How Perimenopause and Menopause Changes Brain Chemistry and Impacts Our Neurotransmitters

How Perimenopause and Menopause Changes Brain Chemistry and Impacts Our Neurotransmitters

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Perimenopause and menopause are defined by large, sometimes chaotic falls in ovarian hormones — primarily estradiol (estrogen) and progesterone. When this happens these hormone changes have measurable downstream effects on our brain chemistry. This can result in mood changes, anxiety, sleep problems, hot flashes, and memory/attention issues. 

Women typically go through perimenopause in their mid 40’s and this can last on average 4 years but can be as long as 8 years. Menopause (when periods have fully stopped typically occurs around 51 but obviously there are huge fluctuations with that). Many people are surprised to learn that the drop in hormones has a huge impact on the brain’s chemical messengers — called neurotransmitters.

Understanding which brain chemicals are impacted — and what you can do about it — can make this transition easier.

Why Hormones Matter for Your Brain

Estrogen and progesterone aren’t just reproductive hormones. They play powerful roles in the brain, where they interact with neurotransmitters that regulate mood, thinking, energy, and sleep.

Estrogen 

  • boosts serotonin (the “feel-good” chemical)
  • boosts dopamine (motivation, focus and reward)
  • boosts acetylcholine (memory and focus).

Progesterone 

  • is converted into a substance called allopregnanolone, which helps the neurotransmitter GABA to calm the mind and promote a sense of relaxation.

When these hormones decline in perimenopause and menopause, the balance of brain chemistry shifts — often in ways that make people feel more anxious, moody, forgetful, and tired.

The Neurotransmitters Most Affected

  1. Serotonin — mood, sleep, and thermoregulation

What changes: Estrogen helps the brain make and use serotonin when estrogen drops, serotonin levels can fall too. Clinically, this is linked to higher rates of depression, mood swings, irritability, sleep problems, and even hot flashes (since serotonin helps regulate body temperature). (1)

Research shows that perimenopausal women have a 40% higher risk of experiencing depression than premenopausal women.

  1. GABA (gamma-aminobutyric acid) — inhibition, anxiety, and sleep

What changes: Progesterone is metabolized in the brain to allopregnanolone, which helps GABA calm the nervous system. With falling progesterone in perimenopause/menopause, levels of allopregnanolone fall so, there’s less of this calming effect. This results in increased anxiety, irritability, hypervigilance, difficulty managing stress and trouble sleeping. (1)

  1. Dopamine — motivation, reward, and attention

What changes: Estrogen supports dopamine synthesis, release, and receptor expression in brain regions responsible for feelings of reward, focus and cognitive functioning. Loss of estrogen can cause dopamine to drop, which may contribute to feelings of apathy, reduced motivation, concentration difficulties, and “brain fog.” Imaging and clinical studies connect estrogen fluctuations/deficiency with modest declines in cognitive domains and with functional changes in dopamine-linked circuits. (1)

  1. Norepinephrine — Arousal and the thermoregulatory “set point”

What changes: When estrogen falls, hypothalamic regulation of autonomic and thermoregulatory circuits becomes more sensitive and this can result in norepinephrine becoming overactive. Norepinephrine helps to keep us alert. This dysregulation is a major component of vasomotor symptoms (hot flashes and night sweats) and night-time awakenings. The serotonin–norepinephrine balance is also important (lower serotonin can also contribute to norepinephrine over-activity). (2) 

  1. Acetylcholine — memory and attention

What changes: Estrogen supports acetylcholine which is a neurotransmitter important for attention and episodic memory, especially in the hippocampus (our memory centre). Decreased estrogen is associated with decreases in verbal memory, memory lapses and difficulty with new learning; this pattern is complex and varies by timing (perimenopause vs years after menopause), age, vascular health, and other factors. (3)

How Big is the Effect Clinically?

Not every person experiences marked changes in mood, cognition, or sleep — genetics, prior psychiatric history, life stressors, nutrition, sleep quality, comorbid medical conditions, and the pattern/timing of hormonal change all influence risk. Large cohort and meta-analytic work show increased risk for depressive and anxiety symptoms during the perimenopause transition and more subjective cognitive complaints during the transition and early post menopause. Still, the effects vary considerably: some people experience large, disabling symptoms; others experience little change. (4) 

Summary

Perimenopause and menopause change brain chemistry because estrogen and progesterone directly modulate serotonin, dopamine, GABA, norepinephrine, and acetylcholine systems. These changes can explain increased rates of mood symptoms, anxiety, sleep disruption, vasomotor symptoms, and cognitive complaints for many people in the menopause transition. 

