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It’s not just hot flashes: Louisiana doctors share what to know about menopause symptoms.

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It’s not just hot flashes: Louisiana doctors share what to know about menopause symptoms.


As the ovarian production of estrogen diminishes in midlife and ultimately stops, it is estimated that more than 47 million women worldwide enter the menopause transition annually.

The average American woman will experience menopause between 51 and 52, but the hormonal change can happen anywhere from 45 to 57.

Perimenopause symptoms can start anywhere between two and 10 years before menopause, meaning some women begin seeing symptoms in their 30s. This phase is called perimenopause.

A difficult diagnosis

Physicians define menopause as not experiencing a period for an entire year — for a woman who has regular monthly periods.

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“That’s like the old school of thought, and we need to change that narrative,” said Dr. Gunjan Raina, a family medicine physician in Baton Rouge. “If a woman is suffering or she’s having symptoms, we need to start addressing it.”






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Dr. Gunjan Raina, a family medicine practitioner and concierge doctor in Baton Rouge. 




Dr. Robin Bone is an OB-GYN at Ochsner Health in New Orleans. Since the surge of menopause research, largely guided by patient demand, Bone has studied perimenopause, menopause and postmenopause.

If a woman doesn’t have a period because of an IUD, other forms of birth control, a hysterectomy or more, “we use blood work to define or determine whether or not labs are consistent with menopausal levels,” Bone said.

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The ups and downs of estrogen levels trigger menopausal symptoms, according to Bone. So typical blood tests and hormonal levels may not be helpful to physicians to determine a woman’s progression through the process of perimenopause, menopause and postmenopause.

Bone is of the mind that the best way to help patients is to “put the puzzle pieces together” and figure out the cause of the symptoms — whether that be perimenopause, menopause or something else. 

Some symptoms are noticeable, like night sweats and hot flashes. But some may be harder to detect.

Because menopause is identified retroactively, determining whether or not a woman is in that process is difficult. Adding to the confusion is that the process isn’t linear.

“If you would have asked OB-GYNs five years ago, ‘What are the symptoms of menopause?’ They probably would have said: hot flashes, night sweats, trouble sleeping, vaginal dry and osteoporosis,” Bone said. “But now we have at least 35 and some say 65 symptoms of that can be attributed to menopause.”

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The common and unknown symptoms

Perimenopause and menopause do not present differently, according to both Bone and Raina. 

Raina, a concierge doctor, treats patients for all of their ailments, including the symptoms of menopause. Raina, however, found that medical school did not prepare her for the complexities and realities women face in menopause.

“It’s almost like they skipped through it,” Raina said. “I had itchy ears for three years, and I didn’t even realize it was related to perimenopause.”

More than 70% of women who go through menopause experience musculoskeletal symptoms and 25% will be affected more acutely by the symptoms during the transition from perimenopause to postmenopause.

“A lot of times, women don’t recognize it because they are just getting older,” Bone said.

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According to Bone, doctors are learning that estrogen is an anti-inflammatory hormone. And when the body loses estrogen, as it begins to do in perimenopause, the body’s stem cell production decreases causing less “healing in our muscles, our joints and our bones,” Bone said.

The loss of estrogen due to menopause makes muscles recuperate more slowly.

“Exercise is important, especially strength training or resistance exercises, to help build muscle to start off with good muscle mass,” Bone said.

Here’s a list of the most common perimenopausal and menopausal symptoms:

  • Changes in mood
  • Irritability
  • Insomnia
  • Difficulty concentrating
  • Brain fog
  • Anxiety
  • Depression
  • Panic attacks
  • Decreased libido (sex drive)
  • Night sweats
  • Hot flashes
  • Irregular periods
  • Breast tenderness
  • Headaches
  • Weight gain
  • Bloating
  • Digestive problems
  • Joint pain
  • Muscle tension
  • Decreased muscle strength/mass
  • Dizziness
  • Changes in taste
  • Burning mouth sensation
  • Heart palpitations
  • Body odor
  • Hair loss
  • Brittle nails
  • Itchy skin
  • Tinnitus
  • Bleeding gums
  • Tingling extremities
  • Electric shocks
  • Vaginal dryness
  • Urinary urgency/frequency.

