Let me save you from doing the absolute most this week.
If you just started a GLP-1 and suddenly feel like you’re supposed to become a protein, water, fiber, meal prep, movement, perfect little wellness machine overnight… please take a breath. That is one of the fastest ways to make this feel overwhelming.
And I get why it happens. Starting a GLP-1 can feel like a fresh start, especially if you’ve spent years feeling like your body was not responding the way everyone said it should.
So your brain starts making a whole list. More protein. More water. More fiber. More steps. Better sleep. Better meals. Track everything. Fix everything. Become an entirely different human by next Tuesday.
Respectfully… that is a lot.
You do not need to become a brand-new person this week. You need one honest starting point.
Ask yourself where you’re weakest right now. Not where the internet told you to start. Not what worked for someone else. Not what sounds the most impressive. Where are you honestly struggling the most?
If you’re getting decent protein but barely drinking water, start with hydration. If you’re drinking water but constipation has entered the chat against everyone’s wishes, fiber and fluids may need more attention. If your food is pretty solid but movement has been nonexistent, start with something small enough that you’ll actually do it. If protein is the thing you keep missing, start there.
The other areas are not unimportant. They may just be good enough for now while you focus on the area that needs the most support first.
That’s the part I wish more people understood about starting these meds. Progress over perfection sounds cute on Instagram, but with GLP-1s, it’s actually practical.
When you change everything at once, it gets harder to tell what is helping and what is making you feel worse. When you work on one thing at a time, you can actually pay attention to your body.
And that matters, especially if you’re already wondering whether your dose is working, whether you need an increase, or whether you’re doing something wrong.
Sometimes a dose conversation with your provider is absolutely appropriate. But sometimes the missing piece is much less dramatic than that. Maybe you’re not getting enough protein. Maybe your hydration is basically iced coffee and hope. Maybe constipation is making everything feel worse. Maybe your body needs more support before you decide the medication itself is the problem.
That is not about blaming yourself. It’s about walking into your next provider conversation with better information.
One habit at a time. One area of improvement at a time. One realistic change you can actually keep doing.
That is how this becomes sustainable.
Not perfect. Sustainable.
And honestly, that’s the goal.
I also made a short video version of this if you’d rather hear me talk through it instead of reading my full thoughts like we’re all pretending our attention spans are thriving.
And if you want the deeper explanation, I turned this into a full blog post too. I go into more detail about why trying to fix everything overnight can make starting a GLP-1 feel way more overwhelming than it needs to be.
If you’re already on a GLP-1 and wondering, “Is it me, or is it the med?” I made a free guide for exactly that. It walks you through the four questions I asked myself before every dose increase conversation so you can go into that appointment with more clarity and less spiraling.
XOXO, NIKI
PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
I saw the new KLOW blend and was immediately like… hold up, wait a minute.
This has the GHK-Cu that I already LOOOOOVE, plus the BPC-157/TB-500 I had already been contemplating adding… ANNNND the KPV all in one?
Hell yes, sign me up.
If you’ve been around here for more than five minutes, you already know I’m not just casually curious about GHK-Cu. I’m on it. I love it. I have been very impressed by it. I’ve had more new baby hairs with GHK-Cu than I’ve seen with anything else I’ve tried in the last 10 years. My hair is growing faster, and I’ve also noticed improvement in the loose skin on my arms and neck.
So when I saw that EllieMD released a new compounded peptide blend with GHK-Cu in it, I wanted the details immediately. Then I realized it also includes BPC-157/TB-500, which I had already been looking at for recovery and tissue support, plus KPV, which I’ve been curious about for gut and inflammatory balance. It brings together several peptides I was already looking into separately, especially for the stuff so many of us start caring about when our bodies stop bouncing back like they used to…
Skin changes. Recovery. Gut support. Inflammation. Collagen. The “why do I feel like my body needs a system update?” era.
KLOW is one I would absolutely want to know about if you’ve been curious about peptides beyond GLP-1s, especially if you’re thinking more about long-term wellness, recovery, and supporting what your body is already trying to do.
CHECK OUT KLOW HERE
If you’ve clicked a link and can’t see KLOW, it’s because it’s one that requires Exclusive Access to view. Just sign in with your free EllieMD account
OR CREATE ONE HERE
XOXO, NIKI
PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
You’ve just started a GLP-1, and now it feels like you have to get your protein, water, fiber, and movement perfect right away, or you’re not doing it correctly.
Trying to do everything at once is a quick way to feel overwhelmed.
I’m a nurse who’s been on these medications for over two years and lost 94 pounds. If you’re starting a GLP-1, my main advice is this: you don’t have to fix everything right away. Start by choosing one area to work on first.
Focus on one habit at a time. Pick one area to improve. Make one realistic change you know you can stick with.
Aiming for perfection often makes people feel like they’ve failed before they even get started.
And I get why this happens. Starting a GLP-1 can feel like a fresh start, especially if you’ve spent years feeling like your body wasn’t responding the way everyone said it should. Suddenly you’re trying to hit a protein goal, drink a gallon of water, eat more fiber, move every day, meal prep, sleep better, track everything, and somehow become a calm, organized person who remembers to thaw chicken.
