Vanessa Weiland, NP | Menopause Specialist
@bendymenopause.bsky.social
Evidence-based, holistic menopause care meets PNW adventures 🌲 & hypermobility vibes. Inclusive, empowering, and fun 🌈 Discover more in bio 👉 phasesacademy.com/bio
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Looking for an account that kind of gets the intersection of menopause & hormones with symptomatic hypermobility, mast cell/histamine issues, and dysautonomia (even though there's no research)??
It's me 👋👋
It's me 👋👋
I worked in home health for 5 years. Over time, I learned the secrets to aging well. Within minutes I could clock who did these two things:
1) Not smoking
2) Daily walks
1) Not smoking
2) Daily walks
December 18, 2025 at 4:21 AM
I worked in home health for 5 years. Over time, I learned the secrets to aging well. Within minutes I could clock who did these two things:
1) Not smoking
2) Daily walks
1) Not smoking
2) Daily walks
Looking for an account that kind of gets the intersection of menopause & hormones with symptomatic hypermobility, mast cell/histamine issues, and dysautonomia (even though there's no research)??
It's me 👋👋
It's me 👋👋
December 17, 2025 at 4:26 PM
Looking for an account that kind of gets the intersection of menopause & hormones with symptomatic hypermobility, mast cell/histamine issues, and dysautonomia (even though there's no research)??
It's me 👋👋
It's me 👋👋
I have a patient who's been seeing specialist after specialist for sleep disruption for 10 YEARS.
1 month of hormone therapy and she's sleeping through the night 🤯
#perimenopause #menopause
1 month of hormone therapy and she's sleeping through the night 🤯
#perimenopause #menopause
April 21, 2025 at 6:16 PM
I have a patient who's been seeing specialist after specialist for sleep disruption for 10 YEARS.
1 month of hormone therapy and she's sleeping through the night 🤯
#perimenopause #menopause
1 month of hormone therapy and she's sleeping through the night 🤯
#perimenopause #menopause
Sometimes my patients crack me up. I told a parient the additional risk of breast cancer from combined hormone therapy is 6 extra cases per 10,000 users per year.
She's said, "Oh, that's nothing. Like, if you told me I had a 6 in 10,000 chance of living, I'd be like, 'Oh ****, I'm dying." 🤣💀
She's said, "Oh, that's nothing. Like, if you told me I had a 6 in 10,000 chance of living, I'd be like, 'Oh ****, I'm dying." 🤣💀
April 18, 2025 at 9:23 PM
Sometimes my patients crack me up. I told a parient the additional risk of breast cancer from combined hormone therapy is 6 extra cases per 10,000 users per year.
She's said, "Oh, that's nothing. Like, if you told me I had a 6 in 10,000 chance of living, I'd be like, 'Oh ****, I'm dying." 🤣💀
She's said, "Oh, that's nothing. Like, if you told me I had a 6 in 10,000 chance of living, I'd be like, 'Oh ****, I'm dying." 🤣💀
"Menopause is natural, why do we need to do anything about it?"
Pre-eclampsia is natural. Urinary tract infections are natural. Near sightedness is natural. Er*ctile dysfunction is natural. Shall I go on?
I'm not a shill for the pharmaceutical companies; I'm just against unnecessary suffering.
Pre-eclampsia is natural. Urinary tract infections are natural. Near sightedness is natural. Er*ctile dysfunction is natural. Shall I go on?
I'm not a shill for the pharmaceutical companies; I'm just against unnecessary suffering.
April 15, 2025 at 2:03 AM
"Menopause is natural, why do we need to do anything about it?"
Pre-eclampsia is natural. Urinary tract infections are natural. Near sightedness is natural. Er*ctile dysfunction is natural. Shall I go on?
I'm not a shill for the pharmaceutical companies; I'm just against unnecessary suffering.
Pre-eclampsia is natural. Urinary tract infections are natural. Near sightedness is natural. Er*ctile dysfunction is natural. Shall I go on?
I'm not a shill for the pharmaceutical companies; I'm just against unnecessary suffering.
Ever feel like perimenopause turned your stress tolerance to ZERO? 🤔 A 2015 study (PMID: 25531918) shed some light. It suggests that shifting hormones during this time can actually throw off your body's stress response system. Less resilience is a real thing. #perimenopause
April 12, 2025 at 6:57 AM
Ever feel like perimenopause turned your stress tolerance to ZERO? 🤔 A 2015 study (PMID: 25531918) shed some light. It suggests that shifting hormones during this time can actually throw off your body's stress response system. Less resilience is a real thing. #perimenopause
I'll prove to you how powerful breathing can be for pain:
Hold ice or a wall sit for 30 seconds. Rate discomfort.
