Aging is inevitable, and for many, it signals the beginning of a new chapter - one where you cross off bucket list items and live life to the fullest, on your own terms. However, for some women, aging is a horrible prospect, filled with chronic fatigue, irritability, and inability to perform in the bedroom. If you're concerned about life in middle age and beyond, we've got great news: there are easy, proven steps that you can take to help stop the negative effect of aging.
Global Life Rejuvenation was founded to give women a new lease on life - one that includes less body fat, fewer mood swings, and more energy as you age. If you're ready to look and feel younger, it's time to consider HRT (hormone replacement therapy), and growth hormone peptides. These therapies for men and women are effective, safe, and customized to fit your goals, so you can keep loving life as you get older.
HRT, and growth hormone peptide therapies bridge the gap between your old life and the more vibrant, happier version of you. With a simple click or call, you can be well on your way to a brighter future. After all, you deserve to be the one in charge of your wellness and health. Now, you have the tools to do so - backed by science and applied by our team of HRT experts with more than 13 years of experience.
As women age, their hormones begin to go through changes that affect their day-to-day lives. For women, hormone deficiency and imbalance usually occur during menopause and can cause chronic fatigue, hot flashes, and mood swings, among other issues. Hormone replacement therapy helps correct hormone imbalances in women, helping them feel more vibrant and virile as they age.
Often, HRT treatments give patients enhanced quality of life that they didn't think was possible - even in their 60's and beyond.
The benefits for women are numerous and are available today through Global Life Rejuvenation.
As women age, their bodies begin to go through significant changes that affect their quality of life. This change is called menopause and marks the end of a woman's menstrual cycle and reproduction ability. Though there is no specific age when this change occurs, the average age of menopause onset is 51 years old. However, according to doctors, menopause officially starts 12 months after a woman's final period. During the transition to menopause, women's estrogen and other hormones begin to deplete.
As that happens, many women experience severe symptoms. These symptoms include:
The symptoms of hormone deficiency can be concerning and scary for both women and their spouses. However, if you're getting older and notice some of these symptoms, there is reason to be hopeful. Hormone replacement therapy and anti-aging medicine for women can correct imbalances that happen during menopause. These safe, effective treatments leave you feeling younger, healthier, and more vibrant.
The most common reason for menopause is the natural decline in a female's reproductive hormones. However, menopause can also result from the following situations:
Oophorectomy: This surgery, which removes a woman's ovaries, causes immediate menopause. Symptoms and signs of menopause in this situation can be severe, as the hormonal changes happen abruptly.
Chemotherapy: Cancer treatments like chemotherapy can induce menopause quickly, causing symptoms to appear shortly after or even during treatment.
Ovarian Insufficiency: Also called premature ovarian failure, this condition is essentially premature menopause. It happens when a woman's ovaries quit functioning before the age of 40 and can stem from genetic factors and disease. Only 1% of women suffer from premature menopause, but HRT can help protect the heart, brain, and bones.
For many women, menopause is a trying time that can be filled with many hormonal hurdles to jump through. A little knowledge can go a long way, whether you're going through menopause now or are approaching "that" age.
Here are some of the most common issues that women experience during menopause:
If you're a woman going through menopause and find that you have become increasingly depressed, you're not alone. It's estimated that 15% of women experience depression to some degree while going through menopause. What many women don't know is that depression can start during perimenopause, or the years leading up to menopause.
Depression can be hard to diagnose, especially during perimenopause and menopause. However, if you notice the following signs, it might be time to speak with a physician:
Remember, if you're experiencing depression, you're not weak or broken - you're going through a very regular emotional experience. The good news is that with proper treatment from your doctor, depression isn't a death sentence. And with HRT and anti-aging treatment for women, depression could be the catalyst you need to enjoy a new lease on life.
Hot flashes - they're one of the most well-known symptoms of menopause. Hot flashes are intense, sudden feelings of heat across a woman's upper body. Some last second, while others last minutes, making them incredibly inconvenient and uncomfortable for most women.