The best approach depends on symptom type, severity, personal medical history (including cardiovascular risk, clotting risk), and preferences. Discuss options with a clinician experienced in menopause care. It is important to note (and I have heard this my so many woman) that their doctors do not know how to address their menopause symptoms and often refer to “its just a part of getting older” despite symptoms being frustrating, and even disabling. These horomal changes and subsequent symptoms can significantly impact a women’s ability to engage in work activities, parenting, interefer with their relationships, impact their self esteem, body image and overall enjoyment in life. It is important to do your due diligence to find health care professionals that specialise in peri-menopause and menopause to get the right help that you need.

To find out more about what you can do please check out our other helpful articles on nutrition, supplements, herbs and exercise for perimenopause and menopause women as well as a couple of delicious recipes designed with you specifically in mind:

 
 
Check out these delicious recipes specifically formulated for women going through the change:
 
 

Selected scientific references (key reviews & trials cited above)

  1. https://pmc.ncbi.nlm.nih.gov/articles/PMC2943238/
  2. https://journals.lww.com/jomh/fulltext/2019/10010/menopausal_hot_flashes__a_concise_review.3.aspx?utm
  3. https://pmc.ncbi.nlm.nih.gov/articles/PMC8394691/
  4. https://www.theguardian.com/society/2024/may/01/perimenopausal-women-have-40-higher-risk-of-depression-study-suggests

The Complete Guide to Creatine: The Benefits, The Research and Who Should Take It

A variety of protein powder and shakes.

What is Creatine?

Creatine is a naturally occurring compound made from the amino acids arginine, glycine, and methionine. Around 95% is stored in our skeletal muscle and the rest in our brain and other tissues. Its main role is to regenerate adenosine triphosphate (ATP), the body’s energy currency, during high-intensity, short-duration activities (1).

Although red meat and fish contain creatine, supplementation is the most effective way to fully saturate muscle stores.

The Top Health Benefits of Creatine

Increases Strength and Muscle Growth

Creatine is the most researched sports supplement in history. A meta-analysis of over 500 studies found creatine supplementation increased strength and lean mass significantly more than placebo (1). Another systematic review showed resistance-trained individuals gained 8% more strength and 14% more endurance with creatine (2).

Speeds Up Recovery

Creatine reduces muscle damage and inflammation post-exercise, improving recovery. One study showed that creatine supplementation lowered markers of muscle damage (creatine kinase) and improved recovery after intense resistance training (3).

Supports Brain Function

Creatine supports brain energy metabolism and cognitive performance. One study showed that creatine improved working memory and intelligence in healthy young adults and another study found supplementation improved cognitive performance in sleep-deprived individuals. (4,5) Higher doses are needed to reap the cognitive benefits (up to 20 grams a day) especially if you are working out as well.

Slows Age-Related Muscle and Bone Loss

Creatine supplementation plus resistance training improved muscle mass, strength, and bone health in older adults (6). This makes it an important supplement for women going through perimenopause or are in menopause or even for men that are aging and losing testosterone (which is a crucial hormone for muscle mass).

May Help Blood Sugar Regulation

Creatine can help with blood sugar regulation for individuals that are insulin resistant or have type 2 diabetes. Research found creatine supplementation improved glucose tolerance and glycogen storage in type 2 diabetes patients when combined with exercise. (7) This means that individuals struggling with metabolic syndrome, and women in perimenopause/menopause would benefit from this as insulin resistance increases as we age.

May Help with Brain Injury

There is early research showing the benefits of creatine for brain injury.

One study involving severe pediatric TBI reported that creatine (≈0.4 g/kg/day for ~6 months) improved recover outcomes. This included shorter post-traumatic amnesia and ICU stay, as well as fewer headaches, dizziness, and fatigue. No safety issues were reported. These are small, non-blinded trials, but they’re the strongest human signals so far. (8)

Reviews conclude creatine may be neuroprotective by bolstering cellular energy, buffering against secondary injury cascades (oxidative stress, calcium dysregulation), and increasing brain phosphocreatine stores—especially helpful during metabolic stress after TBI. Animal models show substantial reductions in tissue damage with pre/post-injury creatine, and narrative/systematic reviews consider it a promising adjunct. (9)

If you’re considering it after a concussion or TBI, talk with your healthcare provider, however recommended dose for TBI is creatine monohydrate 3–5 g/day.

Potential Medical Applications

There is growing research that has shwon that creatine may help with neurological disorders, mood disorders and cardiac function. Creatine shows promise in Parkinson’s and Huntington’s disease, though more trials are needed (10). Research has also found creatine may enhance antidepressant effects in women with major depression and some studies suggest creatine improves cardiac function in heart failure patients. (11,12)

Are There Side Effects of Creatine?

Creatine has one of the best safety profiles among supplements and long-term studies show no harmful effects on kidney or liver function in healthy individuals (13). Common issues may include mild water retention or weight gain and digestive upset if large doses are taken at once. It is not recommended for those with pre-existing kidney disease unless under medical guidance.

Who Should Take Creatine?

