George K. Ibrahim, MD, MBA

Finally. When I heard the FDA removed those misleading warnings on hormone therapy, that was my first thought. Anyone who knows the science knows those warnings had nothing to do with bio-identical human hormones. The disservice to women was criminal. I’ve spent over a decade specializing in hormone optimization. I’ve watched women suffer needlessly because government warnings scared them away Read more...

My former spouse’s transformation changed everything I thought I knew about treating menopausal sexual health. My mentor started her on testosterone, estrogen, and progesterone. Then added the O-Shot with PRP. It was like the honeymoon all over again. That moment reshaped my entire practice. Because I realized most physicians are treating symptoms in isolation while missing the fundamental biology driving Read more...

Medical science made a filing error. It happened in 2002, when the Women’s Health Initiative published findings that hormone therapy increased the risk of heart attacks, strokes, and breast cancer. Doctors stopped prescribing hormones. Women started suffering. The problem? They studied the wrong molecules. The WHI tested conjugated equine estrogens extracted from pregnant horse urine and synthetic progestins. Not the Read more...

Women don’t suffer heart attacks before menopause. Then menopause happens, and suddenly their cardiac risk equals that of a man their age. This is huge. I see women in my practice who are terrified of breast cancer. They know the statistics, they do their mammograms, they’re vigilant. But when I tell them their risk of death from cardiac disease is Read more...

Article Insights & Reflections Synopsis: This article compares estrogen patches to oral pills, focusing on their impact on sleep quality during menopause. It explains why patches may offer superior benefits for insomnia and provides practical advice for their use. (Note: Detailed content was unavailable due to site access issues; synopsis based on title and context.) Top 5 Questions Answered: Why Read more...

Article Insights & Reflections Synopsis: This article details how B vitamins support hormone metabolism and enhance the effectiveness of hormone therapy during menopause. It explains their role in energy production, mood stability, and overall wellness, with practical tips for incorporation. (Note: Detailed content was unavailable due to site access issues; synopsis based on title and context.) Top 5 Questions Answered: Read more...

Article Insights & Reflections Synopsis: This piece explains why mood changes and brain fog can intensify around midlife and how hormones, sleep, and stress interact. It offers practical steps and clinical options to restore clarity, lift mood, and protect long-term brain health. Top 5 Questions Answered: What drives brain fog during midlife? How do sleep and stress interact with hormones Read more...

Article Insights & Reflections Synopsis: This overview brings clarity to a key menopause topic and translates research into practical next steps. It equips readers with options to discuss with a qualified clinician and tools to start improving today. Top 5 Questions Answered: What core problem is this article solving? Which evidence-backed options can help? How do I know which option Read more...

Article Insights & Reflections Synopsis: This overview brings clarity to a key menopause topic and translates research into practical next steps. It equips readers with options to discuss with a qualified clinician and tools to start improving today. Top 5 Questions Answered: Which symptoms are truly driven by menopause? What options exist beyond over-the-counter fixes? When should I consider medical Read more...

Article Insights & Reflections Synopsis: This feature highlights modern, patient-centered innovations in menopause care. It explains how integrated protocols outperform one-size-fits-all approaches. Top 5 Questions Answered: Which new models of care outperform the old playbook? How do integrated protocols reduce trial-and-error? What outcomes matter most to track? How do I identify a forward-thinking provider? What questions should I bring to Read more...

The Hidden Link Between Incontinence and Low Libido Article Insights & Reflections Synopsis: This overview brings clarity to a key menopause topic and translates research into practical next steps. It equips readers with options to discuss with a qualified clinician and tools to start improving today. Top 5 Questions Answered: Which symptoms are truly driven by menopause? What options exist Read more...

Article Insights & Reflections Synopsis: This overview brings clarity to a key menopause topic and translates research into practical next steps. It equips readers with options to discuss with a qualified clinician and tools to start improving today. Top 5 Questions Answered: What core problem is this article solving? Which evidence-backed options can help? How do I know which option Read more...

Article Insights & Reflections Synopsis: This overview brings clarity to a key menopause topic and translates research into practical next steps. It equips readers with options to discuss with a qualified clinician and tools to start improving today. Top 5 Questions Answered: Which symptoms are truly driven by menopause? What options exist beyond over-the-counter fixes? When should I consider medical Read more...

Fat Loss, Muscle Gain, and Your Weight   In my practice, I often hear my patients complain about their inability to lose weight. I advise them to focus on losing fat and not to worry about losing the weight. The scale is helpful in measuring weight, but the scale can’t tell us if we are losing fat, or vital water, Read more...

Do you ever think about all the things you could do if you only had more energy? If you could sleep better? With bio-identical hormone replacement therapy, you could experience improvements not just in your body, but also in your overall quality of life! Let’s discuss a few of the pros and cons of hormone replacement therapy. What Sets us Read more...

Dr. George Ibrahim from Biltmore Restorative Medicine shares the incredible benefits of the Juliet Vaginal Rejuvenation laser, commonly used to treat stress urinary incontinence or SUI, to decrease labia size and dark appearance, and to enhance the female sexual experience. Urologists specialize in urinary problems in both men and women. As a Duke trained urologist, oncologist, surgeon, and associate clinical Read more...