Why You’re Still Tired on Hormones: A Nurse Practitioner’s Perspective

By Cindy Lombard, WHNP-BC | Essential Woman LLC

Are you doing “everything right” — taking your hormone therapy, eating well, trying to sleep — and still feeling exhausted? You’re not alone. Many women are prescribed hormones, but few get the right kind of hormone care — the kind that truly helps them thrive.

As a women’s health nurse practitioner specializing in bioidentical hormone therapy (BHRT), I’ve seen countless women come to me still feeling tired, foggy, and frustrated despite being “on hormones.” Here’s why.

1. Not All Hormones Are Created Equal

Many women are handed synthetic hormone prescriptions or birth control as a one-size-fits-all approach to menopause and perimenopause. But synthetic hormones don’t match the body’s natural hormone structure — and your body knows it.

Bioidentical hormones, on the other hand, are molecularly identical to the hormones your body produces. They work with your body, not against it — and when prescribed correctly, they can be transformational.

2. Most Providers Don't Know What They're Doing With Hormones

Let’s be real. Most physicians receive only a brief seminar — at best — on menopause. Perimenopause? Often completely overlooked. This leads to outdated protocols, incorrect dosing, and patients being told, “It’s just part of aging.”

That’s not good enough.

As a board-certified women’s health nurse practitioner, I’ve spent decades studying the nuances of hormone therapy. I understand the delicate interplay between estrogen, progesterone, testosterone, thyroid health, nutrient levels, and lifestyle factors — all of which affect how you feel. My goal is not to get you back to “normal.” It’s to help you feel amazing.

3. You're More Than a Lab Result

Have you been told your hormone levels are “within normal range” — yet you feel like a shell of your former self?

That’s because “normal” isn’t the same as optimal.

In my practice, I don’t just chase lab numbers. I look at you — your energy, your mood, your libido, your sleep, your vitality. I take the time to understand your story and tailor a plan that reflects your unique needs. This is true concierge medicine — personalized, precise, and empowering.

4. Tired on Hormones? We Need to Look Deeper

Even if your hormone replacement looks good on paper, here are common reasons you're still dragging:

• Poor absorption of topical hormones

• Unbalanced testosterone or estrogen dominance

• Thyroid dysfunction (even with a "normal" TSH!)

• Elevated cortisol or chronic stress

• Low ferritin or vitamin D

• Lack of proper lab monitoring (like SHBG, free T, DHT, or reverse T3)

These are the tests most conventional providers don’t run — but I do. Because you deserve answers, not assumptions.

5. Why Choose Essential Woman LLC and Cindy Lombard, WHNP-BC?

At Essential Woman LLC, hormone care isn't an afterthought — it’s the foundation of what I do.

I’ve helped hundreds of women reclaim their energy, their confidence, and their joy. I don’t guess. I assess, optimize, educate, and walk beside you every step of the way.

If you're tired of being tired — even on hormones — it's time for a real upgrade. You're not crazy. You're not lazy. You’re just not being treated by someone who knows what she’s doing.

That’s where I come in.

Ready to Feel Like You Again?

If you’re still exhausted, unmotivated, and not yourself despite being on HRT, let’s change that. Book a consult with me at Essential Woman LLC. It’s time to stop settling for “fine” and start living fully.

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