Now do the same while taking deep breaths in over 4 seconds and out over 6 seconds. Rate discomfort.
How'd it go??
Hold ice or a wall sit for 30 seconds. Rate discomfort.
Now do the same while taking deep breaths in over 4 seconds and out over 6 seconds. Rate discomfort.
How'd it go??
April 9, 2025 at 11:13 PM
I'll prove to you how powerful breathing can be for pain:
Hold ice or a wall sit for 30 seconds. Rate discomfort.
Now do the same while taking deep breaths in over 4 seconds and out over 6 seconds. Rate discomfort.
How'd it go??
Hold ice or a wall sit for 30 seconds. Rate discomfort.
Now do the same while taking deep breaths in over 4 seconds and out over 6 seconds. Rate discomfort.
How'd it go??
60-something Repubs RN: Have faith! Trump is a successful business man has a plan to course correct.
20-something Repubs RN: Trump is playing 3-dimensional chess and crashing the market on purpose so we can finally buy!
They can't both be right. My bet's on neither 🙃 #stagflation #economy #fafo
20-something Repubs RN: Trump is playing 3-dimensional chess and crashing the market on purpose so we can finally buy!
They can't both be right. My bet's on neither 🙃 #stagflation #economy #fafo
April 9, 2025 at 9:11 PM
60-something Repubs RN: Have faith! Trump is a successful business man has a plan to course correct.
20-something Repubs RN: Trump is playing 3-dimensional chess and crashing the market on purpose so we can finally buy!
They can't both be right. My bet's on neither 🙃 #stagflation #economy #fafo
20-something Repubs RN: Trump is playing 3-dimensional chess and crashing the market on purpose so we can finally buy!
They can't both be right. My bet's on neither 🙃 #stagflation #economy #fafo
If you need to fuel your energy with rage today, remember that only 1/3 of OBGYN residencies have required menopause education (and that could just be assigned reading).
Jennifer T Allen et al. Menopause. 2023.
Jennifer T Allen et al. Menopause. 2023.
February 24, 2025 at 1:01 AM
If you need to fuel your energy with rage today, remember that only 1/3 of OBGYN residencies have required menopause education (and that could just be assigned reading).
Jennifer T Allen et al. Menopause. 2023.
Jennifer T Allen et al. Menopause. 2023.
The number of providers who will happily dole out oral birth control until age 55 but deny menopause hormone therapy baffles me...
These are obviously smart people who are choosing to turn off their brains when it comes to menopause management. Why? Transdermal HT is safer than oral birth control.
These are obviously smart people who are choosing to turn off their brains when it comes to menopause management. Why? Transdermal HT is safer than oral birth control.
February 12, 2025 at 4:35 AM
The number of providers who will happily dole out oral birth control until age 55 but deny menopause hormone therapy baffles me...
These are obviously smart people who are choosing to turn off their brains when it comes to menopause management. Why? Transdermal HT is safer than oral birth control.
These are obviously smart people who are choosing to turn off their brains when it comes to menopause management. Why? Transdermal HT is safer than oral birth control.
🚨 Free Event Alert! 🚨
Join us for Navigating Menopause: Partnering With the Right Provider 🩺💜
📅 Feb 19, 2025 | 🕙 10:00 AM PST | 📍 Online (Zoom)
🔗 RSVP now: phasesacademy.com/webinar
On the agenda:
✅ Choosing the right provider
✅ Understanding treatment options
✅ Advocating for your health
Join us for Navigating Menopause: Partnering With the Right Provider 🩺💜
📅 Feb 19, 2025 | 🕙 10:00 AM PST | 📍 Online (Zoom)
🔗 RSVP now: phasesacademy.com/webinar
On the agenda:
✅ Choosing the right provider
✅ Understanding treatment options
✅ Advocating for your health
Phases Academy Menopause Education
Whether you want to prepare for menopause, are going through it already, or want to support someone else, you will find the education you need here.
phasesacademy.com
February 6, 2025 at 10:08 PM
🚨 Free Event Alert! 🚨
Join us for Navigating Menopause: Partnering With the Right Provider 🩺💜
📅 Feb 19, 2025 | 🕙 10:00 AM PST | 📍 Online (Zoom)
🔗 RSVP now: phasesacademy.com/webinar
On the agenda:
✅ Choosing the right provider
✅ Understanding treatment options
✅ Advocating for your health
Join us for Navigating Menopause: Partnering With the Right Provider 🩺💜
📅 Feb 19, 2025 | 🕙 10:00 AM PST | 📍 Online (Zoom)
🔗 RSVP now: phasesacademy.com/webinar
On the agenda:
✅ Choosing the right provider
✅ Understanding treatment options
✅ Advocating for your health
TFW you're sussing out a potential new physician friend and they use the term "physician extenders."
