Perimenopause & Menopause

Protecting Your Heart, Brain, Bones and Hair

What we will cover today:

• How estrogen decline impacts cardiovascular health

• The connection between menopause and bone density loss

• Cognitive changes: memory, focus, and long-term brain health

• Hair thinning in midlife: major causes and evidence-based solutions

• Hormonal and non-hormonal treatment options

• Lifestyle interventions that protect muscle, metabolism, bone health and longevity

If you’ve been told your labs are “normal” but you don’t feel like yourself — Fatigue, weight changes, brain fog, poor sleep, hair thinning, mood shifts. These symptoms are common in midlife—and they are connected.

A Different Approach to Midlife Health:
At Precision Driven Health, we go beyond symptom management. We look at how your systems work together:
Hormones, Metabolism, Gut health, Immune function and your Stress response.

What You Can Expect: Personalized, root-cause care, targeted lab testing (when necessary), nutrition and lifestyle strategies tailored to you, support for sleep, stress, and energy, long-term prevention—not quick fixes.

We Commonly Help With:
• Hormone and metabolic changes (low energy, chronic fatigue)
• Digestive issues and inflammation (Irritable bowel, increasted intestinal permeability and lymphatic concerns)
• Hair loss and physical changes (weight gain, skin changes, gynecological changes)
• Mood, brain fog, migraines and sleep
• Thyroid and autoimmune concerns (thyroiditis, arthritis, lupus, psoriasis)
• Cardiometabolic and bone health (insulin resistance, pre-diabetes, osteopenia)

Midlife is a transition and your quality of life matters.
With the right support, you can feel strong, clear, and in control again.

I would be honored to work with you!

In good health,

Amber
Dr. Amber Vance, ND, MSCP

Precision Driven Health
Belmont, MA
amberjanevance2@gmail.com