Symptoms of hot flashes include:
Typically, hot flashes are caused by a lack of estrogen. Low estrogen levels negatively affect a woman's hypothalamus, the part of the brain that controls body temperature and appetite. Low estrogen levels cause the hypothalamus to incorrectly assume the body is too hot, dilating blood vessels to increase blood flow. Luckily, most women don't have to settle for the uncomfortable feelings that hot flashes cause. HRT treatments for women often stabilize hormones, lessening the effects of hot flashes and menopause in general.
Mood swings are common occurrences for most people - quick shifts from happy to angry and back again, triggered by a specific event. And while many people experience mood swings, they are particularly common for women going through menopause. That's because, during menopause, the female's hormones are often imbalanced. Hormone imbalances and mood swings go hand-in-hand, resulting in frequent mood changes and even symptoms like insomnia.
The rate of production of estrogen, a hormone that fluctuates during menopause, largely determines the rate of production the hormone serotonin, which regulates mood, causing mood swings.
Luckily, HRT and anti-aging treatments in Fort Lee, FL for women work wonders for mood swings by regulating hormone levels like estrogen. With normal hormone levels, women around the world are now learning that they don't have to settle for mood swings during menopause.
Staying fit and healthy is hard for anyone living in modern America. However, for women with hormone imbalances during perimenopause or menopause, weight gain is even more serious. Luckily, HRT treatments for women coupled with a physician-led diet can help keep weight in check. But which hormones need to be regulated?
Lowered sexual desire - three words most men and women hate to hear. Unfortunately, for many women in perimenopausal and menopausal states, it's just a reality of life. Thankfully, today, HRT and anti-aging treatments Fort Lee, FL can help women maintain a normal, healthy sex drive. But what causes low libido in women, especially as they get older?
The hormones responsible for low libido in women are progesterone, estrogen, and testosterone.
Progesterone production decreases during perimenopause, causing low sex drive in women. Lower progesterone production can also cause chronic fatigue, weight gain, and other symptoms. On the other hand, lower estrogen levels during menopause lead to vaginal dryness and even vaginal atrophy or loss of muscle tension.
Lastly, testosterone plays a role in lowered libido. And while testosterone is often grouped as a male hormone, it contributes to important health and regulatory functionality in women. A woman's testosterone serves to heighten sexual responses and enhances orgasms. When the ovaries are unable to produce sufficient levels of testosterone, it often results in a lowered sex drive.
Often uncomfortable and even painful, vaginal dryness is a serious problem for sexually active women. However, like hair loss in males, vaginal dryness is very common - almost 50% of women suffer from it during menopause.
Getting older is just a part of life, but that doesn't mean you have to settle for the side effects. HRT and anti-aging treatments for women correct vaginal dryness by re-balancing estrogen, progesterone, and testosterone. When supplemented with diet and healthy living, your vagina's secretions are normalized, causing discomfort to recede.
Uterine fibroids - they're perhaps the least-known symptom of menopause and hormone imbalances in women. That's because these growths on the uterus are often symptom-free. Unfortunately, these growths can be cancerous, presenting a danger for women as they age.
Many women will have fibroids at some point. Because they're symptomless, they're usually found during routine doctor exams. Some women only get one or two, while others may have large clusters of fibroids. Because fibroids are usually caused by hormone imbalances, hysterectomies have been used as a solution, forcing women into early menopause.
Advances in HRT and anti-aging medicine for women give females a safer, non-surgical option without having to experience menopause early. At Global Life Rejuvenation, our expert physicians will implement a customized HRT program to stabilize your hormones and reduce the risk of cancerous fibroid growth.
Endometriosis symptoms are much like the effects of PMS, and include pelvic pain, fatigue, cramping, and bloating. While doctors aren't entirely sure what causes this painful, uncomfortable condition, most agree that hormones - particularly xenoestrogens - play a factor.
Endometriosis symptoms are much like the effects of PMS and include pelvic pain, fatigue, cramping, and bloating. While doctors aren't entirely sure what causes this painful, uncomfortable condition, most agree that hormones - particularly xenoestrogens - play a factor.
