I treat professional athletes for a living. I’m the primary care sports medicine doctor for the New York Liberty. As a former Division I athlete myself, I’m honored to remain connected to the sport I love—and treat some of the world’s most elite players. I know I’ve been tasked with caring for a historically marginalized population at a time when the healthcare system is finally starting to value female athletes. I take this responsibility seriously—and coordinate care year-round for the team, treating everything from acute and chronic musculoskeletal injuries to sore throats and earaches.

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But after the birth of my second child, I found myself on the other side of the exam table—trying to manage diastasis recti, a postpartum condition where the abdominal muscles separate, causing pain and weakness. Even with world-class care and clinical training, I’m still on the mend eight months later. That makes me one of the lucky ones. Most women don’t have access to the resources I do and they’re left navigating complex, often painful recoveries on their own. The reality is pregnancy affects nearly every organ system, yet most women receive little to no guidance on how to protect or rebuild their health. Our healthcare system waits for problems and then scrambles to respond. It rarely works to prevent them. We’re long overdue for a shift to a proactive model of perinatal care—care that supports women before, during, and after pregnancy—and integrates musculoskeletal medicine, physical therapy, and nutrition.

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Read More: Becoming a Mom Made it Impossible for Me to Lead an ER The science is clear. Pelvic floor and core-strengthening exercises can significantly reduce the risk of wide-ranging complications, including urinary incontinence, severe perineal tears, diastasis recti, and low back pain. These interventions also improve delivery outcomes by increasing the likelihood of vaginal delivery and shortening the second stage of labor. General exercise, even at lower intensities, is a proven preventive tool. Just 140 minutes of prenatal exercise weekly can reduce the risk of gestational diabetes by 25%. Women who exercise more than three times per week for 25 minutes have a 39% lower risk of developing gestational hypertension, which can progress to preeclampsia. Exercise also helps manage excess weight gain during pregnancy, which is linked to a host of issues, from birth canal trauma to more complicated postpartum recovery. And it has been shown to improve overall mental health—an important consideration, given that perinatal depression affects “approximately 1 in 7 people during pregnancy or within the first year after childbirth.”

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Resistance training, in particular, can be highly beneficial when properly modified. Women who continue these routines during pregnancy are more likely to have the foundational strength to continue them safely and confidently after birth. Those who stop often face greater hurdles getting back. And providing holistic healthcare during the postpartum stage matters just as much. Regular physical activity after childbirth supports a smoother recovery by improving cardiovascular fitness, reducing depressive symptoms, enhancing sleep quality, and promoting overall physical and psychological well-being. Experts recommend 150-300 minutes of moderate activity per week postpartum, along with strength training and stretching. Yet this evidence still isn’t reflected in standard care. Too often, healthcare professionals only intervene when something goes wrong. And it’s on women to seek out pelvic floor physical therapy, find out which movements are safe, or identify the right specialists. Many don’t know where to begin—and many OB/GYNs aren’t equipped to guide them. That leaves countless women isolated, misinformed, or resigned to believe that chronic discomfort is simply part of motherhood.

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That’s what I set out to change after the birth of my first child. I helped launch a perinatal program at the Hospital for Special Surgery (one of the country’s largest women’s sports medicine centers) to bring proactive, integrated medicine into the pregnancy and postpartum experience. The term “sports medicine” is really a misnomer; the goal isn’t just to treat athletes, but to help people recover and stay strong through major life transitions. We should think of it as “movement medicine.” Read More: Should Obesity be Classified as a Disease? At HSS, we’ve built a model that connects women with physical therapists, nutritionists, and physicians trained to support every stage, from preconception to postpartum. And we’re not alone. Brigham and Women’s Hospital in Boston has built a similarly comprehensive model, integrating musculoskeletal and wellness care into routine perinatal services. This scalable, evidence-based approach should be available to all women.