Bro, I haven't been someone else's appendage since I was attached to an umbilical cord. #nursepractitioner #app
Bro, I haven't been someone else's appendage since I was attached to an umbilical cord. #nursepractitioner #app
a man in a black sweater is making a funny face and says yiiikes
Alt: a man in a black sweater is making a funny face and says yiiikes
media.tenor.com
February 1, 2025 at 6:01 AM
TFW you're sussing out a potential new physician friend and they use the term "physician extenders."
Bro, I haven't been someone else's appendage since I was attached to an umbilical cord. #nursepractitioner #app
Bro, I haven't been someone else's appendage since I was attached to an umbilical cord. #nursepractitioner #app
Has anyone had their provider say they don't "believe" in menopause hormone therapy? 🤔
It's not like the tooth fairy. We have medical guidelines supporting its use in the majority of symptomatic women.
It's not like the tooth fairy. We have medical guidelines supporting its use in the majority of symptomatic women.
January 31, 2025 at 2:32 AM
Has anyone had their provider say they don't "believe" in menopause hormone therapy? 🤔
It's not like the tooth fairy. We have medical guidelines supporting its use in the majority of symptomatic women.
It's not like the tooth fairy. We have medical guidelines supporting its use in the majority of symptomatic women.
You do not, I repeat do NOT, need to wait until you stop having periods to start using menopause hormone therapy. This is a made up concept I hear about 8x a day that my patients were told by their primary team.
January 30, 2025 at 8:10 PM
You do not, I repeat do NOT, need to wait until you stop having periods to start using menopause hormone therapy. This is a made up concept I hear about 8x a day that my patients were told by their primary team.
Did you know? We have a national guideline stating it's a-ok to consider v#ginal estrogen in breast cancer survivors:
Treatment of Urogenital Symptoms in Individuals With a History of Estrogen-dependent Breast Cancer. Clinical Consensus. Dec 2021.
Continuing to debate this makes me feel tired.
Treatment of Urogenital Symptoms in Individuals With a History of Estrogen-dependent Breast Cancer. Clinical Consensus. Dec 2021.
Continuing to debate this makes me feel tired.
January 24, 2025 at 3:49 AM
Did you know? We have a national guideline stating it's a-ok to consider v#ginal estrogen in breast cancer survivors:
Treatment of Urogenital Symptoms in Individuals With a History of Estrogen-dependent Breast Cancer. Clinical Consensus. Dec 2021.
Continuing to debate this makes me feel tired.
Treatment of Urogenital Symptoms in Individuals With a History of Estrogen-dependent Breast Cancer. Clinical Consensus. Dec 2021.
Continuing to debate this makes me feel tired.
Happy MLK Day. Did you know:
Black women tend to have:
🔥 Earlier onset of menopause
🔥 Worse hot flashes
🔥 Longer lasting perimenopause symptoms
🔥 Worse depressive symptoms in menopause
🔥 More sleep disturbances in menopause
These differences aren't likely due to genetics, but rather inequality.
Black women tend to have:
🔥 Earlier onset of menopause
🔥 Worse hot flashes
🔥 Longer lasting perimenopause symptoms
🔥 Worse depressive symptoms in menopause
🔥 More sleep disturbances in menopause
These differences aren't likely due to genetics, but rather inequality.
January 20, 2025 at 7:26 PM
Happy MLK Day. Did you know:
Black women tend to have:
🔥 Earlier onset of menopause
🔥 Worse hot flashes
🔥 Longer lasting perimenopause symptoms
🔥 Worse depressive symptoms in menopause
🔥 More sleep disturbances in menopause
These differences aren't likely due to genetics, but rather inequality.
Black women tend to have:
🔥 Earlier onset of menopause
🔥 Worse hot flashes
🔥 Longer lasting perimenopause symptoms
🔥 Worse depressive symptoms in menopause
🔥 More sleep disturbances in menopause
These differences aren't likely due to genetics, but rather inequality.
I had a patient today whose heart palpitations went from 10 to 1 and whose anxiety went from 10 to 0 with hormone therapy.
And another who was able to discontinue her antidepressant.
Hormones aren't just for hot flashes.
And another who was able to discontinue her antidepressant.
Hormones aren't just for hot flashes.
January 15, 2025 at 5:47 PM
I had a patient today whose heart palpitations went from 10 to 1 and whose anxiety went from 10 to 0 with hormone therapy.
And another who was able to discontinue her antidepressant.
Hormones aren't just for hot flashes.
