — and Why It's Dropping NAD+ (nicotinamide adenine dinucleotide) is in every single cell in your body. It powers energy production, DNA repair, brain function, immune response, and cellular aging. By the time you're in perimenopause, your NAD+ levels have dropped by an estimated 50% from where they were in your 20s. That decline is accelerating — and it's amplifying virtually every symptom of the hormonal transition. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 9 min read ](/learn/nad) [ ![Black woman in teal athletic wear standing in home gym with peptide injection pen and wellness journal — peptides for weight loss and body composition during menopause](/assets/learn-peptides-weight-loss-KlifGPhL.webp)Deep Dive ### Peptides for Weight Loss — Separating What Works From What's Marketing Peptides are the fastest-growing category in weight loss and functional medicine. GLP-1 agonists like semaglutide and tirzepatide are technically peptides — and they've revolutionized medical weight loss. But they're not the only peptides being used. Growth hormone peptides, fat-oxidation peptides, and metabolic support peptides are circulating widely in functional medicine, biohacking, and research peptide communities. Here's an honest breakdown of what actually works, what's promising, what's overhyped, and what women in perimenopause need to understand about all of it. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 9 min read ](/learn/peptides-weight-loss) [ ![Black woman with twists applying estrogen patch to lower abdomen in bathroom mirror — transdermal hormone replacement therapy during menopause](/assets/learn-estrogen-patch-BmweCWZO.webp)Deep Dive ### The Estrogen Patch: Steady Delivery, Fewer Risks, and Why Your Provider Might Recommend It The estrogen patch is one of the most widely used forms of bioidentical hormone therapy — and for good reason. It delivers estradiol directly through your skin into your bloodstream, bypassing the liver entirely. That matters because the liver is where estrogen can increase clotting factors, raise triglycerides, and create complications that oral estrogen carries. The patch avoids all of that. Here's how it works, who it's best for, how it compares to other delivery methods, and what to actually expect. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 7 min read ](/learn/estrogen-patch) [ ![Black woman with twists mixing inositol powder into water in sunlit kitchen with berries and glucose monitor — insulin-sensitizing supplement for menopause](/assets/learn-inositol-D8i8SRMj.webp)Deep Dive ### Inositol: The Supplement Working on Three Things at Once — Insulin, Mood, and Hormones Inositol — particularly myo-inositol — is one of the most quietly effective supplements in metabolic and hormonal health. It improves insulin sensitivity (often as effectively as metformin in studies). It reduces anxiety through GABA and serotonin pathway support. It helps regulate the estrogen-to-progesterone ratio. And unlike most supplements that do one thing marginally, inositol does multiple things meaningfully. For women in perimenopause dealing with insulin resistance, anxiety, weight gain, and hormonal imbalance simultaneously — this one compound addresses several of those drivers at once. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 8 min read ](/learn/inositol) [ ![Black woman in apron standing proudly with plate of salmon, sweet potato, and avocado with glucose monitor — managing insulin resistance during menopause](/assets/learn-insulin-resistance-De9QXgZy.webp)Deep Dive ### Insulin Resistance: Why Your Diet Stopped Working — and What Actually Helps Now You're doing the same things you've always done. Maybe even less food, more exercise. And the weight keeps climbing — especially around your belly. The cravings feel ungovernable. Your energy crashes at 2 PM. Your brain feels slow. This isn't discipline failure. This is insulin resistance — and if you're in perimenopause, the hormonal transition is the most likely reason it developed. Here's what insulin resistance actually is, how to recognize it, what to eat, and why food alone can't fully fix a problem that's driven by hormones. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 8 min read ](/learn/insulin-resistance) [ ![Black woman looking at reflection in bathroom mirror with concern — recognizing low estrogen symptoms during perimenopause and menopause](/assets/learn-low-estrogen-v1ndO1ov.webp)Deep Dive ### Low Estrogen Symptoms: The 15+ Signs Most Women Miss — And What's Actually Causing Them Estrogen isn't just a reproductive hormone. It operates in over 200 processes across your body — brain, bones, heart, skin, gut, joints, immune system, mood, sleep, and metabolism. When estrogen declines during perimenopause and menopause, the symptoms show up EVERYWHERE. And most women — and most doctors — don't connect all of them to the same source. Here's what low estrogen actually looks and feels like, why it's happening, and what the options are. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 7 min read ](/learn/low-estrogen-symptoms) [ ![Black woman with braids presenting meal prep containers with salmon, chicken, vegetables, berries, and nuts — menopause diet and nutrition planning](/assets/learn-menopause-diet-CCNsybLO.webp)Deep Dive ### The Menopause Diet: 5 Days of Eating FOR Your Hormones — Not Against Them Most 'menopause diets' are just regular diets with the word menopause slapped on top. They tell you to eat less, move more, and count calories. That advice was inadequate before perimenopause. It's actively counterproductive during it. Your metabolism has fundamentally changed — not because of what you eat, but because of what your hormones stopped doing. A REAL menopause diet addresses this. Here's a 5-day eating framework built around the three metabolic priorities of the hormonal transition: blood sugar stability, insulin sensitization, and anti-inflammatory nutrition. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 8 min read ](/learn/menopause-diet) [ ![Black woman blending green smoothie with protein powder, berries, and ground flaxseed — natural GLP-1 boosting foods and habits for menopause weight management](/assets/learn-natural-glp1-XhYke6yb.webp)Deep Dive ### Natural GLP-1: What Actually Boosts It — And Where the 'Natural Ozempic' Trend Misleads GLP-1 (glucagon-like peptide-1) isn't just a medication — it's a hormone your gut already produces every time you eat. The question millions of people are asking is: can you increase your own GLP-1 production enough to get meaningful appetite and metabolic benefits without medication? The answer is yes, partially. Here's what actually works, what's hype, and where the natural approach has real limitations — especially for women dealing with menopause-related metabolic changes. