Sepia Modern Primary Care

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Sepia Modern Primary Care We provide a customized healthcare experience that allows for improved wellbeing.

To elevate the typical discouraging, hastened PCP interaction to one that is enjoyable, educational, and fulfilling.

10/15/2026

Someone asked me which hormone result concerns me the most. This one. 👩🏽‍⚕️

Estrogen.

If your estrogen is sitting below 15, that is not something to ignore. That is something to address. With your doctor. Now.

Low estrogen causes joint pain that comes out of nowhere. Hot flashes. Brain fog. Dry skin. Mood changes. Sleep disruption. These are not just inconveniences. They are your body telling you something important is missing.

And the good news? It is testable. It is treatable. HRT and other estrogen-supporting options exist and work, when prescribed and monitored properly.

Get your estrogen checked. Know your number. Don't wait until the symptoms are unmanageable to have the conversation. 🤍

Book a consultation at Sepia, we check the full hormone picture, not just the basics.

Virtual and in-person available. Link in bio. 👇🏽

10 years as a board-certified family medicine doctor and nobody believes me when I tell them these 10 things. 👩🏽‍⚕️Your ...
10/14/2026

10 years as a board-certified family medicine doctor and nobody believes me when I tell them these 10 things. 👩🏽‍⚕️

Your appointment length isn't set by your doctor.

Normal labs aren't always optimal.

Q-tips make ear wax worse.

You can overdose on vitamins.

Needing medication isn't weakness.

Stress shows up on labs.

Your period is a vital sign. Hair loss is almost never just stress.

And vaseline is NOT toxic!!!

10 years. Same hills. I will not stop.

Save this. Share it. 🤍

10/07/2026

"I felt like my fatigue was becoming dangerous. I was driving home from work and falling asleep." 👩🏽‍⚕️

This is what happens when the answers are in the blood work, but nobody has ever pointed them out.

She came to Sepia not knowing she had a diagnosis. Not knowing her symptoms were connected. Not knowing whether a GLP-1 was right for her.

She left with answers. A full picture. And a physician actually monitoring her health along the way, not just her weight.

This is what personalised care looks like. This is Sepia. 🤍

Book a consultation - virtual and in-person available. Link in bio. 👇🏽

Hills I will die on as a board-certified family physician… trying to conceive edition. 👩🏽‍⚕️Know your fertility picture ...
10/05/2026

Hills I will die on as a board-certified family physician… trying to conceive edition. 👩🏽‍⚕️

Know your fertility picture before you're ready. TSH is not a thyroid panel. Male factor is always part of the conversation. GLP-1s are not fertility-neutral. Painful periods are a symptom not a personality trait. And stress is a clinical fertility issue not a mindset one.

None of these are radical ideas. They are just medicine done properly.

Swipe through and save this, and if you're thinking about trying to conceive, link in bio. 🤍

Comment LABS below for the free Elevated Lab Guide. 🔗

10/01/2026

5 innocent habits that could be ruining your health. 👩🏽‍⚕️

These aren't bad habits. They look like good ones. That's exactly what makes them worth talking about.

1. ☕ Drinking coffee before eating.

Coffee on an empty stomach spikes cortisol, which is already at its natural peak in the morning. Doing this daily keeps cortisol elevated, disrupts blood sugar regulation, and suppresses appetite at exactly the time your body needs fuel. The result? Brain fog, energy crashes, and increased fat storage later in the day.

2. 🏃🏽‍♀️ Doing intense cardio every day.

Daily high-intensity exercise without adequate recovery raises cortisol, increases oxidative stress, and can suppress ovulation in women with already-depleted adrenal reserves.

3. 💊 Taking supplements without testing first.

Supplementing without knowing your actual levels is at best expensive and at worst counterproductive. Too much iron when you don't need it. Vitamin D without testing your baseline. Test first. Supplement to your specific gaps.

4. 🥗 Eating salad for every meal.

Raw vegetables are nutritious. They are also hard to digest, particularly for women with low stomach acid or gut dysbiosis. A diet built entirely around raw, cold, low-calorie foods can leave you under-eating, under-fuelled, and nutrient-deficient.

