Dr. Tracy Page

A 2025 survey found that nearly 40% of perimenopausal women received the wrong diagnosis. The most common one? Anxiety or depression.

65% said their concerns weren't fully addressed. 26% said their provider didn't take them seriously.

And for most, the next step was a prescription for an antidepressant medication.

These medications typically work by increasing available serotonin. But in perimenopause, the issue often isn't how your brain processes serotonin. It's that your body is producing less of it. Estrogen directly supports serotonin production. When estrogen starts to decline, serotonin output drops, and mood, sleep, focus, and emotional steadiness change with it.

An antidepressant can ease the symptoms. But it doesn't address why serotonin dropped in the first place.

A complete evaluation starts with mapping estrogen, progesterone, cortisol, and thyroid, because when one drops, the others move with it. From there, a targeted plan addresses the hormonal root, not just the emotional symptoms.

If you've been on an antidepressant and you still don't feel like it addressed everything, the missing piece may be hormonal.

✅ If your mood changed and no one's checked your hormones, a full evaluation can reveal what a standard screening missed. Schedule your consult and let's find out what's really behind the change.
📲 Follow for the hormone conversations no one else is having
💻 Take the next step — visit wisconsinfunctionalmed.com or call (920) 968-9311 to get started.

We’re celebrating five years of helping our community feel better, live younger, and thrive—and we’d love to celebrate with you.

Join Wisconsin Institute of Functional Medicine for our Patient Appreciation Event on Thursday, October 22, from 4:30–7:30 PM.

RSVP: https://wisconsinfunctionalmed.com/patient-appreciation/

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The overdone look doesn't happen because someone asked for too much. It happens because treatments were added one at a time without a strategy for how they'd look together.

A little lip filler here. Some cheek volume there. Botox on a schedule. Each appointment makes sense on its own. But without a plan for how your whole face works as a unit, the cumulative effect starts to shift away from what you actually wanted.

Natural results come from decisions like:

→ Treating the jawline before the cheeks so volume doesn't stack upward
→ Leaving certain areas alone so your face keeps its natural definition
→ Choosing biostimulators over filler in areas that need structure, not volume
→ Spacing treatments so each one can settle before the next is placed

These are sequencing and strategy decisions, not just product choices.

We plan across your whole face before anything is injected. "Natural" is an outcome you design, not a preference you state.

✅ If you want results that look like you, just refreshed, it starts with a plan. Schedule your injectable strategy consultation.

📲 Follow for more on strategic, anatomy-first aesthetics

💻 Take the next step — visit wisconsinfunctionalmed.com or call (920) 968-9311 to get started.

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Dark spots and melasma are not the same condition. They look similar, but the treatments that clear one can make the other worse.

Sun spots and post-acne marks sit near the surface. They respond well to peels, lasers, and lightening agents. Once treated, they typically stay gone with proper sun protection.

Melasma runs deeper. It's driven by hormones, heat, and UV. The pigment cells are overactive and respond to internal triggers, which is why it fades in winter and flares in summer, or came back after pregnancy, birth control, or HRT.

In melasma-prone skin, inflammation triggers pigment cells to produce even more melanin. So aggressive treatments meant to lighten the skin can actually make it darker.

The approach that works is slower and more strategic:

→ Gentle topicals to suppress pigment production
→ Strict UV and heat protection
→ Treatments that calm inflammation rather than create it
→ Ongoing management, not a one-time fix

We assess what type of hyperpigmentation you're dealing with before recommending anything. The wrong approach doesn't just waste time. It sets you back.

✅ If your dark spots keep returning despite treatment, the type of pigmentation and the approach may need re-evaluating. Schedule your skin consultation.

📲 Follow for more on skin conditions that need strategy, not just products

💻 Take the next step — visit wisconsinfunctionalmed.com or call (920) 968-9311 to get started.

The conversation about GLP-1 medications focuses almost entirely on the scale. What rarely comes up is what's happening above the neck.

When you lose weight rapidly, you lose fat everywhere, including the pads that give your face its structure. When those shrink:

→ Cheeks hollow out
→ Temples sink inward
→ Lines deepen around the mouth and jaw
→ Skin sags where it used to sit tight

You may love how your body looks and feel like your face aged five years. Friends say you look tired when you actually feel better than you have in years.

Two treatments address this differently:

→ Biostimulators (like Sculptra) rebuild collagen gradually, restoring structural support in the areas where volume loss is most visible
→ Hyaluronic acid filler restores contour more immediately in specific areas like cheeks or under-eyes, without an overfilled look

The goal is to support what weight loss revealed. We evaluate where volume has shifted and build a restoration plan that works with your progress, not against it.

✅ If your face has changed since starting GLP-1 therapy, a facial assessment can map where volume has shifted and what restoration looks like for you. Schedule your consultation.

📲 Save this if you're considering or currently on GLP-1 medication

💻 Take the next step — visit wisconsinfunctionalmed.com or call (920) 968-9311 to get started.