Mariana Iskander, a nationally certified Physician Associate with 13 years of experience in medicine and the founder of Lotus Wellness & Medspa in Aurora, Ohio. She founded Lotus in 2023 with a vision of bringing together medical aesthetics and wellness to help patients look good, feel good, and feel confident in their own skin. She specializes in natural-looking aesthetic treatments, skin rejuvenation, and comprehensive wellness, with a strong focus on educating patients and creating personalized treatment plans rather than taking a one-size-fits-all approach. She has been featured as a Woman of Wisdom by the city of Aurora as well as featured on Fox 8 morning Tv show.

In this episode...

Could the irritability, disrupted sleep, low libido, anxiety, or lack of energy you have been blaming on stress actually be connected to changing hormones? Perimenopause can begin years before menopause, and the symptoms do not always look the way women expect. So how can you recognize when something deeper may be changing?

Mariana explains why testosterone, progesterone, and estrogen all matter in women’s health, how she pairs laboratory results with a patient’s symptoms, and why hormone replacement therapy is rarely a one size fits all process. She also shares what she sees when women arrive after being told their mood or sleep changes are simply part of getting older, and why finding the right formulation and dose can require patience and ongoing adjustments.

In this episode of Beauty Talk, host Daniel Gouw interviews Mariana Iskander, a nationally certified Physician Associate and founder of Lotus Wellness and Medspa in Aurora, Ohio. She began her medical career at Cleveland Clinic in 2013 before expanding her focus into aesthetics and wellness. Mariana discusses perimenopause symptoms, the role of testosterone in women, hormone testing, hormone replacement options, common misconceptions about HRT, and the connection between wellness, aging, and aesthetic care. Tune in to learn how to make informed choices about your health, beauty, and well-being.

Resources mentioned in this episode:

• Daniel Gouw on LinkedIn
• EDNA Digital Marketing
• Lotus Wellness and Medspa Website
• Lotus Wellness and Medspa on Instagram

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