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HomeCollectionsHormonal ReproductiveFemale HormonesRunning on Empty at 45: My Midlife Hormonal Meltdown

Running on Empty at 45: My Midlife Hormonal Meltdown

By Joseph Tito • December 31, 2025
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Energetic man jogging outdoors hormone health
I Thought I Was Just Getting Old, Turns Out I Was Running on EmptyI’m a 45-year-old guy, but a few months ago I felt more like 85. And not a healthy 85, I’m talking brain fog so thick I left my keys in the fridge, bloating that made me unbutton my pants by noon, wild mood swings (I nearly cried at a dog food commercial), and a libido that flatlined. My regular doctor looked at my bloodwork, patted me on the back, and said, “You’re fine for your age.” Fine for my age? Hell no. I felt awful for any age. Something was clearly off, even if standard tests insisted I was A-OK.So I did something a little radical for a dude: I sought out a hormone specialist. Enter Dr. Alisha Smith (DNP, NP, MN, BScN, BHSc), the Clinical Director and owner of Jova Medical in London, Ontario. Dr. Smith isn’t your typical white-coat who rushes you out the door with a generic “midlife crisis” diagnosis. She’s a Nurse Practitioner with a Doctorate in Nursing Practice and nearly two decades of experience helping patients look and feel their best. More importantly, she listened, really listened, to my litany of symptoms...

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