Xenoestrogen is a hormone that is very similar to estrogen. Too much xenoestrogen is thought to stimulate endometrial tissue growth. HRT for women helps balance these hormones and, when used with a custom nutrition program, can provide relief for women across the U.S.
Hormone stability is imperative for a healthy sex drive and for a normal, stress-free life during menopause. HRT and anti-aging treatments for women balance the hormones that your body has altered due to perimenopause or menopause.
HRT for women is a revolutionary step in helping women live their best lives, even as they grow older. However, at Global Life Rejuvenation, we know that no two patients are the same. That's why we specialize in holistic treatments that utilize HRT, combined with healthy nutrition, supplements, and fitness plans that maximize hormone replacement treatments.
If you've been suffering through menopause, is HRT the answer? That's hard to say without an examination by a trusted physician, but one thing's for sure. When a woman balances her hormone levels, she has a much better shot at living a regular life with limited depression, weight gain, mood swings, and hot flashes.
Here are just a few additional benefits of HRT and anti-aging treatments for females:
Hormone imbalance causes a litany of issues. But with anti-aging treatments for women, females can better process calcium, keep their cholesterol levels safe, and maintain a healthy vagina. By replenishing the body's estrogen supply, HRT can relieve symptoms from menopause and protect against osteoporosis. But that's just the start.
Global Life Rejuvenation's patients report many more benefits of HRT and anti-aging medicine for women:
If you're ready to feel better, look better, and recapture the vitality of your youth, it's time to contact Global Life Rejuvenation. It all starts with an in-depth consultation, where we will determine if HRT and anti-aging treatments for women are right for you. After all, every patient's body and hormone levels are different. Since all our treatment options are personalized, we do not have a single threshold for treatment. Instead, we look at our patient's hormone levels and analyze them on a case-by-case basis.
At Global Life Rejuvenation, we help women rediscover their youth with HRT treatment for women. We like to think of ourselves as an anti-aging concierge service, guiding and connecting our patients to the most qualified HRT physicians available. With customized HRT treatment plan for women, our patients experience fewer menopausal symptoms, less perimenopause & menopause depression, and often enjoy a more youth-like appearance.
Growth hormone peptides are an innovative therapy that boosts the natural human growth hormone production in a person's body. These exciting treatment options help slow down the aging process and give you a chance at restoring your youth.
Sermorelin is a synthetic hormone peptide, like GHRH, which triggers the release of growth hormones. When used under the care of a qualified physician, Sermorelin can help you lose weight, increase your energy levels, and help you feel much younger.
Human growth hormone (HGH) therapy has been used for years to treat hormone deficiencies. Unlike HGH, which directly replaces declining human growth hormone levels, Sermorelin addresses the underlying cause of decreased HGH, stimulating the pituitary gland naturally. This approach keeps the mechanisms of growth hormone production active.
Ipamorelin helps to release growth hormones in a person's body by mimicking a peptide called ghrelin. Ghrelin is one of three hormones which work together to regulate the growth hormone levels released by the pituitary gland. Because Ipamorelin stimulates the body to produce growth hormone, your body won't stop its natural growth hormone production, which occurs with synthetic HGH.
Ipamorelin causes growth hormone secretion that resembles natural release patterns rather than being constantly elevated from HGH. Because ipamorelin stimulates the natural production of growth hormone, our patients can use this treatment long-term with fewer health risks.
One of the biggest benefits of Ipamorelin is that it provides significant short and long-term benefits in age management therapies. Ipamorelin can boost a patient's overall health, wellbeing, and outlook on life.