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It’s time other healthcare systems followed suit and abandoned outdated protocols. The standard six-week postpartum visit is too late to identify emerging issues, let alone intervene. During pregnancy, support is often limited to monitoring the baby’s development, with relatively little attention paid to the mother’s health unless overt complications arise. That’s a failure of care. Many barriers are solvable. One persistent myth is that pelvic floor therapy or nutritional support aren’t covered by insurance. In reality, they often are when doctors provide diagnoses such as “weak pelvic floor” for pelvic floor therapy or “dietary counseling” for nutrition. Our team works within these frameworks every day. The issue isn’t feasibility. What’s missing is awareness and a healthcare culture that prioritizes proactive care over damage control. Physicians, especially those in systems with movement medicine or women’s health expertise, must lead the shift in the standard of care. OB/GYNs aren’t always trained to recognize musculoskeletal issues or connect patients to the right specialists. It’s on us to change that—to ensure providers are informed, and patients feel supported from the start.

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As a physician, I know this model works. As a mother, I know how desperately it’s needed. It’s time to support women with the comprehensive perinatal care they’ve always deserved.

Jennifer Frederick was in the best shape of her life in 2023, so when she felt a small lump in her groin area after a week of workouts. She thought it was just a pulled muscle, but a month later, the lump was still there.

Four months later, the lump was growing. Frederick went to a dermatologist and testing found more lumps in her leg. She scheduled a biopsy. On December 14, surgeons cut into her leg and removed the largest lumps. A week later, she had a diagnosis: Metastatic malignant melanoma. The disease is usually heralded by a mole on the skin, but Frederick never had one.

More tests showed the cancer wasn’t just in her leg. One scan found four lesions on her lungs. Another found five lesions on her brain. The results were shocking, Frederick said.

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“I never had a migraine, headache, blurry vision, never had problems breathing, never had a cough,” Frederick, 50, said. “I never felt off at all.”

Jennifer Frederick with her nephew. / Credit: Jennifer Frederick

What is metastatic malignant melanoma?

Melanoma is the deadliest form of skin cancer. Metastatic melanoma is any time of cancerous melanoma that has spread from one location to another, said Dr. Michael Postow, a medical oncologist at Memorial Sloan Kettering, who was not involved in Frederick’s treatment. Metastatic malignant melanoma refers to late-stage metastatic melanoma.

“Melanoma is a kind of cancer that can spread pretty widely throughout the body,” Postow said. “It’s one of the cancers that frequently involves the brain, so spread from melanoma to the brain … can be quite a common occurrence. The lung is also a common site of metastatic melanoma.”

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Typically, melanoma is recognized by a brown or black mole on the skin. Postow said it’s unusual but not unheard of for a patient to have no mole or a “microscopic” one. He said that in addition to keeping an eye out for a new mole or an existing mole that changes color, size or texture, people should watch for lumps under the skin like the one Frederick had. Any concerns should be brought to a dermatologist, Postow said.

A graphic showing types of melanoma. / Credit: Zhabska T. / Getty Images

The five-year survival rate for patients with advanced metastatic melanoma is about 35%, according to the American Cancer Society. Postow said clinical trials show that for patients who receive certain immunotherapy treatments, that number rises to 50%. Just a decade ago, the five-year survival rate was closer to 10%, he said.

Immunotherapy was what Frederick’s doctor, Cleveland Clinic medical oncologist Dr. Lucy Boyce Kennedy, recommended. The two talked over the options and decided to go with an intensive treatment that would combine gamma knife radiation and two immunotherapy drugs. Kennedy described the treatment protocol as “fairly high risk” and warned it could lead to the immune system attacking other organs. Frederick was undeterred.

“She explained what this was going to look like. And I looked at her and I said, ‘I don’t care what it is. If it’s the most aggressive treatment, I’m willing to do whatever it is,'” Frederick said. “I just wanted to be my healthy Jen Frederick again so I can get back to a normal life.”

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A difficult treatment

Frederick underwent gamma knife radiotherapy on January 7. The treatment uses precise gamma rays to target cancer tumors. Frederick said that it went well, but when she started receiving the biweekly immunotherapy medications on January 17, she began feeling “bad side effects,” including “flu-like symptoms, rash, nausea,” and high fevers.

As she continued the treatment, the side effects expanded to include vomiting, chills and problems with her stomach and eyes. She was using the bathroom “25 plus times a day,” Frederick said. She was hospitalized and spent a month in and out of the hospital. There was significant inflammation in her colon. She weighed only 95 pounds.