It sounds like a good plan, but it’s a lot to take on and hard to keep up.
You don’t need to become a brand-new person overnight.
You need to ask yourself one honest question: where am I weakest right now?
If you’re already getting enough protein,you don’t have to focus on it first just because the internet is yelling about it. If you’re barely drinking water, start with that. If you’re dealing with constipation, your fiber and fluids probably need attention. If movement has been nonexistent, start with something small enough that you’ll actually do it.
The other areas can wait for now.
Good enough counts, especially when you’re trying to build habits that need to last longer than your first burst of motivation.
Save this if starting GLiPI already feels overwhelming. One of the biggest mistakes I see people make when starting this part of their wellness journey is trying to change every habit in the first week. Protein intake. Water intake. Fiber. Movement. Meal timing. Sleep. Supplements. All at once. No wonder it feels like too much. If your appetite is changing, your cravings feel different, or your portions are shifting, that does not mean you need to become perfect at every healthy habit overnight. Start with the area that would make the biggest difference right now. For a lot of people, that might be protein. For someone else, it may be hydration, fiber, or getting more consistent with movement. This matters even more if you’re navigating PCOS, insulin resistance, perimenopause, metabolic health, or maintenance, because sustainable habits matter more than trying to do everything perfectly for two weeks and burning out. For me, it started with protein. Once that felt easier day to day, I moved on to fiber. Then I kept building from there. That is still how I approach maintenance now: one area at a time, not a total personality transplant by Friday. #metabolichealth#pcoswellness#healthyhabits#wellnessjourney#insulinresistance I’m an RN + health coach, but I’m not YOUR nurse. Everything I share is education & encouragement only. Not medical advice, not a diagnosis, not a promise of results. My job here is to help you understand your body so you actually know what to ask when you talk to your provider. Anything that requires a prescription or medical oversight? That’s between you & your licensed provider. This is not a DIY situation. Some links I share are affiliate links, including my partnership with EllieMD, which means I may earn a small commission at no extra cost to you. I only share things I personally use, trust, or have found genuinely helpful.
Why Trying to Do Everything Right Away Makes GLP-1s Feel Overwhelming
Protein, water, fiber, and movement are all important. The real issue is trying to get consistent with all of them at once, especially if they’re not already part of your routine.
This is where so many people get stuck. They start a GLP-1 and immediately think, “Okay, now I need to do this perfectly.” So they create a plan that looks amazing on paper but feels miserable by day four.
They try to eat differently, drink more water, increase fiber, exercise more, avoid side effects, track their progress, understand changes in appetite, and not get discouraged when the scale doesn’t move as expected.
That’s simply too much to handle all at once.
When it gets too hard, people start thinking they’re the problem and blame themselves. They think they’re not disciplined enough. They think they’re already failing. They think maybe they’re not using the medication correctly.
But most of the time, it’s not failure. It’s just trying to take on too many new habits at once.
Progress over perfection sounds great on Instagram, I know. But with GLP-1s, it’s actually practical. If you try to change everything overnight, you make it harder to figure out what’s helping and what’s making you feel worse. If you change one area at a time, you can actually pay attention and really notice how your body responds.
That’s the part people skip.
The Better GLP-1 Beginner Question: Where Am I Weakest Right Now?
Before you start adding more rules, ask yourself where you need the most support.
Not where you think you’re supposed to start. Not what someone else said worked for them. Not what sounds most impressive. Where are you honestly weakest right now?
That answer is where you should begin.
If you’re getting enough protein most days but you’re barely drinking water, hydration may need your attention first. If you’re drinking water but constipation is a problem, fiber and fluids may need more focus. If your food is solid but you barely move your body, movement may be the place to begin.
This doesn’t mean the other habits don’t matter. It means they may be good enough for now while you work on the weakest area first.
That’s how you make this less overwhelming. You stop trying to fix everything and start improving one thing.
If Protein Is Your Weakest Area on a GLP-1
If protein is your weakest area, it’s worth paying attention to because GLP-1 medications can lower your appetite. When you’re eating less overall, it’s easy to eat less protein without realizing it.
For me, protein made a huge difference. When I wasn’t getting enough, I felt it. My energy wasn’t great, I didn’t feel as steady, and I didn’t feel like I was supporting my body well while losing weight.
When you lose weight, your body doesn’t only pull from fat. Muscle can be affected too, especially if you’re not eating enough protein or doing any kind of strength-supporting movement. And muscle matters for metabolism, strength, and long-term maintenance.
That does not mean you need to suddenly become a grilled chicken influencer. Please no. We’ve all been through enough.
It means you may need to look at your actual intake and ask whether you’re getting enough protein for your body right now.
And if the answer is no, start simple. Add protein in a way you can actually repeat. That might mean Greek yogurt in the morning, a protein shake when solid food feels like too much, cottage cheese, eggs, tuna, rotisserie chicken, protein coffee, or whatever sits well with your stomach.
The goal isn’t to make your meals look impressive. The goal is to give your body what it needs in a way that works in your real life.