When there is an increased concentration of growth hormone by the pituitary gland, there are positive benefits to the body. Some benefits include:
Whether you are considering our HRT and anti-aging treatments for women in Fort Lee, FL, we are here to help. The first step to reclaiming your life begins by contacting Global Life Rejuvenation. Our friendly, knowledgeable HRT experts can help answer your questions and walk you through our procedures. From there, we'll figure out which treatments are right for you. Before you know it, you'll be well on your way to looking and feeling better than you have in years!866-793-9933
Late last year, Lee Health announced our plans to build a new, state-of-the-art hospital and medical destination on Challenger Boulevard, between Colonial Boulevard and Winkler Avenue, in the City of Fort Myers. Since we received approval to proceed from the Lee Health Board of Directors, significant work has been underway.“When sharing a high-level overview of the Lee Health Fort Myers Hospital project, there are four pillars to the project, including permitting, design, construction and building activation,” explains Dav...
Late last year, Lee Health announced our plans to build a new, state-of-the-art hospital and medical destination on Challenger Boulevard, between Colonial Boulevard and Winkler Avenue, in the City of Fort Myers. Since we received approval to proceed from the Lee Health Board of Directors, significant work has been underway.
“When sharing a high-level overview of the Lee Health Fort Myers Hospital project, there are four pillars to the project, including permitting, design, construction and building activation,” explains Dave Kistel, Lee Health’s vice president and chief facilitates executive. “We are working on multiple pillars simultaneously to keep the project moving forward.”
¦ This is an ongoing process.
¦ We have submitted our application for the planned unit development with the City of Fort Myers, which Dave says is a one to one-and-a-half-year process.
¦ We also are working on the permitting process with the Florida Department of Transportation on access roads, the South Florida Water Management District on water use permitting, the Federal Aviation Administration on helipad permitting, the Lee County Port Authority on tall structure permitting and the Federal Department of Environmental Protection on environmental permitting.
¦ Dave says we hope to have the permitting process complete and all permits approved by the second quarter of 2024.
¦ We are currently in the first phase of design.
¦ This pillar involves master planning the 52-acre site, engaging in visioning and listening sessions with community and employee stakeholders and completing a written schematic design program of phase one of the project.
¦ We are providing an overview of the plans and the project with those in the surrounding area, including homeowners associations and the principals of the nearby school. Along with helping them understand our plans, they can ask questions and voice any concerns or issues. “We are happy to report that this has gone very well so far, and there is a lot of excitement about the hospital,” Dave says.
¦ “During this phase of the project, we are meeting with all impacted departments at Lee Memorial Hospital so they can begin participating in space definition and planning for the ultimate layout of their space, which has them really excited and engaged,” Dave says.
¦ There are three major building components in the project: The central energy plant (think generators, chillers and other infrastructure), the medical office building and the hospital itself.
¦ Dave expects we will wrap up this first phase of schematic design in early January.
¦ The next phase will be design development, which will include more meetings with the departments so they can review additional details and define the specific layout of the space. Design development determines where everything will be situated according to codes and operations of the department.
¦ Design development builds on and allows the stakeholders to start detailing the space even further with cabinets, plumbing, electrical, furniture — all the elements that support the function of the space.
¦ The construction document phase will be underway through June 2023 and then, around the second quarter of 2024, all of the plans and construction documents and drawings will be compiled and submitted to local and state regulators as part of the application process for building permits.
¦ Dave expects construction to start in June 2024 and estimates the facility will be completed in March 2027.
¦ This pillar of the project is focused on preparing for operational occupancy, training and acclimating staff to their new space, preparing to move patients from Lee Memorial Hospital to the new hospital and opening for new patients and visitors.
“The 168-bed, all-private-room Lee Health Fort Myers Hospital will be the first phase of a larger master plan, it will represent a facility focused on our patients with technology to enhance the delivery of care in our community,” Dave says. “This is a longer-term project we will be working on for the next few years, but as we continue moving through the phases and pillars of the project, the excitement is building with all of our stakeholders and everyone involved.”
We understand that discussions of the new hospital raise the question of what will happen to Lee Memorial Hospital. While we have not yet made any decisions about how we will use the current campus after the new hospital opens, we will continue to explore our options while the new hospital is under construction and determine the best use of the Cleveland Avenue property. ¦
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FORT MYERS, Fla. — Hurricane Ian destroyed more than 5,000 homes in Lee County, Fla., and damaged nearly 30,000 more in late September, raising concerns among local residents about housing affordability – and changes to their communities – as developers move in.The expansive sandy beaches in Fort Myers for years have attracted people from colder states, like Beth and Ralph Sampson. They call Michigan home, but spend much of the year in Florida."It's just charming here," Beth Sampson said. "It's ...