  • Athletes & Bodybuilders (performance, muscle, recovery).
  • Older Adults (muscle preservation, bone health).
  • Vegetarians & Vegans (lower baseline creatine levels).
  • Individuals with Health Conditions (diabetes, depression, neurological disorders).
  • Perimenopause and menopause woman

Why is Creatine so Important for Perimenopausal and Menopausal Women?

There are a number of reasons why creatine should be a integral part of a middle aged woman’s health plan. This includes:

  • Muscle & Strength: Estrogen decline accelerates muscle loss; creatine plus resistance training preserves lean mass (14,15).
  • Bone Health: Improves bone density indirectly by strengthening muscle and mechanical loading.
  • Energy & Fatigue: Supports ATP production, countering midlife fatigue.
  • Brain & Mood: May improve cognition and mood stability.
  • Metabolism: Helps maintain muscle-to-fat ratio.

How to Take Creatine

Creatine works by saturating your muscles over time, not by giving an immediate boost like caffeine. It is best to take Creatine monohydrate 3–5 g daily your muscles will build up creatine stores within a few weeks (loading optional).

You can take it any time of day although some research suggests creatine may be a little more effective if taken after exercise, especially with a carb + protein meal. One study compared pre- vs. post-workout creatine. They found slightly greater gains in strength and lean mass in the post-workout group. (16) The idea is that after training, your muscles are more insulin-sensitive and nutrient uptake (including creatine) may be higher allowing better transport of creatine into the muscle cells. For people not training daily, pairing it with a regular meal is a simple, effective strategy.

Since many midlife women are taking creatine for muscle and bone health rather than max performance, the best approach is daily, with a meal you won’t forget (e.g., breakfast or post-dinner). Remeber consistency is more important than timing.

Best Creatine Brands in 2025

  1. Creatine Monohydrate Powder (Designs for Health)
  2. Creatine Monohydrate Powder (Designs for Sport)
  3. Creatine Pure Micronized Creatine Monohydrate (Organika)
  4. Creatine (Thorne)

To get your creatine now please click the link https://ca.fullscript.com/plans/koru-creatine-options-for-you and place your order today!

Key Takeaways

Creatine is one of the safest, most researched supplements and can be easily integreated into your day to day routine. It’s benefits vary but include muscle growth, recovery, brain health, depression, combta fatigue, support a healthy metabolism, and provide support with aging. Because of these benefits it is especially valuable for women in perimenopause and menopause, aging popultaion, and athletes/people training. It is recommedned that you take creatine monohydrate, 3–5 g daily to optimise results but this might need to be higher if you are looking fpr more brain boosting effects.

References

  1. Kreider, R. B., et al. (2017). International Society of Sports Nutrition position stand: Safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr, 14(1), 18.
  2. Branch, J. D. (2003). Effect of creatine supplementation on body composition and performance: a meta-analysis. Int J Sport Nutr Exerc Metab, 13(2), 198–226.
  1. Cooke, M. B., et al. (2009). Creatine supplementation reduces oxidative DNA damage and lipid peroxidation induced by strenuous resistance exercise. J Strength Cond Res, 23(3), 818–824.
  1. Rae, C., et al. (2003). Oral creatine monohydrate supplementation improves brain performance: a double-blind, placebo-controlled, cross-over trial. Proc R Soc Lond B, 270(1529), 2147–2150.
  2. McMorris, T., et al. (2007). Creatine supplementation and cognitive performance in elderly individuals. Neuropsychology, 21(5), 549–557.
  3. Chilibeck, P. D., et al. (2017). The effect of creatine supplementation on aging muscle: A systematic review and meta-analysis. Open Access J Sports Med, 8, 213–226.
  4. Gualano, B., et al. (2011). Creatine supplementation and glycemic control in type 2 diabetic patients. Med Sci Sports Exerc, 43(5), 770–778.
  5. https://pubmed.ncbi.nlm.nih.gov/16917445/
  6. https://pmc.ncbi.nlm.nih.gov/articles/PMC11314487/?utm
  7. Bender, A., et al. (2008). Creatine supplementation in Parkinson disease: A randomized, double-blind, placebo-controlled trial. Neurology, 71(7), 418–425.
  8. Roitman, S., et al. (2007). Creatine monohydrate in resistant depression: A preliminary study. J Clin Psychiatry, 68(6), 880–884.
  9. Andrews, R., et al. (1998). Creatine supplementation improves skeletal muscle metabolism in congestive heart failure. Circulation, 98(22), 2108–2113.
  1. Poortmans, J. R., & Francaux, M. (1999). Long-term oral creatine supplementation does not impair renal function in healthy athletes. Med Sci Sports Exerc, 31(8), 1108–1110.
    1. Forbes et al. (2022) found creatine supplementation improved muscle strength and functional performance in postmenopausal women.
    2. Candow et al. (2014) concluded creatine combined with resistance training combats sarcopenia in older women.
    3. Antonio, J., & Ciccone, V. (2013). The effects of pre versus post workout supplementation of creatine monohydrate on body composition and strength. J Int Soc Sports Nutr, 10(1), 36.
101 Guide to The Low Salicylate Diet and ADHD

101 Guide to The Low Salicylate Diet and ADHD

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Attention-Deficit/Hyperactivity Disorder (ADHD) is a complex neurodevelopmental condition that affects millions of children and adults worldwide. While medications and behavioral therapies remain the standard treatments, many families seek alternative or complementary approaches to help manage symptoms. One such approach gaining attention is the Low Salicylate Diet. But what exactly is it, and can it really help with ADHD?