Managing the symptoms

Hormone therapy is the most effective treatment for managing menopause symptoms, particularly hot flashes, night sweats and sleep disturbances. However, many women hesitate to use hormone therapy due to safety concerns, according to new Mayo Clinic research.

These concerns may stem from a 2002 study that showed an increased risk of breast cancer, coronary artery disease, stroke and blood clots from specific hormone therapies such as conjugated equine estrogens and medroxyprogesterone acetate.

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“The lingering fear caused by the initial Women’s Health Initiative trial results in 2002 has promoted a false belief of a lack of safe options for treating menopause symptoms, Dr. Ekta Kapoor said, a Mayo Clinic endocrinologist and author of the study. “This has most likely affected how health care professionals approach evaluation of menopause symptoms.”

More recent studies have established the relative safety of hormone therapy when started by women in their 50s or those within 10 years of menopause.

“The study was misleading, and because of that, a whole generation of providers in the last 20 years were taught that estrogen was dangerous and causes cancer,” Raina said. “And it’s actually been debunked now.”

Bone, 54, said she would tell her 40-year-old self to do more strength training and more yoga as well as supplement to promote bone health like vitamin K, vitamin D, calcium and magnesium.

“I’m big on resistance training three times a week,” Raina said. “All of these things will help a woman through perimenopause, in addition to being a candidate for hormonal therapy.”

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Louisiana Tech launches Center for Literacy and Learning to support students, educators

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Louisiana Tech launches Center for Literacy and Learning to support students, educators


RUSTON, La. (KNOE) – Louisiana Tech University’s College of Education and Human Sciences announced it has established a new Center for Literacy and Learning designed to expand evidence-based reading support for children and professional development for educators across North Louisiana.

The university’s Department of Curriculum, Instruction, and Leadership said the launch of the Center for Literacy and Learning at Louisiana Tech, also known as L3, will provide diagnostic assessments, tutoring and workshop opportunities, combining academic research with hands-on clinical practice.

“As literacy rates and reading achievement continue to present challenges across Louisiana and the nation, the Center for Literacy and Learning is rooted in supporting evidence-based instruction, applied research, and community partnerships,” said Dr. Dustin Whitlock, interim department head of Curriculum, Instruction, and Leadership.

Officials said planning for the center began more than a decade ago as faculty sought to expand literacy services for local schools and the surrounding community, but the effort faced delays due to space and funding challenges.

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University leaders said momentum increased after faculty partnered with the Louisiana Department of Education and literacy experts nationwide to create a professional learning course for Louisiana K-3 educators. The course, “The Science and Art of Teaching Reading,” focuses on structured literacy practices aligned with Science of Reading research. Louisiana Tech said funding connected to the course and the state education department helped make the center possible.

Megan Hunt, a teacher at A.E. Phillips Laboratory School, was selected to lead the center. Whitlock said Hunt brings a strong background in foundational literacy instruction and is working toward becoming a certified UFLI coach.

“Mrs. Hunt’s skill and expertise allow her to support both students and educators through high-quality literacy instruction and professional learning,” Whitlock said.

Hunt said the center is aimed at building long-term support for literacy instruction through collaboration with districts, families and community partners.

“Literacy affects all aspects of life and is ultimately how people access opportunity and how communities grow stronger,” Hunt said. “When children become proficient readers, it represents more than just academic progress; it changes the trajectory of their lives.”

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Local school leaders also praised the partnership. Michelle Thrower, K-2 facilitator for Lincoln Parish Schools, said professional development and resources connected to Louisiana Tech have supported literacy growth in the district.

“Our collaboration with Louisiana Tech has been a cornerstone of our success in elevating literacy proficiency across Lincoln Parish Schools,” Thrower said, citing DIBELS growth tied to the UFLI Foundations curriculum in K-2.

