Ask the PA: Drop Your Questions Here

Hi everyone! I'm Tiffany, a board certified Physician Assistant and Belle's Director of Patient Education. This week, I'm opening up this thread for your questions. GLP-1s, peptides, side effects, nutrition, hormone health, nothing is too small. Ask below and I'll be checking in to answer. A quick note: I can share general education here, but for questions about your own dose or prescription, please message your care team in the Belle patient portal so they can look at your individual plan.

1. Belle member

   I’m 62 and am among the generation where HRT was discouraged due to risks. Sadly I think medically I’m too old to begin now but I still have trouble sleeping and irritability, belly fat. No hot flashes or sweats thankfully. Is there anything else that might help?

2. Belle member

   Also a bit of brain fog/forgetful 😂

3. Belle member

   Hi! Been on Tirz with Belle since April. Currently on 10mg. Hit a bit of a stall in October but down 58 pounds with still alot to go! Thanks to the scratchers, I just added Mic+B12 to my toolbox. Hope it helps this stall and just overall energy. Ive been B12 deficient for decades and take a weekly B12 but still need extra. I was torn on which peptide to try. Would the B12 be a good start?

4. Belle member

   How long can peptides sit out without refrigeration? I pulled up NAD, sat it on the counter to come to room temp and of course forgot about it for 2 days! Can I still use sitting med in the syringe? Thankfully I always remember to refrigerate the vials!

5. Tiffany Bailey PA-C · Belle expert

   Great question, Elizabeth! We always recommend keeping peptides refrigerated, and how long they're stable at room temp can vary. Since that syringe sat out for two days, message your care team in the portal before using it so they can check for you.

6. Belle member

   Hello Tiffany. If I posted this in the wrong thread, please let me know where I might get a response. 😊

7. Tiffany Bailey PA-C · Belle expert

   Hi Mary, you're in the right place, and I'm sorry this one slipped by! Thinking on HRT has changed a lot since then, and age alone doesn't always rule it out. Sleep, mood and belly fat can have several causes, so fill out an intake survey at joinbelle.com and the Belle providers can look at what's right for you. 💙

8. Tiffany Bailey PA-C · Belle expert

   Congrats on 58 pounds, Julie! Mic+B12 is a common place to start, but the best fit depends on your goals and history. If you're still torn, fill out an intake survey and the Belle providers can help you choose.

9. Belle member

   @Tiffany Bailey PA-C thanks!!!