Jennifer Frederick during a hospitalization. / Credit: Jennifer Frederick

“They would release me. I would go home. I’d be home 24 hours, and have to go back because I would just start vomiting again. I couldn’t hold any food down,” Frederick said. She had to take two months off from the immunotherapy to take steroids, antibiotics and other medications to treat the side effects. After recovering, she resumed treatment.

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When Frederick underwent her first PET scan since starting treatment, it showed “major, major improvement,” she said. That made the months of pain, discomfort and illness worth it. A second scan several weeks later showed things were continuing to move “in the right direction,” Frederick said. The immunotherapy was reduced to every three weeks, then every four weeks as she continued to improve.

“My doctor said that I’m a Stage IV miracle,” Frederick said.

“Cancer does not have me”

After 18 months of treatment, Frederick has not seen any progression of her cancer and continues to improve, her care team said. Kennedy believes that she has “a really excellent chance of having really long-term survival.” Clinical trial patients who received the same treatment Frederick did are still doing well 10 years after the study, according to a recent update, Kennedy said. She believes Frederick will have a similar journey.

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“I only use the 10-year number because that’s just as old as the drugs are. I think those patients will have responses that last beyond that, potentially indefinitely,” Kennedy said.

Jennifer Frederick and her husband on her 50th birthday. / Credit: Jennifer Frederick

Frederick will continue her treatment until December 2025, Kennedy said. Then, she will start undergoing regular screening scans to make sure her cancer is not returning. Frederick said that once she is done with active treatment, she wants to share her story and make sure people know the importance of early screening. She has begun mentoring other cancer patients through the Cleveland Clinic’s 4th Angel program.

“I want people to know it gets harder before it’s easier,” Frederick said. “My saying has always been ‘I may have cancer, but cancer does not have me.’ And I want people to feel that way, because it isn’t a death sentence.”

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Suffering from sore joints, scrambled thoughts, lagging libido, a receding hairline — or perhaps, all of the above?

According to a growing community of endocrinologists, such unwelcome signs may not simply mean that you’re starting to “slow down”. These symptoms could also be due to lowered testosterone levels.

A 2023 study in the Journal of Clinical Endocrinology revealed that testosterone levels in American men have plummeted about 1% per year since the 1980s. There are several potential causes that have been explored, including lifestyle, diet, and environmental factors.

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However, the decline in testosterone can not be attributed to aging alone. Business leaders, like Deep Patel, are working to raise more awareness around what he has described as the “male version of menopause,” and bring men a safe, accessible solution — Testosterone Replacement Therapy (TRT).

Find Out About Our Top TRT Pick 7 Ulo Ulo Feeling low on energy? Ulo offers a personalized approach to testosterone replacement therapy (TRT), starting with an at-home lab test and virtual consultation with a licensed provider. If TRT is recommended, treatment options — including injections, gels, and oral medications — are delivered straight to your door. Plans start at $159/month. You’ll only be charged if a provider determines treatment is appropriate and writes a prescription. Treatment is currently available in select states and includes ongoing support throughout your plan. Learn more about how it works and if it’s available in your state at Ulo’s website. LEARN MORE

“TRT stands for Testosterone Replacement Therapy. It’s a way of bringing your testosterone levels back into a healthy range when your body isn’t producing enough. You’re not taking extra. You’re restoring what your system is missing,” Patel, who co-founded telehealth startup Ulo, explained.

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Patel says that when TRT is done right, it can give you your life back. A 2019 study on prescription testosterone found that 52% of men claimed testosterone improved their energy, 42% saw improvements in their libido, and 29% reported muscle growth.

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While TRT has exhibited a range of benefits, Patel is also open about some of the potential risks. He explained that some of the more common side effects include acne, water retention, or elevated red blood cell counts, which can thicken your blood. Some men experience testicular shrinkage or reduced fertility.

Currently, TRT is only FDA-approved for specific conditions, such as a testosterone deficiency (also called hypogonadism) or diminished functional activity of the gonads. In order to start TRT, men will need to get a prescription for testosterone, which requires a blood test.

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There are a few important steps, but getting an online testosterone prescription is actually much easier than it might appear, thanks to modern telemedicine.

Today, those interested in starting TRT can get evaluated, tested, and prescribed TRT right from their laptops, through online TRT clinics like Ulo.

How do you get a testosterone prescription online?