What Is the Low Salicylate Diet?

The low salicylate diet is a food plan that reduces or eliminates salicylates. Salicylates are naturally occurring chemicals found in many fruits, vegetables, and other plant-based foods. Salicylates are also present in artificial additives and preservatives. They are chemically similar to aspirin (acetylsalicylic acid), and some people such as certain children with ADHD can be sensitive to them.

This diet became popular through the Feingold Diet, which was developed by Dr. Benjamin Feingold in the 1970s. His theory was that removing salicylates, artificial colors, flavors, and certain preservatives could reduce hyperactivity in children with ADHD.

Foods to Avoid on a Low Salicylate Diet

Salicylates are found in high amounts in many healthy foods, which makes this diet challenging to follow. Some of the common high-salicylate foods to avoid include:

  • Apples
  • Berries (especially strawberries, raspberries)
  • Grapes
  • Oranges and citrus fruits
  • Tomatoes
  • Cucumbers
  • Peppers
  • Almonds
  • Herbs and spices (like curry, turmeric, cinnamon, peppermint)
  • Honey
  • Vinegar
  • Fruit juices and sauces (especially from high-salicylate fruits)
  • Certain teas (peppermint, green tea)

Also, many artificial additives and flavor enhancers contain salicylates and should be eliminated.

Foods to Include on a Low Salicylate Diet

Though restrictive, there are still many safe foods that are low in salicylates. These include:

  • Pears (fresh and peeled)
  • Bananas (just ripe)
  • Cabbage
  • Broccoli
  • Cauliflower
  • White potatoes
  • Rice
  • Lentils
  • Turkey and most unprocessed meats
  • Dairy products (without additives)
  • Olive oil and sunflower oil

The key is to stick to whole, unprocessed foods and check labels carefully.

How Long Should You Follow the Diet?

The low salicylate diet is typically done in two phases:

  1. Elimination Phase (3-6 weeks): All high-salicylate foods and additives are removed from the diet. This phase is crucial to assess whether salicylates are contributing to ADHD symptoms.
  2. Reintroduction Phase: Foods are slowly added back one at a time, while symptoms are monitored. This helps identify specific triggers.

For best results, this diet should be followed under the guidance of a dietitian or nutritionist familiar with ADHD and food sensitivities.

Scientific Research: Does It Really Help ADHD?

The link between salicylates and ADHD isn’t fully understood, but there is some promising research.

  • A 2004 review in Pediatrics noted that removing synthetic food additives and salicylates can lead to improvements in behavior in some children with ADHD, particularly those with sensitivities (Schab & Trinh, 2004).
  • A randomized controlled trial published in The Lancet (Pelsser et al., 2011) found that a restricted elimination diet, similar to the low salicylate diet, resulted in a 64% reduction in ADHD symptoms in children who responded to the diet.
  • The Feingold Association has collected anecdotal and survey-based evidence for decades, reporting improvements in attention, hyperactivity, and impulsiveness in many children who follow the program.

While not all children with ADHD benefit from the low salicylate diet, a subset with food sensitivities seems to respond well. The diet may be especially helpful for children with eczema, asthma, or other allergic-type symptoms in addition to ADHD.

Potential Benefits of the Low Salicylate Diet

  1. Reduction in Hyperactivity and Impulsivity Many parents report a significant improvement in behavior, attention span, and sleep after removing salicylates.
  2. Improved Gut Health Since the diet removes artificial additives and processed foods, gut health may improve, which can influence brain function via the gut-brain axis.
  3. Less Need for Medication Some children may experience enough symptom relief that they can reduce or avoid ADHD medications (always under medical supervision).
  4. Better Overall Nutrition Awareness Following this diet promotes reading food labels, eating whole foods, and avoiding synthetic ingredients — healthy habits for the whole family.

Drawbacks and Considerations

  1. Restrictive and Challenging to Follow The diet eliminates many healthy fruits and vegetables. This may lead to nutritional deficiencies if not carefully managed.
  2. Time-Consuming Planning, preparing, and monitoring foods can be overwhelming, especially for busy families.
  3. Limited Scientific Consensus While some studies support it, the low salicylate diet is still considered controversial by many healthcare professionals.
  4. Not a Cure-All The diet is not a replacement for therapy or medication. It works best as part of a multi-faceted treatment plan.

