After developing debilitating migraines at 37, Pia Mancini knows what it’s like to sense that something has changed and still be told you’re too young or your labs are fine. Spending years looking for answers, before learning that perimenopause could be part of the picture. That experience became the starting point for Give Zero, and it’s what drew us to this conversation: her determination to help other women understand their hormonal health and feel heard.

I am Dr. Julie Taw, a physician and mother with 25 years of experience helping busy women feel better through a holistic, functional, and mind-body lens. My perspective comes from both clinical experience and my own journey as a busy working mom navigating health issues. Every day I see high-functioning women who do so much for others yet feel depleted and not like themselves. ...Pushing hard through exhaustion has become normalized. Women often ask what else they should add to their lifestyle to feel better. They may also blame themselves for not being able to handle it all. But we...

I came to skin the way most people do: through frustration. I'm the founder of Hapa Wellness and the creator of the Hapa Method, a Japanese-inspired facial lifting and lymphatic drainage practice. But before any of that had a name, I was just someone dealing with acne, puffiness, and breakouts that didn't respond to anything I put on my face. I tried the serums. I tried the expensive treatments. Nothing really stuck, because I was treating the surface of a problem that wasn't coming from the surface. But I started noticing a pattern.  

As interest in women’s hormone health continues to grow, so does the conversation around skin and perimenopause. In this conversation, Dr. J breaks down what happens to skin during perimenopause, why so many women feel caught off guard by these changes, and how aesthetic care is evolving to better support this stage of life. Her perspective offers a new way to understand skin, aging, and the changes women experience.