FORT MYERS, Fla. — Hurricane Ian destroyed more than 5,000 homes in Lee County, Fla., and damaged nearly 30,000 more in late September, raising concerns among local residents about housing affordability – and changes to their communities – as developers move in.
The expansive sandy beaches in Fort Myers for years have attracted people from colder states, like Beth and Ralph Sampson. They call Michigan home, but spend much of the year in Florida.
"It's just charming here," Beth Sampson said. "It's not like, oh, the nightlife. I think the carpet gets rolled up here at 9 o'clock at night."
Lee County isn't as upscale as many of Florida's coastal areas. It's a county in which 28% of renters are low-income or paying at least 40% of their income to rent, according to a 2022 report from the Shimberg Center for Housing Studies.
The Sampsons own a home in Fort Myers Beach – it's still standing. But in October, one month after Ian hit, their neighborhood was a mess, with hollowed-out remnants of homes up and down their block.
Beth Sampson said many of her neighbors don't have the means torebuild.
"One double lot has already sold – and we don't know to who, or for how much – on the street behind us. It's like, oh boy, that's fast," Sampson said. "I'm afraid ... we're going to lose all that beauty that we all shared."
In 2021, Florida's real estate industry accounted for $294 billion, or 24% of the gross state product, according to a report from the National Association of Realtors. More than 300,000 people move to the Sunshine State each year.
Two affordability concerns are emerging among residents as developers turn to Southwest Florida: flipping damaged single-family homes, rendering them unaffordable for long-term residents, and the construction of larger luxury complexes.
Brad Cozza, who owns real estate brokerage in southwest Florida, said new out-of-state investors – from Wall Street hedge funds to major hotel chains – are already looking at new investments in the region.
Cozza said that, since the hurricane, developers have discovered a "completely blank canvas" in hard-hit coastal areas.
Debris from the damage left by Hurricane Ian is seen in a mobile home park in Fort Myers, Fla. on Oct. 27, 2022.
Cozza added that his firm has already been involved in acquiring 39 properties since Hurricane Ian. One of his clients bought a damaged waterfront home in Cape Coral, across the bridge from Fort Myers, for $670,000. After renovations, Cozza expects it to sell for almost $1 million.
"You're going to see values jump, and you're seeing a lot of new players that are now in the area that would not have been in this area pre-storm," Cozza said.
This, Cozza said, is just plain market dynamics. Many homeowners did not have flood insurance, so they can't afford to rebuild – and that's an opportunity investors are seizing.
Michelle Meyer, director of the Hazard Reduction and Recovery Center at Texas A&M University, said it's expensive to build new structures up to code – most of which has been rewritten to make houses better able to withstand disasters.
"Older houses, in general, are more affordable," Meyer said. "And so when you wipe out an older housing stock, even just building new, period, is going to be more expensive."
Federal disaster recovery money to help homeowners rebuild does exist. In the wake of previous hurricanes, states have received hundreds of millions of dollars from the Department of Housing and Urban Development, or HUD, to provide loans to lower-income homeowners for reconstruction and repair costs.
Debris from damage left by Hurricane Ian is seen in a mobile home park on Pine Island, Fla. on Oct. 28, 2022.
But Meyer expects it will take one or two years before that money is available in Florida, since the state first needs to submit a funding plan to HUD for approval. Until then, she said, local officials can encourage homeowners not to sell out of desperation, and instead, "find a way to have them hold onto their property and rebuild their property and remain in the home."
Zoning for single family homes can also help maintain the housing stock for lower-income residents, Meyer said, by preventing larger high-end complexes.
Jason Green, an independent zoning consultant for the town of Fort Myers Beach, spoke at the Local Planning Agency's meeting on Dec. 6. He said he doesn't expect local zoning regulations in the town to change significantly in the coming months.