Tips for Getting Started

  • Keep a food and symptom diary to track progress and potential triggers.
  • Consult with a nutrition practitioner specialised in this area to avoid deficiencies and ensure a balanced diet.
  • Start slowly and don’t try to change everything at once.
  • Involve your child in meal planning to increase compliance.
  • Look for low-salicylate recipes and support groups online or through the Feingold Association.

Final Thoughts

The low salicylate diet may offer relief for some children with ADHD, especially those with food sensitivities or co-occurring allergic conditions. While it’s not a guaranteed solution, it can be a valuable tool in your ADHD management tool kit and may be a worth while diet to implement to see if your child expereinces the improvements that you are looking for to help optimise their performance in school and day to day life.

If you’re considering this diet, do it with professional guidance and a clear plan for tracking changes. For families who see results, the benefits — calmer behavior, improved focus, and better sleep can be life-changing.

References

  1. Schab, D. W., & Trinh, N. H. (2004). Do artificial food colors promote hyperactivity in children with hyperactive syndromes? A meta-analysis of double-blind placebo-controlled trials. Pediatrics, 114(6), e755-e766.
  2. Pelsser, L. M., et al. (2011). Effects of a restricted elimination diet on the behavior of children with attention-deficit hyperactivity disorder (INCA study): a randomized controlled trial. The Lancet, 377(9764), 494-503.
  3. Feingold Association of the United States. https://feingold.org
Podcast Appearance: Pause To Elevate with Dr. Kasim Al-Mashat

Podcast Appearance: Pause To Elevate with Dr. Kasim Al-Mashat

Koru Nutrition Founder and Director Kylie James recently appeared on Dr. Kasim Al-Mashat’s podcast, Pause To Elevate.

Depression is the leading cause of disability worldwide—and antidepressants only work 50% of the time. But what if the solution isn’t just in a pill? Certified Nutritionist and Occupational Therapist Kylie James shares how food can heal where meds fall short. Discover the surprising role of gut health, inflammation, and protein in restoring joy, motivation, and mental clarity.

The Best Alcohol and Alcoholic Drinks for Weight Loss: A Smart Drinker’s Guide

The Best Alcohol and Alcoholic Drinks for Weight Loss: A Smart Drinker’s Guide

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Trying to lose weight but still want to enjoy a drink now and then? You’re not alone. Alcohol is a staple in many social settings—but it’s also infamous for sabotaging fitness goals.

The truth is: you don’t have to completely give up alcohol to lose weight. But you do need to be smart about what (and how) you drink.

This guide breaks down:

  • How alcohol impacts weight loss
  • The best alcohol choices for fat loss
  • Low-calorie cocktails you can enjoy guilt-free
  • Practical tips for drinking smarter

Let’s dive in!

How Alcohol Impacts Weight Loss

  1. Empty Calories

Alcohol provides 7 calories per gram, almost as much as fat—but with zero nutrients. That’s why it’s called “empty calories.”

  1. Slowed Fat Burning

When you drink, your body pauses fat-burning to metabolize alcohol first (Siler et al., 1999). Translation? Fewer calories burned from food or stored fat.

  1. Increased Appetite

Alcohol increases hunger and cravings—especially for high-calorie, salty, or sugary foods (Caton et al., 2004). It also lowers inhibition, which leads to poorer food choices.

  1. Sleep Disruption

Even moderate drinking can impair REM sleep and overall sleep quality (Roehrs & Roth, 2001). Poor sleep impacts metabolism, hormone balance, and appetite the next day.

Best Alcohol for Weight Loss (Ranked)

When you’re trying to shed pounds, some drinks are better than others. Here are your best options.

1. Straight Spirits (No Mixers)

  • Examples: Vodka, gin, tequila, whiskey
  • Calories: ~95–105 per 1.5 oz
  • Best mixers: Soda water, lime, zero-calorie mixers

Tip: Clear liquors like vodka and gin have fewer congeners than dark liquors like bourbon—fewer toxins, fewer hangovers.

2. Dry Wine (Red or White)

  • Calories: ~110–125 per 5 oz
  • Low in sugar when labeled “dry”
  • Best picks: Pinot Noir, Sauvignon Blanc, Cabernet, Brut Champagne

Avoid: Dessert wines (Port, Moscato) and anything labeled “sweet” or “semi-sweet.”

3. Light or Low-Carb Beer

  • Calories: ~90–110 per 12 oz
  • Carbs: As low as 2–5g
  • Best brands: Michelob Ultra, Corona Premier, Bud Light Next

Avoid: IPAs and craft brews—they’re calorie bombs in disguise.

