Jackie’s Take: What’s On My Mind in Women’s Wellness ✍️

How much longer is this going to go on?

Just like a kid in the backseat on a road trip…this Q comes up from my patients. A lot.

Because when you’re dealing with Brain fog. Joint pain. A love life that just evaporated into thin air. Cycles that run heavy for months and then disappear for months on end. You’re just ready for it all to be…over.

I get it. Really, I do.

But here’s the thing.

Once it’s all finally over and you feel somewhat normal again…your bones are already in “fast loss” mode, and have been for years.

Your muscle mass has depleted.

Your heart health has perceptibly dipped.

So you can’t wait for it all to be over and then start taking action.

Which is rather unfortunate, because your proclivity for action’s declined, too.

That’s why I’m making it super simple for you with a short list 👇

The LAiDY Edit 🤖

So you might remember that I had a very shocking water quality report several weeks ago. We’re on well water at the house we’re selling, and it apparently had slightly elevated levels of uranium in it!

So I reached out to my sister, who is an environmental health scientist at Johns Hopkins and studies water specifically.

She told me that every public water system in the country has to publish an annual water quality report. Yours is online right now (unless you have well water like me!). It is also written in a format that makes it almost impossible to answer the only question you care about, which is whether you need a filter and which kind.

So I built a prompt that closes that gap. You tell it where you live, and it reads the PFAS numbers against current federal limits. Then it tells you in plain language what your options are.

Save the PDF, attach it to your AI chat, and go.

Two things worth knowing before you do. PFAS limits changed recently, and not every report reflects the new numbers, so the prompt checks that for you. And a water quality report tells you what left the treatment plant, not what comes out of your tap, so if your building is old, testing your own water is the only way to know for sure.

This is exactly how I’ve engineered my signature program, The Longevity Lab. In it, you’ll learn to build your own health copilot, using your own data and labs. Then AI helps you connect the dots and get the most out of your next doctor’s appointment. Join the waitlist here and get a discount when it opens for enrollment next month.

Worth the Click 🔗

Researchers followed 1,120 midlife women for 17 years, tracking both their blood levels of PFAS and the age they hit their final period.

The women with the highest PFAS concentrations reached menopause about two years earlier than the women with the lowest.

Two years sounds small. It is not. Every year of estrogen you lose on the front end is a year off what it was doing for your heart and your bones, on a timeline you did not choose.

Now, this is observational, and there is a real chicken-and-egg problem underneath it: your period is one of the ways your body clears PFAS, so if you stop menstruating earlier, you hold onto more of it. The authors accounted for that as best they could. I read this as a strong signal, not a settled mechanism.

I am flagging it because exposure is one of the few levers here you can actually pull. You cannot change your genetics or the age you got your first period. You can change what comes out of your tap.

The Find 🛍️

So this one’s a rec from my sister, too. She said you should always test your own water, because it’s running through pipes and water heaters and faucets that could be contaminating your supply.

This reasonably priced home kit is the one she recommended to me.

It reads 55 PFAS compounds, including all 40 on the EPA’s reference method, down to 1 part per trillion. The results come back in about two weeks as a plain-language report showing what was found and how much of it.

I was able to get In the Saddle readers 15% off with code INTHESADDLE

Not an affiliate link, just a nudge to get your water tested :)

Saddle Up & Spread the Word 🏇💨

If this named the question you have been carrying, forward it to the friend who keeps saying she’s ready for it to be over already. That’s how In the Saddle grows, one well woman at a time.

To share — Just click and copy this link: https://inthesaddle.beehiiv.com/

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If you’re a brand, expert, or just someone with an excellent story to tell in the wellness, longevity, or sexual health space, I’d love to connect! I am always open to hearing ideas for ITS content and collabs. ✏️ 🏇🔥

With gratitude always,

Jackie Giannelli, FNP-BC, NCMP

Founder, In the Saddle

Medical Disclaimer:
The content provided in this newsletter is for informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Nothing contained herein should be construed as medical guidance or the practice of medicine. You should always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay seeking care because of something you read in this newsletter. Use of the information provided is at your own risk. No clinician-patient relationship is formed through this content.

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