If Fiber Is Your Weakest Area on a GLP-1
If fiber is your weakest area, there’s a good chance your bathroom habits have already made that very clear. GLP-1s can slow digestion, and when digestion slows down, constipation can become a real issue.
Most people don’t talk about it until they’re uncomfortable, and then suddenly fiber becomes important. It’s interesting how things change when you really need a solution.
Fiber helps support digestion and keeps things moving, but this is not your sign to go from zero fiber to chia pudding, lentils, beans, raw vegetables, and three supplements overnight. That’s how you end up bloated and mad at everyone.
Ease into it.
You can add more fiber from foods like beans, berries, oats, vegetables you tolerate well, or whole grains that sit well with your stomach. Some people also use supplemental fiber because it’s easier to stay consistent, but fiber works best when you increase it gradually and drink enough fluids with it.
That’s important. Adding fiber without enough water can make things worse, and no one wants that.
So if constipation is your weakest area, don’t ignore it and assume the medication just isn’t working. Your digestive system may need support before you decide anything else needs to change.
If Water Is Your Weakest Area on a GLP-1
Hydration sounds basic, which is probably why so many people overlook it.
But if you’re on a GLP-1 and you feel tired, headachy, dizzy, foggy, nauseated, or just off, it’s worth asking how much water you’ve actually had. Not how much you planned to drink. Not how much your emotional support water bottle was carrying around for decoration. How much actually made it into your body?
When your appetite drops, you may naturally drink less, too. You may also get less fluid from food because you’re eating less overall. And if you’re dealing with nausea, vomiting, diarrhea, or constipation, hydration becomes even more important.
You don’t have to make drinking water your main focus. Just find ways to make it easier to get enough fluids.
Plain water counts. Flavored water counts. Electrolytes may help some people, especially if they’re eating less or losing more fluid through digestive side effects. Coffee still counts toward fluid intake, too, despite what diet culture has screamed into the void for years.
If water is your weakest area, start there. Don’t build a complicated meal plan while your body is running on iced coffee, half a bottle of water, and determination.
That’s not a good hydration plan.
If Movement Is Your Weakest Area on a GLP-1
If movement is your weakest area, that doesn’t mean you need to start an intense workout plan.
Movement does not have to be impressive to count. It doesn’t have to be an hour. It doesn’t have to be sweaty. It doesn’t have to involve matching activewear, a gym mirror, or a playlist called “beast mode” that makes everyone uncomfortable.
It just has to be something you’ll actually do.
Movement on a GLP-1 isn’t only about burning calories. It can help support digestion, muscle, metabolism, mood, and long-term maintenance. And when you’re losing weight, protecting muscle matters.
But again, start where you are.
Maybe that means walking more. Maybe it’s stretching. Maybe it’s a few minutes of strength training. Maybe it’s doing squats while the dog takes forever outside, which is ridiculous but effective. Maybe it’s dancing around your kitchen for ten minutes because that’s what you can realistically fit into your day.
The best movement plan isn’t the one that looks good online. It’s the one you’ll actually keep doing.
Before You Assume You Need a GLP-1 Dose Increase
If you’re already on a GLP-1 and wondering if it’s time to talk to your provider about a dose increase, I don’t want you to automatically assume the answer is yes or no.
I want you to have better information before that conversation.
Sometimes a dose adjustment really may be the next step. But sometimes the issue is that you’re not getting enough protein, barely drinking water, constipated, or not moving much at all. And no judgment, because I’ve absolutely had moments where I had to look at my own habits and go, “Well. That explains a few things.”
That’s not about blaming yourself. It’s about being honest enough to know what’s actually going on.
Before you assume the medication isn’t working, ask yourself if you’re giving it enough support to do its job. Protein, fiber, water, and movement are not magic, but they are the basics that can change how you feel on these meds.
And when you know where you’re weakest, your provider conversation gets a lot clearer.
Progress Over Perfection on a GLP-1
If you’re starting a GLP-1, you don’t have to change everything in your life right away.
You don’t need to be perfect at protein, water, fiber, and movement by the end of the week. You need one honest starting point.
Ask yourself where you’re weakest right now, and start there.
This isn’t forever, and it’s not because the other areas aren’t important. It’s just easier to build one new habit at a time than to try four at once.
That’s how you make this sustainable. Not by doing everything perfectly, but by doing one thing consistently enough that it becomes part of your real life. Then you build from there.
One habit at a time. One area of improvement at a time. One realistic change you can keep doing.
That’s the goal.
Free GLP-1 Guide: Is It Me, or the Med?
If you’re already on a GLP-1 and wondering whether it might be time to talk to your provider about a dose increase, I made a free guide for exactly that.
It’s called Is It Me, or the Med?
Inside, I walk you through the four questions I asked myself before every dose increase conversation with my doctor. I looked at whether I was getting enough protein, enough fiber, enough water, and enough movement before assuming my dose wasn’t enough.
This is the same real-life checklist I used to figure out whether the issue was my habits or my milligrams.
It’s not about judging yourself. It’s about walking into your next provider conversation with more clarity.
What should I focus on first when starting a GLP-1?