And another who was able to discontinue her antidepressant.
Hormones aren't just for hot flashes.
Only 7% of primary care and OBGYN new grads feel confident treating menopause. (Kling, 2019)
It's not their fault that they're not being taught, but it IS on them if they gaslight you when you bring up common symptoms.
Your concerns are legitimate. You deserve better menopause care in 2025 💕
It's not their fault that they're not being taught, but it IS on them if they gaslight you when you bring up common symptoms.
Your concerns are legitimate. You deserve better menopause care in 2025 💕
January 1, 2025 at 8:49 PM
Only 7% of primary care and OBGYN new grads feel confident treating menopause. (Kling, 2019)
It's not their fault that they're not being taught, but it IS on them if they gaslight you when you bring up common symptoms.
Your concerns are legitimate. You deserve better menopause care in 2025 💕
It's not their fault that they're not being taught, but it IS on them if they gaslight you when you bring up common symptoms.
Your concerns are legitimate. You deserve better menopause care in 2025 💕
If you don't pet your cat while he's sleeping to make him go "merrrrp?" every chance you get then what is cat ownership even.
December 27, 2024 at 10:19 PM
If you don't pet your cat while he's sleeping to make him go "merrrrp?" every chance you get then what is cat ownership even.
Let me try this again. Bluesky, I'm seeking 30 and 40 something moms trying to heal generational trauma while staring down the barrel at perimenopause 🫠🙌
December 27, 2024 at 4:14 AM
Let me try this again. Bluesky, I'm seeking 30 and 40 something moms trying to heal generational trauma while staring down the barrel at perimenopause 🫠🙌
Yes menopause is natural. So is pregnancy, but we use nausea medications when needed. And so are cataracts, but we're happy to rely on modern medicine to restore our vision.
Despite what society may say, menopause doesn't create its own special category of required suffering due to naturalness.
Despite what society may say, menopause doesn't create its own special category of required suffering due to naturalness.
December 25, 2024 at 2:25 AM
Yes menopause is natural. So is pregnancy, but we use nausea medications when needed. And so are cataracts, but we're happy to rely on modern medicine to restore our vision.
Despite what society may say, menopause doesn't create its own special category of required suffering due to naturalness.
Despite what society may say, menopause doesn't create its own special category of required suffering due to naturalness.
A few quotes from patients today:
"I feel NORMAL."
"I feel like myself again."
"I slept 7 hours straight for the first time since I was 15."
Being a menopause specialist is legitimately one of the coolest things. 💕
"I feel NORMAL."
"I feel like myself again."
"I slept 7 hours straight for the first time since I was 15."
Being a menopause specialist is legitimately one of the coolest things. 💕
December 17, 2024 at 3:33 AM
A few quotes from patients today:
"I feel NORMAL."
"I feel like myself again."
"I slept 7 hours straight for the first time since I was 15."
Being a menopause specialist is legitimately one of the coolest things. 💕
"I feel NORMAL."
"I feel like myself again."
"I slept 7 hours straight for the first time since I was 15."
Being a menopause specialist is legitimately one of the coolest things. 💕
🌿 Struggling with PMDD? Relief is possible! From antidepressants & hormone therapy to natural remedies like chasteberry, mindfulness, and even hypnotherapy—there are proven ways to feel your best again. You’ve got this! 💪 #PMDDRelief #HormoneHealth #Wellness
December 7, 2024 at 9:09 PM
🌿 Struggling with PMDD? Relief is possible! From antidepressants & hormone therapy to natural remedies like chasteberry, mindfulness, and even hypnotherapy—there are proven ways to feel your best again. You’ve got this! 💪 #PMDDRelief #HormoneHealth #Wellness
You know what's even worse than #perimenopause ? Perimenopause with migraines. Hormonal swings often make things worse. The good news? Hormone therapy CAN be considered, even if you have #migraine with aura. Read my blog for the details 👇
November 29, 2024 at 7:18 PM
You know what's even worse than #perimenopause ? Perimenopause with migraines. Hormonal swings often make things worse. The good news? Hormone therapy CAN be considered, even if you have #migraine with aura. Read my blog for the details 👇
Black women face a greater burden of fibroids, with more severe symptoms & complications. They're less likely to be offered conservative management & more likely to undergo hysterectomy, leading to earlier menopause and higher risks of osteoporosis, heart disease, & dementia. #BlackHealthMatters
November 28, 2024 at 6:28 PM
Black women face a greater burden of fibroids, with more severe symptoms & complications. They're less likely to be offered conservative management & more likely to undergo hysterectomy, leading to earlier menopause and higher risks of osteoporosis, heart disease, & dementia. #BlackHealthMatters