To piece together the steps needed to get a testosterone prescription online, the Post consulted several medical experts and leaders in the TRT space. Below, find our expert-backed, step-by-step guide.

1. Research reputable online TRT clinics

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Tomo Marjanovic is the owner of Aspire Rejuvenation Clinic, a wellness center specializing in personalized hormone therapy and holistic wellness solutions.

Before starting your search, it’s important to make note of regulations. In the U.S., a provider must be licensed in the patient’s state to legally prescribe testosterone.

Finding a reputable clinic doesn’t stop at that. Marjanovic explained that it’s important to look for a TRT clinic that connects patients with licensed medical providers and offers a multi-step process to ensure clients have the information they need before making a decision.

“The clinic should require comprehensive labs, a detailed intake process, and a real conversation with a knowledgeable provider,” explained Marjanovic. “If the only interaction is an automated signup form or a rushed consult, that’s a big red flag.”

There are a few other red flags to look out for, according Marjanovic. He recommends skipping any sites that don’t require bloodwork and consultations before providing. Clinics should always create individualized plans for treatement and monitor symptoms along the way.

A telehealth platform that focuses more on marketing than medicine is also best avoided: “If it feels more like ordering supplements than receiving medical treatment, it’s a problem,” he added.

Most reputable telehealth clinics will offer testosterone treatment in the form of injections, tablets, creams, or all of the above.

2. Complete the intake form, considering all symptoms and medical history

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Before you take a blood test, most reputable online TRT clinics will ask for detailed background information through a medical intake form. Patients should expect several questions about their symptoms, medical history, and lifestyle habits, such as exercise, diet, and drug use.

Deep Patel, who is the co-founder of Ulo, emphasized that patients may experience a range of different symptoms. It’s important to flag any internal signals, as well as external signs of a hormone deficiency.

“Common symptoms include constant fatigue even when you’re sleeping enough, low sex drive, trouble focusing, mood swings or irritability, loss of muscle or strength despite working out, increased belly fat, and even depression or anxiety,” Patel described.

At Ulo, the intake form is pretty straightforward. Patients are asked about medical issues, conditions, or previous diagnoses, such as elevated blood pressure or a history of cancer. There are also some questions regarding fertility, which Patel points out is important to consider. TRT significantly suppresses natural testosterone production, which can also reduce sperm production.

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“If fertility matters to you, there are medications like HCG or enclomiphene that can be taken alongside TRT to preserve it,” Patel explained. “Just make sure your provider knows that’s a priority from the beginning.”

It might be tempting to rush through an intake form, but it’s quite important to pay attention to these questions as your responses will dictate the type of treatement that is best for you.

3. Get your bloodwork done, measuring total and free testosterone

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Prior to getting a prescription for testosterone, patients are required to submit bloodwork for analysis. Online clinics have simplified the process by offering at-home test kits that can be delivered straight to your door and mailed back to the lab for review.

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At-home tests typically require a quick finger prick, but each kit has different instructions, so it’s important to read them carefully. If at-home testing is not for you, it’s also possible to take a blood test through local lab partnerships, such as Quest or Labcorp.

Blood tests can measure different hormone levels, but for a TRT prescription, the primary indicators and total testosterone in your blood. Most testosterone is bound to different proteins, like sex hormone-binding globulin and albumin. However, some testosterone remains unbound, also called “free testosterone.” Other hormones to consider testing for include estradiol, thyroid, are cortisone.

The majority of TRT clinics consider normal testosterone levels to land anywhere between 300 to 1,000 nanograms per deciliter. However, this is just a baseline, and the experts we spoke to have pointed out that the numbers alone don’t tell the whole story.

“Some men experience symptoms at 400 or 500 ng/dL if their free testosterone or androgen sensitivity is off. Diagnosis should never rely on numbers alone,” explained Marjanovic.

4. Meet with a licensed provider to discuss your background, ask questions, and clarify risks

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Receiving an online testosterone prescription should not happen without a conversation. Speaking to a board-certified Doctor is crucial, according to Michael Aziz, the author of “The Ageless Revolution” and a regenerative physician specialist at Lenox Hill Hospital in NYC.

Patients should always confirm their doctor’s expertise and education as it relates to testosterone therapy. Perferably, the physician on the call should specialize in endocrinology, urology, and internal medicine with anti-aging training.