"There are some duplexes, there's a few triplexes and quads worked in there over the years," Green said in reference to zoning in Fort Myers Beach. "But for the most part, you'll see that there are single-family homes."
But as developers buy and renovate single family homes, they, too, are becoming less affordable.
Some investors will push for bigger developments. They were doing so even before Hurricane Ian hit.
Joanne Semmer, who has lived near Fort Myers Beach for more than 50 years, has been trying to stop one such project. She lives steps away from the town's commercial fishing docks and working waterfront, and she's the president of the Ostego Bay Marine Science Center, a local environmental nonprofit organization.
In 2020, Semmer and her brother sued Lee County after the county rezoned to allow a high-rise apartment complex across the street from her home. An administrative judge ruled in Semmer's favor, on the grounds that the development would increase hurricane evacuation times.
But one month before Hurricane Ian, Florida Gov. Ron DeSantis and his Cabinet overturned that decision, green-lighting the project and paving the way for more density across Lee County's hurricane-prone areas. When an administrative judge in Florida strikes down a change to the state's Comprehensive Plan, the governor and Cabinet vote on whether to approve that decision, said attorney Ralf Brookes, who represents Semmer.
"Southwest Florida has a different flavor," Semmer said. "We really don't want to become another Miami. But money talks."
And now, in the aftermath of Hurricane Ian, those concerns are only mounting.
Semmer said she's frustrated by efforts to develop the waterfront, but she'll keep fighting to preserve the character of the town.
"The developers want to come in and take over our working waterfront and build condominiums," Semmer said. "So many of our areas are being sold out."
The Florida Department of Health in Lee County (DOH-Lee) has issued a county wide precautionary swim advisory for all public beaches and swimming pools and advising the public not to enter the water due to the possible increase of waterborne illnesses. The water quality has been affected by Hurricane Ian and at this time, swimming is not recommended.Swimming PoolsResidents and visitors should avoid swimming in any pool until it has been properly cleaned and is fully functional. A fully functional pool has:...
The Florida Department of Health in Lee County (DOH-Lee) has issued a county wide precautionary swim advisory for all public beaches and swimming pools and advising the public not to enter the water due to the possible increase of waterborne illnesses. The water quality has been affected by Hurricane Ian and at this time, swimming is not recommended.
Residents and visitors should avoid swimming in any pool until it has been properly cleaned and is fully functional. A fully functional pool has:
• Been cleared of debris.
• Functioning recirculation and chemical treatment equipment.
• Life-saving equipment that is available and operational.
• Clear water.
• Properly balanced chemicals.
Additional information on public swimming pool water and safety can be found the Florida Department of Health’s swimming pool webpage.
Residents are urged to avoid contact with floodwaters which come from an overflow of any waterbody from rivers, lakes, or oceans. Floodwater may contain fecal matter from sewage systems and septic tanks, in addition to agricultural and industrial waste. Entering the water may pose an increased risk of disease or illness, particularly for immunocompromised individuals. Floodwaters can also mask debris, downed power lines, and other hazards.
DOH recommends the following precautions after hurricanes:
• Follow basic hygiene. Always wash your hands with soap and clean water which has either been disinfected or boiled then cooled, or with commercially bottled water, before eating and after toilet use.
• Do not allow children to play in floodwater. They can be exposed to contaminated water that can cause illness.
• Do not allow children to play with toys that have been in floodwater until the toys have been properly disinfected. Use 1/4 cup of bleach in one gallon of water to disinfect toys and other items exposed to floodwaters.
• If you have open cuts or sores, stay out of floodwaters, or wear protective coverings. If open wounds have been exposed to floodwaters, keep them as clean as possible by washing them with soap and clean water. Apply antibiotic cream to reduce the risk of infection. If a wound or sore develops redness, swelling, or drainage, seek medical attention.
• After helping in cleanup activities and after handling items contaminated by floodwater or sewage, wash hands thoroughly with soap and water.
For the latest testing information on saltwater beaches visit the Florida Department of Health’s Florida Healthy Beaches webpage.