4. Hard Seltzers

  • Calories: ~90–100 per can
  • Sugar: 0–2g
  • Alcohol: Usually 4–5%

Top choices: White Claw, Truly, High Noon (vodka-based), Topo Chico

Drinks to Avoid If You Want to Lose Weight

Drink Type Calories Why to Avoid
Margaritas 300–600+ Loaded with sugar, syrups, and liqueurs
Pina Coladas 450–800 Contains coconut cream + sugar
Daiquiris 350–700 Uses fruit concentrates + added sugar
Craft Cocktails 200–600 Unknown ingredients + sweet mixers
Regular Beer 150–250 High carb + high calorie
Sweet Wines 150–250 High sugar content (dessert wines)

Low-Calorie Cocktail Recipes

Skip the sugary cocktails and try these waistline-friendly alternatives:

  1. Vodka Soda with Lime
  • 1.5 oz vodka
  • Soda water
  • Fresh lime wedge
    ~95 calories
  1. Skinny Mojito
  • 1.5 oz white rum
  • Mint, lime juice, soda water
  • Optional: a drop of stevia
    ~100 calories
  1. Spiked Sparkling Water
  • Plain hard seltzer
  • Muddled berries or cucumber
    ~100–110 calories
  1. Low-Calorie Paloma
  • 1.5 oz tequila
  • 1 oz fresh grapefruit juice
  • Lime + soda water
    ~120 calories
  1. Red Wine Spritzer
  • 3 oz dry red wine
  • 3 oz sparkling water
  • Ice + orange twist
    ~80 calories

Smart Drinking Tips for Weight Loss

Set a Limit

Stick to 1 drink/day for women, 2 for men (CDC guidelines). More than that disrupts weight regulation.

Stay Hydrated

Alternate each drink with a glass of water to prevent dehydration and false hunger cues.

Eat Before Drinking

A protein- and fiber-rich meal reduces blood sugar spikes and slows alcohol absorption.

Log Your Drinks

Don’t forget to track alcohol in your calorie or macro tracker—it counts!

Choose Simple Mixers

Use soda water, fresh herbs, citrus, or stevia instead of juice, soda, or sugary syrups.

Can You Lose Weight While Drinking?

Yes—if you moderate your intake and choose wisely.

A meta-analysis from Obesity Reviews (Traversy & Chaput, 2015) found that light to moderate alcohol intake (1 drink/day or less) was not associated with long-term weight gain, but high consumption was.

So yes, you can enjoy a glass of wine or a clean cocktail and still lose weight—as long as it fits into your overall calorie balance and lifestyle.

Final Thoughts

You don’t have to say goodbye to your favorite drink to reach your weight loss goals. By sticking to low-calorie, low-sugar options and keeping intake moderate, you can enjoy social occasions without derailing your progress.

So next time you raise a glass, make it a smart one.

References

  1. Siler, S. Q., Neese, R. A., & Hellerstein, M. K. (1999). De novo lipogenesis, lipid kinetics, and whole-body lipid balances in humans after acute alcohol consumption. The American Journal of Clinical Nutrition, 70(5), 928–936.
  2. Caton, S. J., Ball, M., & Ahern, A. (2004). The acute effect of alcohol on food intake in normal-weight and overweight women. Physiology & Behavior, 81(1), 51–58.
  3. Roehrs, T., & Roth, T. (2001). Sleep, sleepiness, and alcohol use. Alcohol Research & Health, 25(2), 101–109.
  4. Traversy, G., & Chaput, J. P. (2015). Alcohol consumption and obesity: An update. Current Obesity Reports, 4(1), 122–130.
The Growing Health Crisis of Loneliness: What You Need To Know

The Growing Health Crisis of Loneliness: What You Need To Know

A variety of protein powder and shakes.

In today’s fast-paced digital world, more people than ever are feeling alone. Despite being constantly connected through phones and social media, loneliness is on the rise—and it’s not just an emotional issue. Studies now show that chronic loneliness is a serious public health concern, with impacts as damaging as smoking or obesity.

In 2023, the U.S. Surgeon General issued an advisory calling loneliness and social isolation a public health crisis. Countries like the U.K. and Japan have even appointed Ministers of Loneliness to address the issue at a national level.

That tells us something: loneliness isn’t just a personal problem—it’s a societal one.

So, why are we becoming lonelier? Who is affected the most? And what does this mean for our health and future? Let’s dive into what the science says—and what we can do about it.

What Is Loneliness?

Loneliness is the feeling of being alone or disconnected, even if you’re surrounded by people. It’s different from social isolation, which refers to actually having few social contacts. You can feel lonely in a crowd—or feel content while living alone.

Psychologist John Cacioppo, a pioneer in loneliness research, described it as “the social equivalent of physical pain.” It’s your brain signaling a need for connection, much like hunger signals a need for food.

One landmark study showed that lack of social connection is a greater detriment to health than obesity, smoking and high blood pressure. (2) On the other hand, strong social connection has been shown to:

  • lead to a 50% increased chance of longevity
  • strengthen your immune system (certain genes impacted by loneliness also code for immune function and inflammation)
  • helps you recover from disease faster

Loneliness is on the rise. Despite its clear importance for health and survival, research shows that social connectedness is waning at an alarming rate. A revealing sociological study showed that the number of people that feel close to others and the number of people they are close to (i.e., people with whom one feels comfortable sharing a personal problem) has significantly reduced.

