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April 11, 2026

Menopause Symptoms Aren’t a Hormone Problem—They’re a Metabolic Problem

Menopause Symptoms Weren’t Always Common In the early 2000s, I was living in Kauai and working at the Kalaheo clinic as a family doc. At the time, I didn’t realize it—but I had a window into the past, a perspective on menopause that’s now almost impossible to find. Among my patients who were born and raised on the island, mostly women of Filipino, Japanese, and mixed Asian ancestry, menopause was typically uneventful. Their periods didn’t taper into years of unpredictable irregularity, miserable heavy bleeding, or endless spotting. One day, it was simply gone. No hot flashes. No insomnia. No mood…

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