For freshwater beaches in Lee County, contact Environmental Health at DOH-Lee at [email protected].
Disaster recovery information is available on the Florida Disaster or on Lee County’s Hurricane Ian Response and Recovery website.
About the Florida Department of Health
The department, nationally accredited by the Public Health Accreditation Board, works to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts.
Follow us on Facebook, Instagram, and Twitter at @HealthyFla. For more information about the Florida Department of Health please visit FloridaHealth.gov.
Fort Myers Beach News
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At least 42 people are dead in Lee County, one of the areas hardest-hit by Hurricane Ian where rescue and recovery efforts are still ongoing.Local officials are now facing questions about why they didn't urge people in the path of the destructive Category 4 hurricane to evacuate sooner.Last Sunday — three days before the storm landed on the peninsula — the National Hurricane Center predicted that Ian could ...
At least 42 people are dead in Lee County, one of the areas hardest-hit by Hurricane Ian where rescue and recovery efforts are still ongoing.
Local officials are now facing questions about why they didn't urge people in the path of the destructive Category 4 hurricane to evacuate sooner.
Last Sunday — three days before the storm landed on the peninsula — the National Hurricane Center predicted that Ian could bring a storm surge of 4 to 7 feet from Englewood to Bonita Beach, which includes all of coastal Lee County.
According to the county's emergency management plan from 2018, even a 10% chance of a six-foot storm surge is enough to prompt the evacuation of Zone A. That includes the barrier islands, the shoreline and inland areas along the Caloosahatchee River.
But officials didn't order a mandatory evacuation at that time, even as neighboring Charlotte County required residents to go on Monday.
Instead, Lee County authorities waited until Tuesday to institute mandatory evacuations for people expected to be in the areas most impacted by the storm.
Authorities first ordered the mandatory evacuation of Zone A and parts of Zone B before ultimately expanding it to include all of Zone B and parts of Zone C.
That was the same day the NHC raised the storm surge prediction for Lee County to 5 to 10 feet.
By Wednesday afternoon, Hurricane Ian made mainland landfall near Punta Gorda, just north of Lee County.
Local authorities suggested that the rapidly changing forecast in the days and hours before Hurricane Ian hit the peninsula made it difficult to decide whether to order an evacuation.
Lee County Commission Chairman Cecil Pendergrass said during a Sunday press conference that a few days before the hurricane landed on shore, the county remained outside of the "cone" meteorologists use to visually represent a storm's possible path.
"Seventy-two hours before the storm, we still were not in the cone," Pendergrass said. "We were working off of data and went off that data."
Florida Gov. Ron DeSantis also defended the decision by Lee County officials to order an evacuation when they did.
"But you know — 72 hours, they weren't even in the cone, 48 hours they were on the periphery. So you gotta make the decisions as best you can," he said on Sunday.
The cone, however, only shows the possible path of the center of a storm, according to the NHC, which says the graphic is often misunderstood.
The agency says that dangerous weather conditions often occur outside of the cone. The NHC also urges people not to use the cone to determine if they should evacuate. Rather, it suggests residents listen to their local emergency management agencies.
Kevin Ruane, a commissioner in Lee County, told The New York Times that another problem the county faced on Monday was that schools were open even though they had also been designated as emergency shelters.
County officials knew that evacuating Lee County would not be easy.
A 2015 document by the Lee County Emergency Management agency lays out the agency's rationale for how it decides whether to issue an evacuation and also warns about the specific challenges facing the region.
"Due to our large population and limited road system, Southwest Florida is the hardest place in the country to evacuate in a disaster," the document says.
In determining whether and how to evacuate residents who are willing and able to go, the document goes on, officials should consider the risks of evacuation, the magnitude of the storm and how disruptive an evacuation would be to residents and businesses.
The county had also estimated the amount of time it would take to evacuate residents under several different scenarios.
According to the document, it could take 20 hours to evacuate all of Zones A, B and C into emergency shelters within Lee County. That timeframe increases "dramatically" if residents attempt to leave the county altogether.