Fiorella DiCarlo, RD

Menopause changed your body.
Your nutrition should change too.

The FDA just removed the black box warning from hormone replacement therapy - calling the original warning one of the greatest mistakes in modern medicine. Millions of women are finally getting the treatment they need.

But HRT is only half the equation. The right nutrition makes it work better, protects your bones, manages your weight, and reduces the symptoms that medication alone can't fix.

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“The demonization of hormone replacement therapy was one of the greatest mistakes in modern medicine.”

- FDA Commissioner, November 2025. Black box warnings removed from HRT, labeling changes effective February 2026.

Sound familiar?

What no one told you about menopause

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Weight that won't budge?

Hormonal shifts during perimenopause and menopause change how your body stores fat - especially around the midsection. The diet that worked at 35 won't work at 50. You need a new approach.

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Worried about bone health?

Estrogen decline accelerates bone loss. Within the first 5 years of menopause, women can lose up to 20% of their bone density. Targeted nutrition is one of the most effective defenses.

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Brain fog, mood swings, sleep issues?

These aren't just 'in your head.' They're driven by hormonal changes that nutrition can directly influence - from blood sugar stability to neurotransmitter support.

What working with Fiorella looks like

Menopause Nutrition Support

1

HRT Nutrition Support

If you're on hormone replacement therapy, the right nutrition amplifies its benefits. Fiorella builds meal plans that work with your HRT - not against it.

2

Menopause Weight Management

Strategies specifically designed for the hormonal changes of perimenopause and menopause. Not generic calorie cutting - targeted metabolic support.

3

Bone Density Protection

Calcium and vitamin D are just the start. A comprehensive bone-protective nutrition plan includes magnesium, vitamin K2, collagen support, and anti-inflammatory foods.

4

Symptom-Reducing Nutrition

Foods that help manage hot flashes, improve sleep quality, stabilize mood, and reduce inflammation - backed by evidence, not trends.

5

Anti-Inflammatory Protocols

Chronic inflammation accelerates during menopause and drives many symptoms. Fiorella's anti-inflammatory meal frameworks address the root cause.

50M+

Women in the U.S. in perimenopause or menopause

85%

Report suffering symptoms that affect daily life

75%

Are left untreated by their doctors

Fiorella DiCarlo, RD, CDN

Your dietitian

Fiorella DiCarlo, RD, CDN

Fiorella brings clinical rigor and genuine empathy to a topic that too many women have been told to just “deal with.” With specialized training in hormonal nutrition and hundreds of patients guided through perimenopause and menopause, she understands both the science and the lived experience.

Featured in Forbes, Women's Health, Fox News, PBS, The Atlantic, New York Post, Daily Mail, and more.

As Featured In

ForbesWomen's HealthFox NewsPBSNY1The AtlanticNew York PostDaily MailTravel + LeisurePreventionEat This, Not That!GoodRxBustleThe HealthyParadeSouth Florida 6EatingWell

Common Questions

I'm in perimenopause - is it too early to start?+
No - perimenopause is actually the ideal time. Symptoms often begin years before menopause, and early nutrition intervention can significantly reduce their severity. The sooner you optimize your diet, the smoother the transition.
I just started HRT. How does nutrition fit in?+
HRT addresses the hormonal side. Nutrition addresses everything else - weight management, bone protection, gut health, inflammation, and energy. The two work together. Fiorella builds plans that specifically complement your HRT protocol.
Why is menopause nutrition different from regular nutrition?+
Menopause fundamentally changes your metabolism, insulin sensitivity, bone density trajectory, and inflammatory markers. A nutrition plan that ignores these shifts will fail. Fiorella's protocols are built around the specific biochemistry of perimenopause and menopause.
What does a session look like?+
Your initial assessment is 90 minutes and covers a comprehensive evaluation of your current diet, symptoms, hormonal status, and goals. You'll receive a personalized meal plan, supplement guidance, and lifestyle recommendations. Follow-ups are 45 minutes.
My doctor dismissed my symptoms. Can you help?+
Unfortunately this is extremely common - 75% of women in menopause are left untreated by their doctors. While Fiorella doesn't prescribe medication, she can provide the nutrition foundation that many women find dramatically reduces their symptoms, and she can help you advocate for proper care with your provider.
Is my data private?+
Yes. Any health information you share is encrypted and never sold to third parties. You control what you track, and you can request to export or delete your data at any time.
Is this medical advice?+
No. Fiorella provides nutrition counseling and education, not medical advice or diagnoses. She does not prescribe medications. Always consult your healthcare provider for medical decisions, including anything related to hormone replacement therapy.

You've been dismissed long enough.

Book your initial assessment and get a nutrition plan built for this stage of your life - not someone else's.

Book Your Initial Assessment