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The "Pause": Menopause as a Season of Transition
Three women joyfully embrace as they stroll along a serene beach, sharing laughter and companionship. A little while ago, I came across a funny sign that said: One minute you’re a peacock, the next you’re a feather duster. Funny, not funny, when you're actually feeling like it! I think a lot of women feel this way. I know I do. I relished my 20s, 30s, and 40s being active. While I was never an athlete per se, I had decent athleticism—flexibility, balance, and strength—more th

Lea Famularcano
Feb 86 min read


The Sleep Pivot: How Routine and Rhythm Restores Your Mood, Metabolism, and Energy
When I was in college, I read Robert Ludlum’s Bourne Ultimatum. In it, the famous character Jason Bourne says, “Rest is a weapon,” a truth he believed was vital for survival. I obviously never forgot it—here I am, remembering it now as I write about sleep. I also repeat it constantly in my household, and I proudly claim my title as the “sleep police.” When my son was growing up, he and my husband would hang out in the basement watching TV or playing video games. They would

Lea Famularcano
Nov 16, 20256 min read


Why Eating Less (and Exercising More) Is No Longer Working. It’s Called Metabolic Adaptation — and It’s Not Your Fault
Struggling to lose weight despite eating less and exercising more? You might be experiencing metabolic adaptation — a normal but frustrating slowdown of your metabolism after prolonged calorie restriction. In this post, learn why this happens, how it impacts weight loss, and what to do to reset your metabolism. Discover how to support fat loss through strength training, better nutrition, and metabolic recovery strategies.

Lea Famularcano
Aug 10, 20253 min read


Back to School, Back to You. How to Reset Your Health after a Fun (if a little chaotic) Summer!
Summer is winding down, and for many of us, that means craving structure again. Whether you're sending kids back to school or navigating a new season of life (like I am), this is the perfect time to reset — not with restriction, but with intention. In this post, I share how to ease back into healthy routines with grace, from sleep to meal planning to mindset. Let’s make this transition about progress, not perfection.

Lea Famularcano
Aug 8, 20254 min read
Eat Well, Travel Often, and Savor the Moments: What Spain taught me about food, balance, and slowing down
Can you travel, eat well, and still stay on track? Here’s how Spain reminded me that balance starts with presence — not perfection.

Lea Famularcano
Jun 8, 20253 min read


Decision Fatigue Is Sabotaging Your Eating Habits—Here’s How to Fix It
Ever wonder why eating healthy feels so exhausting—even when you know exactly what to do? You might be dealing with something called...

Lea Famularcano
Jun 1, 20254 min read


Sugar Craving, Emotional Eating, or Habit? How to Know What’s Really Driving Your Urge
You know that moment — you’re reaching for something sweet (or salty) and suddenly wonder, “Am I even hungry, or just… wanting...

Lea Famularcano
Apr 27, 20253 min read


Understanding The Dis Ease of Obesity
When we say disease, what comes to mind are infections, chronic conditions, from a simple cold to the most complex multi systemic medical...
Lea Grace R Famularcano, MD
Feb 29, 20245 min read


Alcohol and Weight Gain and the Fun we had the other side of the Wall!
My family went to Cabo, Mexico for our summer vacation this year. As one of Mike’s, my husband, souvenir shirt purchase says, “It’s more...

Lea Famularcano
Aug 7, 20224 min read


Your Why to Effective and Lasting Weight Loss
I rode an Uber last week to work, as my husband’s car is out of commission and he and my son needed to get to a golf tournament early. As...

Lea Famularcano
Jul 17, 20225 min read


Time is on Your Side: How to find time for Self-care
As a follow up to previous week’s post, https://www.thepivotingphysician.com/post/i-don-t-have-time-or-do-i , where I‘ve established that...

Lea Famularcano
Jul 8, 20226 min read


I Don’t Have Time or Do I?
How to find time in your already busy schedule.

Lea Famularcano
Jul 3, 20224 min read


Lose the Weight, Track Your Food (5 Reasons Why You Should Keep a Food Journal)
In counseling my patients for weight loss, I always start with advising to keep a food journal. Here’s 5 reasons why. 1. Self-discovery...

Lea Famularcano
Jan 15, 20222 min read


Fired up for 2022! But first, Covid..
2022! I have big plans! New job, scaling our rental business, starting this blog, launching a course! But, I had to be brought down to...

Lea Famularcano
Jan 5, 20223 min read
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