Dr Cobi

Most people have no idea these two are connected. When I explain it, they're genuinely surprised.

The connection is simple, and I'm going to leave it right there. An underactive thyroid raises cholesterol. So when your numbers keep climbing while you're eating well, "watch your diet" can be the wrong instruction, because diet was never the driver.

The more health-savvy you are, the more likely you are to jump straight to estrogen and skip right past the thyroid. It's worth ruling out, especially in perimenopause and menopause, when cholesterol commonly rises anyway.

Save this for the next time your cholesterol comes up.

Waiting is hard.

Waiting for an answer. Waiting for something to change. Waiting for the door to open. Waiting for a prayer you've prayed a hundred times to finally be answered.

But I've learned that waiting and wasting are not the same thing.

Sometimes the season we desperately want to get through is the very season God uses to strengthen our faith, change our direction or prepare us for what comes next.

“Wait for the Lord; be strong and take heart and wait for the Lord.” — Psalm 27:14

If you're in a waiting season right now, don't lose heart. 🤍

Your genetics can answer a question Google never will: should you be fasting, or not. There's a gene that codes for how you handle it, and it's the difference between a plan that works for your body and one that quietly works against it.

So many women ask me, should I fast or not. What they don't realize is there's a gene for it. Your DNA doesn't change, but how you express it does. So this isn't a discipline problem. It's a data problem.

When women finally see their genetics, the relief is enormous. They call it the biggest aha of their life, because they never have to guess at another diet again. It's the owner's manual for what's happening under the hood of your own car.

Book a Discovery Call if you want to stop guessing and see your data.

You've done the bloodwork. You were told it's all normal. And you still carry that weight around your middle that won't move.

The one thing a standard panel rarely checks is fasting insulin. That's the window into a fatty liver that runs on insulin, not alcohol. Most midlife women who have it feel nothing at all, which is exactly why it gets missed.

What gets me is the change over time. Fifteen, twenty years ago this showed up almost only in people who drank heavily. Now I see it in women who don't drink at all. It's a marker of how much our food supply has shifted.

Your labs can read normal right up until the liver itself shows damage, because the earlier signal was never run. That's not a clean result. That's looking in the wrong place.

Save this and ask for fasting insulin at your next bloodwork.

How much of today's peace do we give away worrying about something that hasn't even happened?

I have to remind myself of this one too.

God gives us grace for today. We don't need to solve next month, next year or every possible “what if” before we go to bed tonight.

Do what you can today. Pray about what you can't control. And leave tomorrow where it belongs.

“Therefore do not worry about tomorrow, for tomorrow will worry about itself.” — Matthew 6:34

Happy Sunday. 🤍

Those little skin tags, and the darkening in the folds of your neck, can show up before insulin resistance ever reaches your labs.

I love a good clue, and these are two of my favorites, because the body puts them right on the surface. They tend to travel with a cluster: weight that won't move, being really tired after eating, weight-loss resistance, waking in the night for no clear reason.

None of this is cosmetic. It's your metabolism reporting strain early, before fasting glucose ever flags it. Which is exactly why I'd check fasting insulin instead of waiting for glucose to catch up.

Save this and add fasting insulin to your next lab request.

For a lot of women, this is the symptom no one warned them about, and the one they're most embarrassed to bring up.

Vaginal dryness gets treated like something to quietly put up with. It isn't. And the option that helps it most is the one women rule out before they understand it: local va**nal estrogen.

What makes it different is this. Local estrogen stays local. It has no systemic attributes, which is why it can be a soft launch for women who are genuinely afraid of hormones. The flip side surprises people too: if you're on systemic HRT, that is not treating your va**na.

The most under-known part is prevention. Local estrogen can reduce recurrent UTIs by up to 70%, and UTIs are the most commonly ER-treated symptom in women over 50. There is no age of discrimination for it. You could be 30 or 80.

I don't prescribe this in a caption. I'm telling you it exists so you can ask the right question. This is the conversation to bring to a Discovery Call.