Gray Erlacher MD Gray Erlacher MD

A Better Approach to GSM (Genitourinary Syndrome of Menopause)

GSM (Genitourinary Syndrome of Menopause) — A Better Approach

Many women are told that vaginal estrogen alone is the answer for symptoms like dryness, irritation, recurrent UTIs and painful intimacy. While estradiol certainly helps with tissue hydration, it doesn’t always fully restore function.

In our practice, we use a compounded combination I call the “2–2–20” formula

  • Estradiol (E2) — tissue restoration

  • Testosterone — sensitivity and sexual function

  • DHEA — local hormone support (intracrine effect)

This combination addresses not just dryness, but also tissue quality, elasticity, and sensation. It is much stronger and effective than typical retail pharmacy prescriptions. It not only improves lubrication, but enhances sensitivity and response to intimacy. It relieves the pain many women experience around menopause and problems like urinary tract infections. 

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Gray Erlacher MD Gray Erlacher MD

What’s the big deal about Insulin Resistance?

Insulin resistance is a condition in which the body’s cells—particularly in muscle, liver, and fat tissue—become less responsive to the effects of insulin, a hormone produced by the pancreas that helps regulate blood glucose levels.

Insulin Resistance is caused by a lack of exercise, overconsumption of calories - especially carbohydrates, and to some extent by genetics.

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Gray Erlacher MD Gray Erlacher MD

Key Supplements for the Brain and Nervous System

If I was concerned about any of these:

• Alzheimer’s disease and dementia
• Parkinson’s disease
• Multiple sclerosis (MS)
• Peripheral neuropathy
• Post-stroke cognitive impairment / stroke recovery
• Mild cognitive impairment
• Age-related memory loss
• “Chemo brain” / post-chemotherapy cognitive impairment
• Neuroinflammatory disorders of the central nervous system
• Traumatic brain injury (TBI)–related cognitive dysfunction

I would consider taking these supplements

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Gray Erlacher MD Gray Erlacher MD

What Does 100 Grams of Protein Look Like?

For a healthy 50-year-old woman getting back in shape, a practical protein target is ~90–105 grams per day. That sounds like a lot until you see how easily normal foods add up.

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