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 6 min read ](/learn/natural-glp-1) [ ![Orforglipron dual-pathway illustration showing GLP-1 and glucagon receptor activation for liver health and fat metabolism — next-generation oral weight loss medication](/assets/learn-orforglipron-DRyPuhOe.webp)Deep Dive ### Orforglipron: The GLP-1 Pill That Could Replace the Injection Every GLP-1 medication on the market right now — semaglutide, tirzepatide, retatrutide — requires a weekly injection. Orforglipron changes that. It's the first non-peptide, orally available GLP-1 receptor agonist — meaning it's a daily pill, not an injection. Eli Lilly is developing it as a companion to their injectable lineup (Mounjaro/Zepbound), potentially making GLP-1 therapy as simple as taking a pill with breakfast. Phase 3 trials are showing approximately 14% weight loss — less than injectables, but delivered in the most accessible format yet. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 5 min read ](/learn/orforglipron) [ ![Black woman with locs in robe examining progesterone cream jar in warm bathroom — topical bioidentical progesterone for perimenopause symptom relief](/assets/learn-progesterone-cream-CMPG5g8V.webp)Deep Dive ### Progesterone Cream: The Supplement Aisle Version vs. What Your Body Actually Needs Progesterone cream is one of the most searched natural menopause treatments — and it's available over the counter at most health food stores. But there's a significant gap between OTC progesterone cream and prescription-strength bioidentical progesterone. For women in perimenopause whose symptoms are driven by progesterone decline — insomnia, anxiety, cortisol elevation, irregular cycles, mood changes — understanding the difference between 'some progesterone' and 'enough progesterone' is critical. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 6 min read ](/learn/progesterone-cream) [ ![Black woman spooning ground seeds into blender with bowls of pumpkin seeds, flax, sesame, and sunflower seeds — seed cycling for hormone balance during perimenopause](/assets/learn-seed-cycling-DML4Hrvw.webp)Deep Dive ### Seed Cycling: The Honest Truth About Whether Seeds Can Balance Your Hormones Seed cycling has taken over wellness Instagram. The concept: eat flaxseeds and pumpkin seeds during the first half of your cycle (follicular phase) and sunflower and sesame seeds during the second half (luteal phase) to support estrogen and progesterone balance. It sounds appealing — natural, food-based, no prescriptions. But does it actually work? Here's the evidence-based breakdown — including what seed cycling CAN do, what it CAN'T do, and where it fits (if anywhere) for women in perimenopause. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 6 min read ](/learn/seed-cycling) [ ![Black woman with tapered pixie cut flexing bicep in mirror wearing teal athletic wear with peptide pen on shelf — sermorelin growth hormone peptide for body composition and recovery during menopause](/assets/learn-sermorelin-Dte0Z7a4.webp)Deep Dive ### Sermorelin: Stimulating Your Own Growth Hormone — Not Injecting Someone Else's Sermorelin is a growth hormone releasing hormone (GHRH) analog — a peptide that signals your pituitary gland to produce and release MORE of your own growth hormone. It doesn't inject synthetic growth hormone into your body. It tells your body to make more of what it's already producing less of. That distinction matters enormously — for safety, for regulation, and for how your body responds. Growth hormone declines approximately 14% per decade after age 30. For women in menopause, that decline accelerates. Here's why sermorelin is one of the most commonly prescribed peptides in functional medicine — and what it can and can't do. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 7 min read ](/learn/sermorelin) [ ![Black woman with locs in cream sweater researching HRT on laptop with checklist on screen — signs you need hormone replacement therapy during perimenopause and menopause](/assets/learn-signs-you-need-hrt-BcG8S0re.webp)Deep Dive ### Do You Need HRT? These Are the Signs Your Body Is Asking for Hormonal Support Hormone replacement therapy — specifically bioidentical hormone therapy — isn't a vanity treatment. It's a medical intervention for a biological event that affects every system in your body. But most women don't know when it's time to consider it. They push through symptoms thinking 'this is just menopause' or wait until things are severe before seeking help. Here are the signs that your body is telling you it needs hormonal support — and why the timing window matters more than most women realize. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 7 min read ](/learn/signs-you-need-hrt) [ ![Survodutide dual agonist GLP-1 glucagon pathway illustration showing healthy liver and fat droplet clearance — weight loss and liver health medication for menopause](/assets/learn-survodutide-DTt1OHJf.webp)Deep Dive ### Survodutide: The Weight Loss Medication That Also Fixes Your Liver Survodutide is a dual GLP-1/glucagon receptor agonist from Boehringer Ingelheim — and what makes it unique in the next-gen GLP-1 landscape is its liver angle. While retatrutide activates three receptors (GLP-1+GIP+glucagon) and tirzepatide activates two (GLP-1+GIP), survodutide activates GLP-1+glucagon. The glucagon component specifically promotes hepatic fat clearance — making survodutide particularly relevant for women dealing with menopause-related fatty liver disease. Phase 3 trials are showing approximately 19% weight loss AND dramatic reductions in liver fat. Here's the full picture. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp)Clinical Team 5 min read ](/learn/survodutide) Stay informed ## Get Weekly Wellness Tips Join thousands of women receiving our Menopause Empowerment newsletter. Expert insights, new guides, and exclusive content. Subscribe No spam. Unsubscribe anytime. [pause + reset ](/) Personalized hormone optimization and functional medicine for women who refuse to "just deal with it." 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