American individuals claimed in 1985 to have 3 people that they felt close to. In 2004, it dropped to 0, with over 25% of Americans saying that they have no one to confide in. This survey suggests that 1 in 4 people have no one they call a close friend. (3) Another study found that 61% of those surveyed experienced loneliness. Since 2018, there has been a nearly 13% rise in loneliness, when the survey was first conducted.

Why Are We Becoming More Lonely?

There are several reasons why loneliness is increasing around the world:

  1. Technology and Social Media

While social platforms connect us virtually, they often reduce real-world interactions. A 2017 study from the University of Pittsburgh found that heavy social media users were more than twice as likely to feel socially isolated compared to those with limited use.

  1. Urbanization and Individualism

Many people live in cities where community ties are weaker. There’s also been a cultural shift toward independence and individual success, sometimes at the expense of relationships.

  1. Remote Work and Lifestyle Changes

The COVID-19 pandemic forced a massive shift to remote work and online communication. For many, those changes never fully reversed, leading to fewer in-person connections.

  1. Changing Family Structures

People are getting married later, having fewer children, and living alone more often. In countries like the U.S., nearly one in three people over 65 live alone, according to the U.S. Census Bureau.

Who Is Affected Most by Loneliness?

While anyone can feel lonely, some groups are especially vulnerable:

  1. Older Adults

Social circles shrink with age due to retirement, death of spouses or friends, and health limitations. A 2020 report from the National Academies of Sciences, Engineering, and Medicine found that over one-third of adults aged 45+ report feeling lonely.

  1. Young Adults

Surprisingly, Gen Z and Millennials report high levels of loneliness too. A 2021 Cigna survey found that people aged 18–24 were the loneliest age group in the U.S. Factors include social media pressures, transitions like moving for college or work, and economic uncertainty.

  1. People with Chronic Illness or Disabilities

Chronic health issues can limit social opportunities. The CDC notes that people with disabilities are more than twice as likely to report feeling isolated.

  1. Caregivers and Single Parents

Those caring for others may neglect their own social needs. Single parents, especially mothers, often report feeling emotionally isolated.

  1. Minority and Marginalized Groups

People from racial, ethnic, or LGBTQ+ minorities may face exclusion or discrimination, increasing their risk for social isolation and loneliness.

The Health Effects of Loneliness

Loneliness isn’t just uncomfortable—it’s dangerous and here is why..

  1. Mental Health

Loneliness is strongly linked with depression, anxiety, and even suicidal thoughts. According to the CDC, feelings of loneliness are a major risk factor for poor mental well-being.

  1. Cognitive Decline and Dementia

A study published in The Journals of Gerontology (2018) found that chronic loneliness increases the risk of dementia by up to 40%. Social engagement helps keep the brain active.

  1. Heart Disease and Stroke

According to the American Heart Association (2023), social isolation and loneliness are associated with a 30% increased risk of heart disease and stroke.

  1. Weakened Immune System

Lonely individuals have higher levels of stress hormones like cortisol, which can weaken the immune system. A UCLA study found that loneliness alters gene expression in immune cells, making the body more prone to inflammation.

  1. Early Death

One of the most cited studies on this topic, published in Perspectives on Psychological Science (2015), found that loneliness increases the risk of premature death by 26%. That’s about the same risk as smoking 15 cigarettes a day.

What Can We Do About Loneliness?

The good news: loneliness is preventable—and reversible.

  1. Build Real-Life Connections
  • Make time for face-to-face interactions, even brief ones.
  • Join clubs, volunteer groups, or attend community events.
  • Reconnect with old friends or relatives.
  1. Strengthen Existing Relationships
  • Prioritize meaningful conversations.
  • Practice active listening.
  • Schedule regular check-ins with close friends or family.
  1. Use Technology Wisely
  • Don’t replace real interactions with digital ones.
  • Use social media to facilitate in-person meetups, not as a substitute.
  1. Seek Professional Help
  • Therapists and counselors can help manage feelings of loneliness and build social skills.
  • Cognitive-behavioral therapy (CBT) has been shown to reduce loneliness effectively.
  1. Community and Policy Solutions
  • Public health agencies can create programs to encourage social connection.
  • Cities can design public spaces that promote interaction.
  • Schools and workplaces can offer mental health support and team-building activities.

Ways to Connect with People

  1. Find common ground.

Just be on the lookout for things that the person says during the course of a casual conversation to see if it can lead to some common ground, such as a favorite sports team, band, or even the fact that you and the person both have five siblings. The key here is to really listen to people and to see if you can spot something that can help you bond.

