Something has been shifting in postpartum care, and on the surface, it looks like progress. More practitioners are testing nutrient levels instead of dismissing exhaustion as "just motherhood." More are running functional labs, HTMA, full panels. More women are...
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Physiology & Neurobiology
GLP-1 Medications in the Postpartum Period
Ozempic, Wegovy, and GLP-1 Medications After Pregnancy GLP-1 medications, originally built to treat diabetes, are now one of the most common questions circulating in postpartum spaces. Mothers are asking their providers when they can start....
Postpartum Birth Control: What Every Woman Should Know About Options and Timing
Every year, hundreds of thousands of postpartum women begin postpartum birth control within weeks of giving birth. This has become such a routine part of postpartum care that few people stop to ask whether the timing itself matters. A woman...
Postpartum Hair Loss: What’s Normal and When It’s Not
Somewhere between two and five months after birth, a woman stands in the shower, watches a fistful of hair go down the drain, and feels a very specific kind of fear. She searches it. She finds the same words everywhere: it's just...
Why Postpartum Symptoms Can Appear Years Later: Why the Body Compensates Before It Collapses
Compensation is not a postpartum concept. It is a biological one, and the body uses it everywhere, constantly, long before anyone thinks to call it that. The body does not fail at the moment of injury. It compensates first. When a system is...
How Many Calories While Breastfeeding? Why the 300–500 Recommendation Was Never Designed for Recovery
There is a number that appears on government health websites, in hospital discharge paperwork, on lactation handouts, and in the clinical guidance of nearly every postpartum provider in the country. 300-500 extra calories per day. That is what breastfeeding mothers...
Postpartum Gallbladder Dysfunction: Why Pregnancy and Birth Increase Gallstone and Surgery Risk
There is a surgery that happens to postpartum women with striking regularity. A mother is a few months out from birth. She has been managing pain under her right ribcage — sometimes radiating to her back, sometimes arriving after meals in waves she cannot predict. Her...
Fetal Microchimerism: Why Your Baby’s Cells Stay in Your Body for Decades
"Where are your cells from?" It sounds like an unusual question. We do not typically think of the cells in our body as having an origin story separate from our own biology. We inherit our genetics from our parents, we build our tissues from our own DNA, and we assume...
Postpartum and Autoimmune Disease: The Missing Link in Women’s Health
I have watched this pattern unfold more times than I can count. A woman moves through pregnancy with a body that feels more stable than it has in years. Symptoms that had been quietly persistent seem to quiet further. Joints that ached become more manageable. The...
Intrusive Thoughts in Postpartum: Why They Happen, What They Mean, and When It’s More Than “Normal”
Most mothers have had a thought they didn't recognize as their own. It arrives without warning. Unprompted. Often vivid. The image of something happening to the baby — a fall, a slip, something going wrong in a moment of complete ordinary care. The content is...
Inflammation in Postpartum: The Root Cause Behind Depression, Fatigue, and Pain
Across years of studying postpartum physiology and working closely with mothers in the months and years after birth, I began to notice a pattern that did not fit neatly into the categories we commonly use. Women would describe improvement. Their panic attacks...
Perinatal Mental Health Is Not a Brain Disorder
Why postpartum distress is a systems-level physiological state, not a psychiatric malfunction. In my work in perinatal mental health, I hear a familiar pattern described again and again. Treatment helps. Symptoms stabilize. Women function better. And yet, something...












