Posts by Bliss Lewis
Understanding SSRI Side Effects: Why They Happen and What to Expect
If you have recently started an SSRI, or are considering one, you probably have questions about side effects. Perhaps you have heard st...
Putting It All Together: A Comprehensive Approach to Perimenopausal Sleep
Key Points Summary
✓ Multiple factors, multiple solutions: Most women benefit from layered interventions addressing several contributi...
Gut Health and Inflammation in Perimenopause: Emerging Connections to Sleep
Key Points Summary
✓ The gut-brain axis is real: Bidirectional communication between gut and brain affects mood, stress response, and ...
Blood Sugar, Metabolic Health, and Sleep Quality in Perimenopause
Key Points Summary
✓ Bidirectional relationship: Poor sleep worsens insulin resistance; metabolic dysfunction disrupts sleep
✓ Perim...
Functional Testing: What’s Worth Measuring (and Why)
Key Points Summary
✓ Testing should inform action: Only order tests that will change what you do
✓ Hormone testing is tricky: Fluctu...
Building Your Care Team: Who Does What in Perimenopausal Sleep Care
Key Points Summary
✓ No single specialty covers everything: Optimal care often requires collaboration across disciplines
✓ Psychiatr...
The Integrative Toolkit: Supplements, Nutrients, and Lifestyle for Perimenopausal Sleep
Key Points Summary
✓ Magnesium: Good evidence for sleep support, with glycinate and threonate forms often preferred
✓ Lifestyle fact...
Beyond Hormones: Non-Hormonal Medication Options for Perimenopausal Insomnia
Key Points Summary
✓ SSRIs and SNRIs: Can help both mood symptoms and vasomotor symptoms that disrupt sleep
✓ Gabapentin: Evidence f...
Stress, Cortisol, and the HPA Axis in Perimenopause
Key Points Summary
✓ The stress system changes during perimenopause: Interactions between reproductive hormones and the HPA axis affec...
Micronized Progesterone for Sleep: What the Research Shows
Key Points Summary
✓ Mechanism: Progesterone metabolites enhance GABA, the brain's primary calming neurotransmitter
✓ Sleep architec...









