Hot flashes are one of the most common — and most disruptive — symptoms experienced during perimenopause and menopause. For many women, they arrive unexpectedly, interrupt sleep, impact work performance, and significantly affect quality of life.Yet despite how common they are, hot flashes are often misunderstood, minimized, or treated with outdated advice like “just wait it out.”At Dr. Sachit Shah Hormone Longevity, we believe women deserve clear answers, science-based treatment optio...

For many women, the first sign that something is changing hormonally isn’t hot flashes, skipped periods, or mood swings.It’s sleep.You go to bed exhausted — yet your mind won’t shut off.
You wake up at 2 or 3 a.m. and can’t fall back asleep.
You sleep “enough hours,” yet feel completely drained the next day.If this sounds familiar, you are not imagining it — and you are not alone.At Dr. Sachit Shah Hormone Longevity, we commonly hear from women across the Greater Vancouver a...

The Hormone HazeNavigating the world of Hormone Replacement Therapy (HRT) can feel like walking through a thick fog. Conflicting headlines, outdated information, and widespread fear have left many people confused and uncertain about their options. Is it safe? Is it "natural"? Will it even work?This article is designed to cut through the noise. We’ve gone behind the curtain, distilling insights from the very Standard Operating Procedures (SOPs) and internal Q&A documents that guide physici...