“To have an accurate diagnosis, a detailed medical history and exam should be conducted. A Zoom call or telemedicine should be conducted,” Aziz explained. “The doctor should take into consideration a complete review of symptoms… The clinic’s approach to TRT should be comprehensive rather than just giving a script for testosterone treatment.”

This consultation provides an opportunity for patients to discuss their goals and ask any questions they might have, but Doctors should also clarify any issues raised through the intake form or bloodwork. It’s also a good time to discuss the risks and benefits of different forms of treatement.

“The delivery method of TRT is best chosen by both the doctor and the patient based on the patient’s lifestyle and symptoms,” Aziz suggested. “Gels are used daily, but can be transferred to sexual partners and children. Injections can be self-injected once to twice a week, or administered by the doctor every 10 weeks.”

After weighing all the options, the provider will create a personalized treatement plan for the patient.

5. Get your testosterone prescription and begin treatment; follow-up to report progress and side effects

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At companies like Ulo, the process for starting TRT is straightforward and streamlined. Once a patient receives their prescription, treatement can be sent to their door in as little as a week. However, the one-on-one care doesn’t stop when they start taking it.

“We rely on data and feedback from the patient. Your physician will examine your blood work and any changes in symptoms, and will ask how you’re feeling in general,” Patel shared.

At Ulo, the first lab takes place before your initial consultation with the doctor. A second lab is done 30 days after treatment begins to help prepare for your 45-day follow-up. After that, labs are required every quarter and are paired with a live consultation to make sure your treatment stays safe, effective, and personalized.

“If something seems off or if you’re not progressing as expected, the team at Ulo will make adjustments to dosage, frequency, or support meds. Everything can be fine-tuned. The goal is to ensure you feel your best,” Patel explained.

As with any treatement plan, it’s possible that your tesosterone prescription will need to be altered over time. Be sure to report any progress, concerns, or questions to your provider.

This article was written by Miska Salemann, New York Post Commerce Writer/Reporter. As a health-forward member of Gen Z, Miska seeks out experts to weigh in on the benefits, safety and designs of both trending and tried-and-true fitness equipment, workout clothing, dietary supplements and more. Taking matters into her own hands, Miska intrepidly tests wellness products, ranging from Bryan Johnson’s Blueprint Longevity Mix to home gym elliptical machines to Jennifer Aniston’s favorite workout platform – often with her adorable one-year old daughter by her side. Before joining The Post, Miska covered lifestyle and consumer topics for the U.S. Sun and The Cannon Beach Gazette.

For-profit rehabilitation hospitals are booming in the United States, but their rapid growth is leaving patient safety far behind.

The US post-acute care industry, which deals with rehab and long-term care facilities, was worth an estimated $483 billion in 2024, and is expected to grow to over $785 billion by 2034.

On paper, it’s easy to assume all that business potential would translate to quality care. Unfortunately, for thousands of patients across the country, that couldn’t be further from the truth, as Encompass Health Corporation — the McDonald’s of post-acute care, basically — makes clear.

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Bombshell reporting by the New York Times this week uncovered a horrifying track record by Encompass and other for-profit rehab outfits. Though negligence in rehab facilities might not seem as overtly dangerous as it is in generic hospital settings, it often leads to injuries, unplanned readmissions to general hospitals, and even death.

At the Encompass facility in Jackson, Tennessee, for example, a 68-year-old patient was found lying in a pool of his own blood. Per the NYT, a pressure- and motion-triggered alarm meant to alert nurses if he left his bed had been turned off prior to the gruesome discovery.

A patient in Morgantown, West Virginia, died a similarly preventable death, after a fall off the bed gave her a “huge gash” on her forehead. There, too, the hospital chain’s alarms failed to notify staff in time.

“We are having a lot of problems with the bed alarms,” a nurse technician told police inspectors after the woman’s death, according to an inspection report obtained by the NYT.

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Another incident in South Dakota led to the death of a 73-year-old man when a nurse administered the wrong drug. That was just one of 26 adverse drug events the Encompass site was responsible for over the span of just six months.

Per the NYT, Encompass owns 168 hospitals, and was responsible for nearly 250,000 patients in 2024. In 2023, Encompass helped flip the rehabilitation sector from a mostly non-profit space to a predominantly profit-seeking one.

