The Holiday Stress No One Talks About – When Women Are Carrying It All
By Maria Jones Sasso, Bioenergetic Practitioner, Longevity Health Center
Learn more by calling our office at (770) 642-4646.
There is a particular kind of exhaustion that comes from being the person everyone depends on.
As women, we can find ourselves quietly managing the details that make the holidays happen: remembering who needs what, coordinating schedules, planning meals, buying gifts, keeping traditions alive, caring for aging parents, showing up for our children, and still trying to meet expectations at work and at home.
And often, we don’t even realize how much we’re carrying until our bodies start telling us.
Maybe you’re sleeping poorly. Your digestion is suddenly off. Your energy has disappeared by midafternoon. You’re more anxious or irritable than usual. Your cycle has changed. You’re experiencing new PMS symptoms, hot flashes, brain fog, or cravings that feel impossible to control.
You may tell yourself it’s just the holiday season. But as a practitioner who specializes in women’s health and hormones, I encourage women to pay attention when their bodies start sending these signals.
Your symptoms are information.
The holidays can put an extraordinary amount of demand on the body, particularly when stress is layered on top of hormonal changes, digestive imbalances, poor sleep, and not enough time for recovery.
And sometimes, the best gift you can give yourself isn’t another thing on the holiday to-do list. It’s taking the time to understand what your body is trying to tell you.
When Stress Starts Showing Up in Your Body
Stress is not simply an emotional experience. It is a physiological response that involves the nervous system, endocrine system, immune system, digestion, sleep, and energy production.
When we’re constantly “on,” our body has less opportunity to shift into a restorative state.
For women, this can be particularly important because the systems involved in our stress response are closely connected to our reproductive and metabolic hormones.
When the demands keep coming and recovery is limited, you may notice:
- Trouble falling asleep or staying asleep
- Waking during the night
- Feeling exhausted but unable to slow down
- Afternoon energy crashes
- Anxiety or feeling unusually overwhelmed
- Brain fog and difficulty concentrating
- Changes in appetite or cravings
- Digestive issues, bloating, constipation, or diarrhea
- Changes in menstrual cycles
- Increased PMS symptoms
- Hot flashes or other perimenopausal symptoms feeling more intense
- Difficulty losing or maintaining weight
- Feeling like your usual coping strategies simply aren’t working anymore
These symptoms are easy to dismiss during the holidays.
“I’m just tired.”
“It’s the holidays.”
“I’ll feel better after Christmas.”
But your body may be telling you something important.
Your Gut and Your Hormones Are Connected
One of the areas I pay close attention to with my patients is the relationship between the gut, hormones, and stress response.
Holiday eating can be a perfect storm for digestive disruption. More sugar, alcohol, rich foods, irregular meal times, eating on the go, less movement, and disrupted sleep can all affect how we feel.
And when the gut isn’t happy, women may notice much more than digestive symptoms.
The gut plays an important role in immune function, nutrient absorption, metabolism, and the processing and elimination of hormones. That’s why I don’t want to simply ask, “What symptom are you experiencing?”
I want to understand why you’re experiencing it.
That is where functional lab testing can be incredibly valuable.
Three Functional Tests I Use to Look Deeper
I use functional tests to help my patients move beyond guessing and toward a more personalized understanding of what may be contributing to their symptoms.
Three of the tests I frequently use with my patients are the HPA Profile, GI-MAP, and DUTCH Hormone Testing.
1. HPA Profile: Looking at Your Stress Response
When a woman tells me, “I feel completely exhausted, but I can’t relax,” I want to understand what’s happening within her stress-response system.
The HPA Profile evaluates neurotransmitters, including dopamine, serotonin, GABA, glutamate, epinephrine, and norepinephrine, along with adrenal hormones such as cortisol and DHEA-S. Cortisol is measured at multiple points throughout the day, giving us a picture of the body’s daily stress-hormone pattern.
This can provide valuable information for women experiencing concerns such as:
- Poor sleep
- Anxiety or feeling overwhelmed
- Fatigue
- Mood changes
- Difficulty managing stress
- Feeling “wired but tired”
Rather than assuming your body simply needs more rest, we can look at patterns that may help guide a more individualized wellness strategy.
2. GI-MAP: Understanding What’s Happening in Your Gut
If your holiday traditions involve more indulgent foods, you may notice your digestion protesting.
But recurring bloating, irregular bowel movements, abdominal discomfort, or other digestive concerns shouldn’t necessarily be written off as simply “eating too much.”
The GI-MAP is a comprehensive stool test that uses PCR technology to look for parasites, bacteria, fungi, and other markers associated with gastrointestinal health. It also offers an add-on for zonulin, a marker associated with intestinal permeability.
For me, the value of testing is that it gives us more information about what’s happening beneath the symptoms.
Instead of simply telling a woman to eliminate another food, I want to understand what her gut may be communicating.
3. DUTCH: A Deeper Look at Hormone Health
Hormones can change dramatically throughout a woman’s life, particularly during perimenopause and menopause.
And stress can make an already complicated picture feel even more complicated.
The DUTCH Plus is an at-home dried urine test that measures key hormones and their metabolites, including estrogen, progesterone, testosterone, cortisol, and melatonin. It can provide insight into hormone patterns that may be relevant to concerns such as fatigue, mood changes, hot flashes, acne, weight changes, and irregular cycles.
For women navigating perimenopause, menopause, fertility concerns, or unexplained hormone-related symptoms, this type of testing can give us a much more detailed picture than looking at a single hormone level.
I’ve also completed advanced training in hormone health and the DUTCH Test, which has become an important part of how I evaluate and support women’s hormone health.
You Don’t Have to Earn Your Rest
This may be the most important thing I want women to hear this holiday season:
You don’t have to wait until you’re completely depleted to take care of yourself.
You don’t have to finish everything on the list first. You don’t have to make every meal perfect.
You don’t have to create a picture-perfect holiday for everyone else at the expense of your own health. Your family doesn’t need a version of you who is exhausted, overwhelmed, and running on empty. They need you.
That may mean saying no to an invitation. Asking someone else to host. Going to bed instead of wrapping one more present. Taking a walk. Sitting quietly with your coffee. Scheduling the appointment you’ve been putting off.
And if you’ve been experiencing persistent changes in your energy, digestion, sleep, mood, menstrual cycle, or hormones, it may be time to look a little deeper.
This Holiday Season, Give Yourself the Gift of Understanding Your Health
At Longevity Health Center, we believe women’s health deserves a personalized approach.
Your symptoms are not random. Your body is constantly communicating with you.
Functional testing can help us gather more information about the systems involved, while a comprehensive health history helps put those results into context.
The goal isn’t to chase every number on a lab report.
It’s to understand the woman behind the symptoms.
If the holidays tend to leave you feeling depleted year after year, let’s stop treating that as something you simply have to push through.
This year, make your health part of the holiday plan, too.
Interested in Functional Lab Testing?
Longevity Health Center offers comprehensive functional testing, including the HPA Profile, GI-MAP, DUTCH hormone testing, and other specialized assessments. Each test includes professional review and consultation, allowing your practitioner to interpret the results in the context of your individual health history and goals.
To learn more about functional lab testing or schedule a consultation with our team, visit Longevity Health Center or call 770-642-4646.
This article is for educational purposes only and is not intended to diagnose, treat, cure, or prevent disease. Functional testing is not appropriate for everyone. Test selection and interpretation should be individualized with a qualified healthcare professional.