5. 🌙 Going to bed late to wind down.

Scrolling, watching TV, or working late to decompress after a long day feels like self-care. But light exposure and mental stimulation after 10pm disrupts melatonin production, delays your circadian rhythm, and reduces the quality of the deep sleep your body needs to regulate cortisol, growth hormone, and immune function.

The body is always communicating. Sometimes the things we think are helping are the things worth looking at first. 🤍

Save this and share it with someone who needs to see it. 👇🏽

Book a consultation at Sepia - virtual and in-person available. Link in bio.

09/29/2026

I told her I'd hide in her suitcase. She's 86 and living more than most people half her age. 👩🏽‍⚕️

Scotland. Austria. Colorado. Missouri. All this year.

And she came in between trips to see me, because she understands something that most people don't figure out until it's too late.

What's the point of having everything if you're sitting in a wheelchair unable to enjoy it?

Anti-ageing isn't a cream. It isn't a treatment. It isn't even a supplement. It starts on the inside. With your health. With your labs. With the foundation that makes everything else possible.

She said it better than I ever could.

This is why I do what I do. And this is why preventative care is not optional, it is the whole point.

Book a consultation at Sepia - virtual and in-person available. Link in bio. 👇🏽

08/18/2026

Think of your skin like soil. You wouldn't just water the surface and expect it to thrive. 👩🏽‍⚕️

Your daily skincare routine, the cleansing, the moisturising, the SPF, that's surface level care. And it matters. But it's only treating the top layer.

Every four to six weeks your skin needs something that goes deeper. A facial. A chemical peel. Microneedling. A treatment that reaches the dermal layer, where your collagen lives, where your blood vessels are, where the real renewal happens.

That's the layer that determines how your skin ages. And it needs to be fed, not just washed.

The women who are consistently glowing aren't just using better products. They're treating their skin the way you'd treat good soil, regularly, intentionally, and at the right depth.

Book your next treatment at Sepia - link in bio. 🤍

08/14/2026

Things that should not be controversial in primary care. And yet here we are. 👩🏽‍⚕️

1. Prevention is just as important as treatment. We built an entire system around waiting for something to go wrong. That needs to change.
2. 15 minutes is not enough. You cannot take a full history, review labs, address symptoms, and actually listen to a patient in 15 minutes. It is not possible.
3. A basic blood panel is not a full blood panel. A CBC tells you if something is catastrophically wrong. It does not tell you if your ferritin is optimal, your insulin is building toward resistance, or your thyroid is converting properly.
4. More testing isn't always the answer. The right test at the right time is. Ordering everything tells you nothing useful. Ordering the right things tells you everything.
5. Mental health and physical health are not separate conversations. Low ferritin. Dysregulated cortisol. Low progesterone. All of them produce symptoms that look like anxiety, depression, and burnout. None of them are a mental health diagnosis. All of them show up on labs.

This is what medicine looks like when it's done properly. This is Sepia. 🤍

Link in bio to book, virtual and in-person available. Comment LABS below for the free Elevated Lab Guide.

5 labs that are rarely ordered, and are often the difference between "your results are normal" and actually understandin...
08/13/2026

5 labs that are rarely ordered, and are often the difference between "your results are normal" and actually understanding what is driving your symptoms. 👩🏽‍⚕️

Your annual bloodwork is a starting point, not a complete picture. And if nobody has ever run these five on you, there are gaps in what we know about your health.

Swipe through, write them down, and comment LABS below for the free Elevated Lab Guide. 🤍

08/06/2026

Your haemoglobin can look completely normal while your iron stores are already running low. That's why a basic blood count isn't enough. 👩🏽‍⚕️

If you're experiencing any of these, especially more than two or three, it's time to ask for a full iron panel. Ferritin, serum iron, TIBC. Not just the basics.

Iron deficiency is one of the most commonly missed reasons women feel exhausted, foggy, and off. And it is entirely fixable.

Grab the free Elevated Lab Guide, link in bio, and start asking better questions at your next appointment. 🤍

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Catonsville, MD
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