Though non-profit rehab is its own kind of nightmare, particularly for low-income or “charity care” patients, this pivot to for-profit models has come with a notable increase in unplanned readmissions to general hospitals.

Unlike nursing homes and skilled nursing facilities (SNFs), these types of errors in post-acute care aren’t explicitly disclosed to Medicare recipients, elderly and disabled patients who are at heightened risk for medical neglect. Nor are ownership details, such as the involvement of private equity firms or real estate investment trusts — profit-seeking groups whose participation in the medical field leads to worse outcomes in patient care.

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That’s not to say Medicare doesn’t keep tabs on rehab facilities, however. As the NYT notes, out of the 41 inpatient rehab sites Medicare judged to have “statistically significantly worse rates of potentially preventable readmissions,” 34 were owned and operated by Encompass.

Though Encompass has toyed around with private equity spinoffs in the past, its main overlords are institutional investors — professional investment fund managers — such as Vanguard Group, whose fund Vanguard Health was ordered to pay $18 million in claims related to “grossly substandard nursing home services,” and Blackrock, whose healthcare dealings have been mired in controversy.

Speaking to the NYT, executive vice president and general counsel for Encompass, Patrick Darby, called Medicare’s readmission ratings a “crude scoring measure.” He added that health inspection violations are “rare occurrences” that “do not support an inference of widespread quality concerns.”

Whether this is empirically true or not remains to be seen, as the rapidly changing corporate rehab landscape demands further study. Still, it’s hard to imagine the families of patients who died under Encompass’s care share the executive’s attitude.

More on healthcare: Insurance Company Accused of Pressuring Medical Staff to Change Patients’ Status to “Do Not Resuscitate”

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Big changes are coming to car seat safety requirements, and it’s time to get ready.

Starting December 5, 2026, all car seats sold in the U.S. must undergo a new sled test, simulating a 30 mph side-impact crash involving two vehicles. The updated regulation was added to improve safety during side impact collisions, which can lead to serious injuries.

While most major car seat manufacturers already meet the upcoming federal safety requirements, not all brands have access to the advanced testing facilities and equipment needed to comply with the updated regulations in Federal Motor Vehicle Safety Standard No. 213a. That means it is extremely important that parents choose carefully and select car seats that undergo rigorous crash tests. Brands like Evenflo, Graco, and Chicco already undergo side-impact testing.

Models like the Evenflo Revolve360 Extend Convertible Car Seat go beyond the requirements — undergoing rollover and side-impact evaluations, and testing at energy levels roughly twice the federal crash test standard. The Revolve360 is also currently on sale for under $300, a rare opportunity to snag one of the safest models for a great value from Amazon.

While there’s still some time before the compliance deadline takes effect, it’s always important to ensure your car seat meets national safety requirements. Don’t wait until next December to invest in your child’s safety and your peace of mind.

Amazon

Suitable for newborns up to toddlers, the Revolve360 grows with your child and stays firmly in place thanks to its innovative base system. Designed with a unique 360-degree rotation, this seat makes it easier than ever for parents to secure their child without the usual strain.

“The Evenflo 360 has been a game changer for us,” shared Commerce Partnerships Manager, Ryan Murphy. “The 360-degree rotation allows us to place our son into the car seat facing us, which is much easier than having to do the sideways pre-fold into the rear-facing car seat.”

More than just convenient, it’s also designed to protect what matters most. The seat is rigorously side-impact tested and meets or exceeds all federal safety standards.

“Best of all, this carseat has been side impact tested, and we can rest assured that we will all be safe in any scenario,” Murphy emphasized.

With new safety regulations on the horizon, it’s a timely option for families looking to stay ahead of the regulations, especially while it’s on sale for nearly 40% off.

This article was written by Miska Salemann, New York Post Commerce Journalist. As a Gen Z first-time mother of one, Miska tests baby, maternity and postpartum products ranging from stylish new kids clothes to long-trusted diaper brands with her daughter. She evaluates baby- and mom-approved products for practicality and quality, and consults medical and parenting experts to weigh in on safe ingredients, usage and more. Before arriving at the Post, she covered the lifestyle and consumer verticals for the U.S. Sun.