When you’re starting a GLP-1, focus on the area where you’re weakest right now. For some people, that’s protein. For others, it’s water, fiber, or movement. You don’t have to fix everything at once.
Why does protein matter on a GLP-1?
Protein matters on a GLP-1 because your appetite may be lower, which can make it easier to eat less protein without meaning to. Getting enough protein helps support your body while you’re losing weight.
Why does fiber matter on a GLP-1?
Fiber matters because GLP-1s can slow digestion, and slower digestion can contribute to constipation. Adding fiber slowly and drinking enough fluids can help support digestion.
Why is water important on a GLP-1?
Water is important because eating less may also mean drinking less. Hydration can affect how you feel, especially if you’re dealing with headaches, dizziness, fatigue, nausea, constipation, or digestive side effects.
Should I increase my GLP-1 dose if progress slows down?
A GLP-1 dose increase should be a conversation with your provider. Before assuming your dose needs to change, it helps to look honestly at your protein, fiber, water, and movement so you understand what may need support first.
Want to Know Who I Trust for GLP-1 Support?
If you’ve been wondering where I get my GLP-1 medication, who I trust, or what kind of telehealth option I’d actually feel comfortable sharing, I keep that info in one place.
After being on these meds for over 2 years, I’m pretty picky about this part. I want medically guided care, a real intake process, provider review, and no sketchy “wellness shortcut” nonsense dressed up with pretty branding.
As a Brand Partner with EllieMD, I share the option I personally use and trust so you can read through it, see how it works, and decide if it’s something you want to explore.
This post contains affiliate links and/or brand partnership content. I may earn a commission at no extra cost to you.
LET’S BE CLEAR ABOUT WHO I AM (AND WHO I’M NOT).
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing on this site replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
SCOPE OF PRACTICE.
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment — this is not something that should be DIY’d. These statements have not been evaluated by the FDA. Products discussed on this site are not intended to diagnose, treat, cure, or prevent any disease.
TRANSPARENCY.
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links on this site are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.
RESULTS + TESTIMONIALS.
Any testimonials or results shared on this site reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
Last summer, at 41 years old, I developed new-onset eczema.
On my EYELID. And under my eye. Of all the places on my body, it picked my face. Then, a few weeks later, a patch showed up on my neck like the party needed more guests.
I was furious. I was confused. I was LITERALLY doing everything right.
It would start to clear up… and then come right back. Over and over. For months.
Why would eczema suddenly show up in your 40s when you’ve never had it?
Turns out this is a real thing. And it’s way more common than anyone talks about.
Perimenopause does a number on your skin in ways most of us are never warned about. As estrogen starts to decline, your skin produces less oil, loses ceramides (the lipids that hold your skin barrier together), and the whole barrier function is compromised. Your skin microbiome shifts. Your immune response shifts. And the inflammation that your body used to handle quietly? Now it’s showing up on your face.
Research published in dermatology literature confirms that the drop in estrogen during perimenopause can trigger new-onset eczema or worsen existing eczema, even in women with no prior history. Skin gets thinner, drier, more reactive, and more easily inflamed.
So… cool. One more thing nobody tells you about your 40s.
But wait. Aren’t you on a GLP-1? Shouldn’t that be handling the inflammation?
GLP-1s reduce one type of inflammation, the metabolic kind. The kind driven by insulin resistance, visceral fat, and blood sugar dysfunction. And they do that really well.
But the inflammation driving perimenopausal skin changes is a different beast entirely. It’s hormonal. It’s local. It’s happening in my skin because my estrogen is dropping, my skin barrier is compromised, and my skin’s immune response is reacting to things it never used to.
GLP-1 is putting out the metabolic fire in my body. But the hormonal fire showing up in my skin needed something else.
Enter NAD+
Available in Injection or Nasal Spray through EllieMD
I started NAD+ injections last fall. I wasn’t taking them for my skin, honestly. I was taking them for energy, recovery, and general cellular function. You know, the perimenopausal brain fog. The skin improvement was surprising, but then when I thought about it, it made PERFECT SENSE.
But within a few weeks, I noticed my eczema was staying cleared up. Not in the “it’s better today, let’s see what happens tomorrow” way. In the actually gone way.
And then I did what nurses do, which is make absolutely terrible patients. I got busy. I skipped a week. Then another one.
Guess what came back.
I went straight to my kitchen, pulled my vial out of the fridge, and took my injection. It cleared up again after a couple of weeks. Then I missed another week (I KNOW, I KNOW). Started seeing the early signs creeping back. Back to the kitchen I went. I also bumped up to tier 2 dosing, which is a higher dose, and the skin kept improving. Not getting worse. Which matters to me because it tells me my skin is responding to more NAD+, not less.
But is there actual science behind this, or am I just seeing things?
I want to be honest with you here, because I am not trying to oversell anything.
Research on NAD+ and inflammatory skin conditions is still in its early stages. But what’s out there looks really promising.
NAD+ is a molecule every cell in your body uses to make energy and repair itself. When you’re young, you have a lot of it. As you age, levels drop. When NAD+ drops, your cells can’t handle stress as well, can’t repair damage as well, and can’t calm inflammation as well.
