Ep. 225 - Menopausal Medicine Update with NP Shelby Sheppard

In this empowering episode, Dr. Fiona Lovely welcomes nurse practitioner Shelby Sheppard, a trusted hormone and sexual health expert who has been caring for Dr. Lovely's own patients for years. Shelby's journey from labor and delivery RN to founding Pause Health reflects her deep commitment to offering women the time, space, and personalized care they deserve—something that simply cannot happen in the standard medical seven-minute appointment. The conversation opens with the remarkable story of how Shelby helped a patient navigate postpartum depression using supplemental progesterone, challenging conventional medical dogma. They then dive into the blind spots of thyroid care, explaining why TSH alone is an unreliable marker and why T4-only medications often leave women feeling unwell. Shelby shares her philosophy of offering patients a menu of options rather than a one-size-fits-all approach. They explore the newly renamed PMOS (Polyendocrine Metabolic Ovarian Syndrome) from PCOS, the underutilized role of testosterone in women's health, and the profound impact of GLP-1 medications on metabolic health and mental well-being.  The episode also addresses sexual health, pleasure anatomy, and why women deserve to feel plugged back in—not just for sex, but for life. Together, they talk about: Why progesterone can be a game-changer for postpartum mood support as well as perimenopausal sleep disturbances, anxiety and others. The limitations of TSH testing for thyroid and why free T3 and reverse T3 matter. How GLP-1s combined with hormone therapy offer superior metabolic results. Testosterone's role in motivation, confidence, and overall vitality. Practical tips for navigating libido changes and communicating with partners. Tune in to learn why women's health is not a one-size-fits-all prescription—and how to become your own best advocate. Connect with Shelby: Website: www.pausehealth.ca Instagram: https://www.instagram.com/pause_health   Thank you to our sponsors for this episode: 🧪Women in perimenopause and menopause talk about wanting the same things — less bloating, no afternoon crash after eating, steady energy. MassZymes is perfect for helping your body's ability to actually process what you eat. MassZymes uses a full-spectrum blend of 18 enzymes. That means you're getting more out of the food you eat. Plus, it works across different stomach acid levels, which can really matter as we age. Here's what you get when you go to bioptimizers.com/lovely and use code LOVELY for 15% off your order! 🌵If vaginal dryness or discomfort is disrupting your day, Womaness's Melt For You inserts offer a gentle, deeply restorative way to find relief. Completely hormone-free and safe to use alongside HRT, these applicator-free suppositories use hyaluronic and lactic acids to naturally replenish moisture, stabilize hydration, and support your vaginal microbiome. Because supporting your body through menopause means feeling comfortable and confident in your own skin.  Head to womaness.com and use code LOVELY for a special discount.    How to work with Dr. Lovely: We get many requests for this info, so here it is!  First off, thank you for listening to the NYMM podcast.  It's because of your support - listening and sharing the episodes and using our product links, we can continue to dispense this information.❤️ Thank you! 🙏🏼 Follow Dr. Lovely on IG and TikTok: @drfionalovely Follow the podcast on Facebook:  www.facebook.com/@notyourmothersmenopausepodcast Please sign up for our newsletter - Fiona's Friday Favourites!  This is where we make the first announcements, share course offerings, drop new episodes,  blog posts and the coveted