  1. Give people sincere compliments.

This means that you should find something about them that is truly admirable and make them feel good about themselves in a sincere way, Just giving one good compliment per conversation will do just fine.

  1. Follow up about something the person mentioned before.

This is a great trick for connecting with people you already know and care about. If the last time you hung out with your friend, she was talking about a big job interview coming up or about a new guy she was really excited about, then you better make sure to follow up about it when you see her next.

  1. Make other people comfortable.

Just take down your guard, be friendly, compliment them, and make them feel at ease in your presence. Don’t be judgmental about what they say, give them confused looks, or generally act like there’s something wrong with the person.

  1. Open up.

Some people aren’t able to connect with others because they are too guarded or too afraid to really be vulnerable with other people. You don’t want people to think that you’re too closed off or too private; though you don’t have to let them know every little thing about yourself, as you get to know people, you should work on revealing some personal information so they feel that you’re more human and that they can really connect with you.

6. Thank people.

This makes them feel appreciated, like you’re paying attention, and like you’re aware that they’re adding value to your life. Make sure people feel appreciated and be honest and open about how much they mean to you. Even if you’re just thanking a coworker for giving you a helpful piece of advice or thanking your neighbor for looking after your cat.

  1. Make an effort to continue your relationships.

Many people aren’t able to truly connect with people because they don’t follow up and continue their relationships with them, even if they do truly like the person. This is either because of laziness, shyness, or because people feel like they’re too busy.

  1. Be present.

If you really want to connect with people, then you have to work on being present in the conversation. If you’re already thinking about what you’re going to have for dinner or whom you’re going to talk to next, then the person you’re talking to will know. Work on making eye contact, really listening to what the person is saying, avoiding your phone or people walking by, and making the person see that you’re only focused on being in the moment.

9. Smile and make eye contact.

If you want to connect with someone immediately, then smiling and making eye contact, which go hand in hand, are absolutely key as you introduce yourself and start the conversation. Research has proven than smiling is actually contagious, and your smile will make the person more likely to smile and to be open to you. Sustained eye contact can make the person feel like you really care about what he or she has to say and can make him or her much more likely to like you.

10. Use the person’s name.

Using a person’s name can make that person feel important—or at least important enough for you to remember his or her name. Just saying something like, “It was great to meet you, Amy,” at the end of the conversation can really make the person feel much more connected to you.

  1. Have open body language.

Your body language can help you look more approachable and more open, which will instantly make people like you more. If you want a new person to connect with you immediately, then you should turn your body toward that person, stand tall, avoid fidgeting or crossing your arms over your face, and direct your energy toward that person without coming on too strong.

  1. Don’t underestimate the value of good small talk.

You may think that small talk is meaningless and only meant for people who want to make superficial connections, but making good small talk will actually allow you to make real connections and build toward deeper relationships with people. When you start connecting with people you first ease into talking about lighthearted subjects and getting to know people little by little.

  1. Ask questions.

Another way to get a person to like you right away is to focus on being interested instead of interesting. Don’t ask taboo or personal questions – this may offend the person. Though you can try to impress the person by being utterly fascinating or entertaining, it’s much easier to show a genuine interest in the person and to show that you actually care about who the person is and what he has to offer to the world. You don’t need to make it seem like an interrogation, just a few simple well-timed questions can make the person much more likely to connect with you.

14. Keep things positive.

People like to feel happy and upbeat more than they like to feel sad or upset; it’s only logical that people are much more likely to connect with you and to want to spend more time around you if you keep things positive and work on talking about the things that excite you and make you happy. Though everyone likes to complain, you should focus on being positive and only complaining a bit when you know the person, and if you really need to.

  1. Find a way to help the person out.

You may have to think outside the box a bit and to find something you can do that doesn’t directly have to do with your career, you can offer to babysit their child or animal if they need a break or go on vacation.

From this list think of the strategies that you already apply in your day to day interactions, and also strategies that you haven’t used and give it a try.

Final Thoughts

Loneliness may be invisible, but its effects are real and wide-reaching. From mental health to heart disease, it’s clear that human connection is as essential as food or water.

Whether you’re feeling lonely yourself or know someone who might be, small steps can make a big difference. Prioritize relationships, reach out to others, and don’t be afraid to seek support.

Because when we connect with others, we don’t just feel better—we live longer, too.

References

  • Holt-Lunstad J, et al. (2015). Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspectives on Psychological Science.
  • Cigna (2021). U.S. Loneliness Index.
  • CDC (2023). Loneliness and Social Isolation Linked to Serious Health Conditions.
  • American Heart Association (2023). Scientific statement on social isolation and cardiovascular health.
  • University of Pittsburgh (2017). Social media use and perceived social isolation.
  • National Academies of Sciences (2020). Social Isolation and Loneliness in Older Adults.
  • UCLA (2015). Loneliness and gene expression.
  • The Journals of Gerontology (2018). Loneliness and risk of Alzheimer’s Disease.