One 2023 study found that boosting NAD+ calmed down one of the main inflammation pathways (called Th17) that drives skin conditions like eczema and psoriasis. Basically, more NAD+ told the inflammation to settle down.
Another study on a form of NAD+ showed it reduced eczema symptoms, itching, and helped the skin barrier rebuild itself. It calmed the fire AND helped the wall.
And a big review from 2025 on a related form of vitamin B3 (nicotinamide) laid out why this whole family of molecules is already being used by dermatologists for eczema, rosacea, and other inflammatory skin issues.
So no. This is not me seeing things.
It’s me having a body that was inflamed, a skin barrier that was compromised, a hormonal transition nobody warned me was starting, and a cellular molecule (NAD+) that supports the exact repair and anti-inflammation work my skin needed.
It makes sense that it worked. It makes sense that when I stopped, it came back. And it makes sense that when I bumped up my dose, it kept improving.
The full stack from EllieMD. Metabolic, cellular, skin. All working together.
What I want you to hear:
If you’re in your late 30s or 40s and something new is showing up on your skin, whether that’s eczema, rosacea flares, random dryness, or sensitivity you never had before, this is worth paying attention to. Your skin is telling you your hormones are shifting. That’s just physiology.
And if you’re already in the longevity and anti-aging conversation and you’re curious about NAD+ for energy, recovery, collagen, mitochondrial health… all the things… this is one more reason to pay attention. The skin benefits are real, even if the research is still catching up.
NAD+ is not a miracle cure. The research is preliminary. Anyone who tells you otherwise is selling you something.
But for me? It’s part of the stack now. PERMENANTLY
If you’re curious about NAD+ or want to actually talk to a provider about whether it’s something worth exploring for you, I use EllieMD for my telehealth. The physicians are real, the messaging is unlimited, and you can ask all the questions you need to ask before you start anything. (They work with CloveRX for compounding, which is the pharmacy that actually makes the peptides. Same consistent quality every single time, which is what I wanted when I made the switch.) With EllieMD you now have the option of NAD+ Injections or an NAD+ Nasal Spray (which I will probably try out with my next order).
As always, talk to your own provider, do your own research, and don’t start anything without understanding what it does and what it doesn’t do. I am a nurse, but I am not YOUR nurse, and this is not medical advice. It’s my story, the research I’ve pulled, and an invitation to look into it if it resonates.
Love you, mean it.
XOXO, NIKI, RN
PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
Can I tell you the thing that still makes me want to flip a table?
It’s the phrase “your labs are normal.”
Because for a lot of women… especially women with PCOS, perimenopause knocking, and years of “borderline” results that nobody ever actually addressed… “normal” doesn’t mean fine. It means nobody looked deep enough.
Here’s what most routine bloodwork checks when it comes to blood sugar: fasting glucose and A1C. That’s it.
And here’s what those tests miss: how hard your body is working to keep those numbers where they are.
Your fasting glucose could be sitting at a perfect 94 mg/dL. Your A1C could be a beautiful 5.4%. And your pancreas could be GRINDING out insulin behind the scenes just to hold those numbers in place. You wouldn’t know. Because nobody ordered the test that shows it.
That test is called fasting insulin. And when you pair it with your fasting glucose, you can calculate something called your HOMA-IR score… which basically tells you how insulin resistant your body is right now.
Not how your blood sugar looks on paper. How your body is actually functioning.
The CDC says over 115 million American adults have prediabetes. 8 in 10 don’t know it. That’s not because they’re ignoring their health. It’s because the standard tests aren’t catching it early enough.
And research published in Diabetes Care found that using A1C alone to screen for prediabetes missed about 75% of at-risk people.
If that doesn’t make you want to flip the table too… I don’t know what will.
Here’s what I want you to do:
Next time you have bloodwork, ask your doctor to add a fasting insulin level. It’s drawn from the same blood, at the same time. You may need to specifically request it because it’s not included in standard panels.
Once you have it, here’s the math: (fasting glucose x fasting insulin) / 405 = your HOMA-IR score. Under 1.0 = optimal. Over 2.5 = insulin resistance may be present. Over 3.0 = significant.
That one number could explain more about why you feel the way you feel than every “normal” result you’ve ever gotten combined.
I wrote a full deep dive on this on the blog… why standard panels miss it, what it means if you have PCOS, and the exact labs I’d tell my best friend to ask for. If you want the whole picture, it’s there for you.
Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX? ↓ Catch up here ↓
READ PAST EDITIONS
↓ LET’S CONNECT ↓
Let’s be clear about who I am (and who I’m not)
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
I need to explain something about sleep that nobody told me for most of my life. And I’m willing to bet nobody told you either.
I’ve been a night owl since second grade. Every time my schedule forced me onto days, I reached for melatonin, thinking it would help me adjust. It got me to sleep. I still woke up every single time feeling like I hadn’t slept at all.
For years, I thought my body was just bad at this. Turns out the problem was never falling asleep. The problem was what was (or wasn’t) happening AFTER.
Here’s your nurse lesson for the day.