Louisiana Tech said the center will operate through three main components:

  • The Literacy Clinic
  • The Literacy Institute
  • The Literacy Resource Center.

The center is expected to provide individualized assessments, targeted intervention services, literacy workshops and educator professional development.

Officials said the components will be developed in phases over the next few years.

For more information, Louisiana Tech said the public can contact Dr. Dustin Whitlock at whitlock@latech.edu.

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Louisiana among states selected to receive federal funding for rare earth projects

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Louisiana among states selected to receive federal funding for rare earth projects



The U.S. Department of Energy announced Tuesday that Louisiana was one of the few states chosen for a $134 million rare earth element initiative in a move that would give the U.S. more independence from China, Reuters reports. 

ElementUSA has been awarded about $67 million for a rare earth refining facility projected to cost $850 million in St. John the Baptist Parish to ramp up its production of core material for military vehicles, naval ships and aircrafts.

Louisiana’s rare earth element initiatives are aimed at relocating the critical American minerals supply chain for electric vehicles, renewable energy and national defense. The minerals include bauxite residue, which is a waste product from aluminium production. The plant is expected to produce roughly 150-1,000 metric tons of rare earths annually.

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Oklahoma was also chosen to receive grant money for a refining facility in Tulsa.

Reuters has the full story.

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DHS watchdog finds use-of-force issues and safety and sanitation concerns at Louisiana ICE center

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DHS watchdog finds use-of-force issues and safety and sanitation concerns at Louisiana ICE center


A Department of Homeland Security watchdog report revealed that staff members at an ICE detention center in Louisiana used a prohibited chokehold to “gain control” of a person being held there and stabbed another in the hand with a pen when an officer could not close the door to a housing unit.

The newly released findings about Winn Correctional Center in central Louisiana follow the DHS inspector general’s review of video of the use-of-force incidents as part of an unannounced facility inspection. The report, which was published on the DHS website, also noted that the officer who stabbed the detainee with a pen was disciplined.

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Staff members failed to maintain safe and sanitary conditions, the report says, noting leaking vents and ceilings with insulation falling through. Staff members used napkins and Styrofoam containers to collect the water from the leaks, according to the report.

Scrutiny of conditions inside ICE detention centers that house more than 60,000 detainees has been growing.

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Earlier Wednesday, Homeland Security Secretary Markwayne Mullin defended his agency’s detention standards on Capitol Hill amid complaints about ICE’s Delaney Hall detention facility in Newark, New Jersey. That center has been the site of frequent protests.

Rep. Tim Kennedy, D-N.Y., accused Mullin of leaving detainees without food or medical care.

Mullin rejected the claims. “You can say all you want, but don’t accuse me of something that’s not accurate,” he said.

The inspector general made nine recommendations, ranging from environmental health and safety standards to proper handling of use-of-force incidents and maintaining food service standards.

ICE is working to address all of the issues, including by providing additional staff training, a spokesperson for the agency said.

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“These minor infractions included failing to provide detainees exercise equipment, record keeping errors and leaking vents. Another infraction included providing a shared computer for legal research that would allow other detainees to see other detainees’ case information,” the spokesperson said.

A spokesperson for DHS said the report shows that the facility complies with detention standards.

“ICE has higher detention standards than most U.S. prisons that hold actual U.S. citizens,” the spokesperson said.

Winn Correctional is one of the largest ICE detention centers in the country, housing more than 1,500 men. It opened in 1990, and ICE took it over from the state in 2019.

The report was produced after an unannounced inspection by the DHS inspector general, whose office recently got an infusion of $20 million and plans to boost its inspections from four to six per year to potentially as many as 40 to 60.

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ICE lists 70% of the 1,500 detainees at Winn as having “No ICE threat level,” meaning they do not have violent criminal histories.

Winn is an hour north of Alexandria, which is one of four hubs for ICE deportation flights around the country.



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