Your sleep has stages. Stage 3, also called deep sleep, is where your body does the actual overnight repair work. Your brain files away memories. Your immune system does its thing. Your hormones get regulated. Tissue gets repaired. ALL of it happens in deep sleep.
And here’s what your doctor probably never connected for you… deep sleep is the FIRST stage to get destroyed by stress, hormonal shifts, and age. Perimenopause? Your sleep architecture starts changing before you even realize what’s happening. You can sleep 8 hours and barely touch the deep stage. You were in the pool all night, but you never went below the surface.
Melatonin doesn’t fix this. Melatonin tells your body WHEN to sleep. That’s it. It puts up the “closed” sign on the store. But whether the cleaning crew actually shows up to do the repair work? Melatonin has nothing to do with that.
The sign said closed. The cleaning crew never came.
There’s also a handoff that’s supposed to happen every night between your stress system and your sleep system. They take turns. Stress runs the day, then clocks out so sleep can take over. When that handoff breaks down, you get that “tired but wired” feeling… exhausted, but your brain won’t stop running the list. That’s not a personality trait. That’s a broken shift change inside your body.
DSIP (Delta Sleep-Inducing Peptide) is being studied for BOTH of these things. The depth of your sleep AND the stress handoff. It’s been researched for over 40 years. It’s not a sedative. No morning fog. No dependency. It works with your body’s own systems instead of overriding them.
I’m about to be forced onto day shift for three months (I KNOW). Then, a few days later, EllieMD dropped DSIP. The TIMING. I dug into the research and… this sounds like exactly what I need right now. You know I’ve already ordered it! I’ll keep you updated on how it goes.
I wrote a full breakdown on the blog. What DSIP is, how it’s different from melatonin, what deep sleep actually does for your body, and who this might help most.t it with real physician oversight.
If you’ve been sleeping “enough” hours and STILL waking up exhausted… this post explains WHY. And that answer alone is worth the click.
Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX? ↓ Catch up here ↓
READ PAST EDITIONS
↓ LET’S CONNECT ↓
Let’s be clear about who I am (and who I’m not)
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
Remember how I told you about my accidental experiment of skipping my injections last week? And how the joint swelling and inflammation came back with a vengeance?
Well, I am checking in today with an update that honestly blows my mind, even as a nurse.
Yesterday, I finally took my compounded GLP-1/GIP + glycine, along with my NAD+ and GHK-Cu injections. It has only been 24 hours, and that inflammation that was creeping back like no joke is already mostly resolved. I still have a tiny bit of swelling, but it is not nearly as bad as it was yesterday.
And the best part? The food noise is officially GONEZO!
As a nurse, I love knowing the “why” behind how our bodies work. If you have ever typed “does GLP-1 help with joint pain” or “how fast do weight loss meds reduce inflammation” into your search bar late at night, I have some answers for you. I went digging into reputable clinical studies, and the science behind this rapid relief is wild.
Here is what the research actually says about GLP-1 medications and systemic inflammation (and I brought the receipts so you can check them out yourself!):
It works fast:Studies show that a single dose of a GLP-1 medication can start reducing inflammatory cytokines (the specific proteins that cause swelling and pain) within literally hours. This perfectly explains why my joint pain and stiffness got better by the very next day.
It is not just because of the weight loss:Clinical trials have proven that GLP-1 medications consistently lower C-reactive protein. That is the main inflammation marker your doctor checks when you get routine bloodwork. The crazy part is that the research shows a massive chunk of this reduction happens completely independent of weight loss. The medicine itself is actively fighting the inflammation!
Whole body relief: These meds do not just target your stomach to make you full. They actually help block the pathways that cause chronic inflammation all over your body. The science shows they have direct anti-inflammatory effects on your joints, heart, liver, and immune system.
So if you have been wondering if GLP-1 weight loss medications do more than just help you drop pounds, the answer is a massive yes. They are powerful tools that help manage chronic conditions from the inside out.
Have you noticed a major difference in your own inflammation or joint pain since starting your wellness journey? Reply back and let’s chat about it!
XOXO, NIKI, RN
PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”
Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX? ↓ Catch up here ↓
READ PAST EDITIONS
↓ LET’S CONNECT ↓
Let’s be clear about who I am (and who I’m not)
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
I get asked all the time if I’m planning on staying on a GLP-1 forever. For me personally? The answer is a hard yes. But before you panic, that doesn’t mean you’ll have to.
I actually had a little “accidental experiment” last week. I totally forgot to take my shot, and by the time I realized it, the week was halfway over, so I figured I’d just wait. Well, here I am due for my next dose and OH EM GEE. The joint swelling is so real. I can literally feel the inflammation in my body, and it is no joke y’all!
That alone is one reason why I plan to stay on at least a microdose for the long haul.
I’ll also keep it 100 with you: the food noise definitely creeped back in hardcore over the last two days. The good news? I’m still maintaining my 94lb weight loss within an acceptable fluctuation range, but the mental load of that food noise is something I’m happy to leave behind.
Why I’m choosing the “forever” route:
Hormonal Harmony: For the first time in my life (outside of being pregnant), I actually feel balanced.
Heart Health: Given my personal and family history, the cardioprotective features of these medications are a huge priority for me.
Managing PCOS: Even when my labs look “normal,” I know I’ll always have some level of insulin resistance and metabolic disorder. I’d much rather manage that with a GLP-1 than let it get out of hand.
Staying on this medication isn’t a sign that “it didn’t work” because I still need it. To me, it’s about accepting that I have chronic conditions that I am finally able to manage with one single medication instead of several. It’s honestly such a relief.
What this means for YOU
None of this means you’re “stuck” on them. If you and your doctor decide that coming off is the right move for your body, that is amazing! Just know that if you do stop and notice the weight creeping back up or that old food noise getting loud again, you can always use the meds for short periods to reset and restore.
It’s about having the tools in your kit, not about being “perfect.”
Are you worried about the “forever” aspect of weight loss meds, or are you just taking it one shot at a time? Reply and let’s chat!
XOXO, NIKI, RN
PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”
Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX? ↓ Catch up here ↓
READ PAST EDITIONS
↓ LET’S CONNECT ↓
Let’s be clear about who I am (and who I’m not)
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
TL;DR: At 41, I developed new-onset eczema on my eyelid, under my eye, and later on my neck. I was already using eczema-approved skincare. Topical hydrocortisone and Aquaphor weren’t holding it. It would clear and come right back. NAD+ injections are what actually cleared it and kept it cleared. When I missed doses, it came back. When I resumed, it cleared again. Here’s the story, the research, and why this is more common in your 40s than anyone told you.
What New-Onset Eczema on the Face Looks Like at 41
New-onset eczema can show up in your 40s even if you’ve never had it before, and it often appears on the face, including sensitive areas like the eyelids. That’s exactly what happened to me.
I had never had eczema in my life. Not as a kid. Not as a teenager. Not as an adult.
And then last summer, it showed up on my EYELIDS. And under my eyes. Of all the places on my body, it picked my face. A few weeks later, a patch showed up on my neck.
I was furious. I was confused. I was LITERALLY doing everything right.
It would start to clear up… and then come right back. Over and over. For months.
Why Does Eczema Suddenly Show Up in Your 40s?
Turns out this is a real thing. And it’s way more common than anyone talks about.
Perimenopause does a number on your skin in ways most of us are never warned about. As estrogen starts to decline, your skin produces less oil, loses ceramides (the lipids that hold your skin barrier together), and the whole barrier function is compromised. Your skin microbiome shifts. Your immune response shifts. And the inflammation that your body used to handle quietly? Now it’s showing up on your face.
Research published in dermatology literature confirms that the drop in estrogen during perimenopause can trigger new-onset eczema or worsen existing eczema, even in women with no prior history. Skin gets thinner, drier, more reactive, and more easily inflamed.
So… cool. One more thing nobody tells you about your 40s.
Do GLP-1s Reduce Skin Inflammation? Why Mine Didn’t Help My Eczema
This was literally my exact question. I’ve been on a GLP-1 for over two years. GLP-1s are known to reduce inflammation. So why was my face actively revolting?
GLP-1s reduce one type of inflammation, the metabolic kind. The kind driven by insulin resistance, visceral fat, and blood sugar dysfunction. And they do that really well, even at very low doses.
But the inflammation driving perimenopausal skin changes is a different beast entirely. It’s hormonal. It’s local. It’s happening in my skin because my estrogen is dropping, my skin barrier is compromised, and my immune response in my skin is reacting to things it never used to react to.
GLP-1 is putting out the metabolic fire in my body. But the hormonal fire showing up in my skin needed something else.
How NAD+ Injections Cleared My Perimenopausal Eczema
I started NAD+ injections (also available as a nasal spray)last fall. I wasn’t taking them for my skin, honestly. I was taking them for energy, recovery, and general cellular function. The skin improvement was not on my bingo card.
My NAD+ injection, prescribed through EllieMD and compounded by CloveRX. This is the one that changed my skin.
But within a few weeks, I noticed my eczema was staying cleared up. Not in the “it’s better today, let’s see what happens tomorrow” way. In the actually gone way.
I added GHK-Cu later, which also has some skin benefits, but I want to be really clear. The eczema had already cleared before I added GHK-Cu. The NAD+ was doing the heavy lifting.
My skin stack from EllieMD.
What Happened When I Stopped Taking NAD+
If you stop taking NAD+, the anti-inflammatory benefits don’t stick around indefinitely. I found that out the hard way.
I did what nurses do, which is make absolutely terrible patients. I got busy. I skipped a week. Then another one. Then another…
Guess what came back. The damn eczema!!!!
I went straight to my kitchen, pulled my vial out of the fridge, and took my injection. It cleared up again. Then I missed another week (I KNOW, I KNOW). Started seeing the early signs creeping back. Back to the kitchen I went.
Ever feel like your “get up and go” just got up and left? NAD+ is basically a cellular deep clean that helps with energy and metabolic health.
Is There Actual Research Behind NAD+ and Eczema?
Yes, there is peer-reviewed research looking at NAD+ for inflammatory skin conditions, though the body of evidence is still early. I want to be honest with you here, because I am not trying to oversell anything.
Research on NAD+ and inflammatory skin conditions is still in its early stages. But what’s out there looks really promising.
NAD+ is a molecule every cell in your body uses to make energy and repair itself. When you’re young, you have a lot of it. As you age, levels drop. When NAD+ drops, your cells can’t handle stress as well, can’t repair damage as well, and can’t calm inflammation as well.
What the Peer-Reviewed Studies Show
A 2023 study in Cell Reports Medicine found that boosting NAD+ calmed down one of the main inflammation pathways (called Th17) that drives skin conditions like eczema and psoriasis. Basically, more NAD+ told the inflammation to settle down.
A 2022 study in International Immunopharmacology on a direct NAD+ precursor showed it reduced eczema-like symptoms, itching, and water loss through the skin. It also helped the skin barrier rebuild itself by boosting the proteins that hold it together. It calmed the fire AND helped the wall.
A 2023 paper on NAD+ and skin damage showed NAD+ administration decreased skin damage by reducing oxidative stress, inflammation, DNA damage, and cell death.
And a 2025 review in Medicina on a related form of vitamin B3 (nicotinamide, the precursor to NAD+) laid out why this whole family of molecules is already being used by dermatologists for atopic dermatitis, rosacea, and other inflammatory skin issues. It restores cellular energy, repairs DNA damage, and suppresses pro-inflammatory signals.
So no. This is not me seeing things.
It’s me having a body that was inflamed, a skin barrier that was compromised, a hormonal transition nobody warned me was starting, and a cellular molecule (NAD+) that supports the exact repair and anti-inflammation work my skin needed.
It makes sense that it worked. It makes sense that when I stopped, it came back. And it makes sense that when I bumped up my dose, it kept improving.
Who Should Consider NAD+ Supplements for Skin and Inflammation?
NAD+ isn’t for everyone, but there are two groups of women who tend to benefit most from this therapy.
If You’re in Your Late 30s or 40s and Something New Is Happening to Your Skin
If eczema, rosacea flares, random dryness, or sensitivity you never had before is suddenly showing up, this is worth paying attention to. Your skin is telling you your hormones are shifting. That’s just physiology.
If You’re Already Curious About NAD+ for Longevity and Anti-Aging
If you’re already in the longevity conversation and you’re looking at NAD+ for energy, recovery, collagen, mitochondrial health… all the things… the skin benefits are one more reason to pay attention. Even though the research is still catching up, what’s out there supports what a lot of women are already noticing.
The full stack from EllieMD. Metabolic, cellular, skin. All working together.
What to Ask Your Provider About NAD+ Supplements
If you want to actually have an informed conversation with a provider instead of Googling at midnight (we’ve all been there), here are the questions I’d bring to the table.
Could my new skin issues be connected to perimenopause or hormonal changes?
What’s your take on NAD+ for inflammation and skin health?
Is subcutaneous NAD+ something you prescribe or would consider?
What about the Nasal Spray option?
Are there labs you’d want to check first, like hormone panels or inflammation markers?
If your current provider isn’t familiar with NAD+, peptides, or the perimenopause skin conversation, that doesn’t mean you’re out of options. I use EllieMD for my telehealth provider. The physicians are real, the messaging is unlimited, and you can ask every question you need to ask before you start anything. They work with CloveRX for compounding, which is the pharmacy that actually makes the peptides. Same consistent quality every single time. Made specifically for human use. Medical grade, not research grade. Tested for purity and potency. Triple purified for safety. And within the next month, they’ll be the first compounding pharmacy with all their peptide ingredients made in the USA rather than sourced internationally and compounded here. That’s what I wanted when I made the switch with my telehealth provider.
The Bottom Line on NAD+ for Eczema and Perimenopausal Skin
NAD+ is not a miracle cure. The research is preliminary. Anyone who tells you otherwise is selling you something.
But for me? It’s part of the stack now. Permanently.
If something new is showing up on your skin in your 40s and nothing you’re doing is making it stick, it’s worth looking into. Talk to your own provider. Do your own research. Don’t start anything without understanding what it does and what it doesn’t do. I am a nurse, but I am not YOUR nurse, and this is not medical advice. It’s my story, the research I’ve pulled, and an invitation to look into it if it resonates.
This post contains affiliate links and/or brand partnership content. I may earn a commission at no extra cost to you.
LET’S BE CLEAR ABOUT WHO I AM (AND WHO I’M NOT).
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing on this site replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
SCOPE OF PRACTICE.
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment — this is not something that should be DIY’d. These statements have not been evaluated by the FDA. Products discussed on this site are not intended to diagnose, treat, cure, or prevent any disease.
TRANSPARENCY.
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links on this site are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.
RESULTS + TESTIMONIALS.
Any testimonials or results shared on this site reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX? ↓ Catch up here ↓
READ PAST EDITIONS
↓ LET’S CONNECT ↓
Let’s be clear about who I am (and who I’m not)
I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.
Scope of practice
As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.
Transparency
I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.
Results + Testimonials
Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.
nicoleinscrubs.com 