<?xml version="1.0" encoding="UTF-8"?>
<urlset xmlns="http://www.sitemaps.org/schemas/sitemap/0.9"
        xmlns:xhtml="http://www.w3.org/1999/xhtml">

  <!--
    LAC Medical sitemap
    Updated: 2026-05-19
    Includes hreflang language alternates per Google's multilingual SEO guidance.
    Spanish compliance peers (es/aviso-hipaa, es/accesibilidad, es/privacidad)
    will be added when those files are authored + native-reviewed.
  -->

  <!-- English landing (JS-toggle bilingual; treated as primary EN until multi-file split) -->
  <url>
    <loc>https://lacmedicine.com/</loc>
    <lastmod>2026-05-18</lastmod>
    <changefreq>weekly</changefreq>
    <priority>1.0</priority>
    <xhtml:link rel="alternate" hreflang="en" href="https://lacmedicine.com/"/>
    <xhtml:link rel="alternate" hreflang="es" href="https://lacmedicine.com/?lang=es"/>
    <xhtml:link rel="alternate" hreflang="x-default" href="https://lacmedicine.com/"/>
  </url>

  <!-- Menopause / LAC Women's Health -->
  <url>
    <loc>https://lacmedicine.com/menopause.html</loc>
    <lastmod>2026-05-18</lastmod>
    <changefreq>monthly</changefreq>
    <priority>0.9</priority>
    <xhtml:link rel="alternate" hreflang="en" href="https://lacmedicine.com/menopause.html"/>
    <xhtml:link rel="alternate" hreflang="es" href="https://lacmedicine.com/es/menopausia.html"/>
    <xhtml:link rel="alternate" hreflang="x-default" href="https://lacmedicine.com/menopause.html"/>
  </url>

  <url>
    <loc>https://lacmedicine.com/es/menopausia.html</loc>
    <lastmod>2026-05-18</lastmod>
    <changefreq>monthly</changefreq>
    <priority>0.9</priority>
    <xhtml:link rel="alternate" hreflang="en" href="https://lacmedicine.com/menopause.html"/>
    <xhtml:link rel="alternate" hreflang="es" href="https://lacmedicine.com/es/menopausia.html"/>
    <xhtml:link rel="alternate" hreflang="x-default" href="https://lacmedicine.com/menopause.html"/>
  </url>

  <!-- HIPAA Notice of Privacy Practices -->
  <url>
    <loc>https://lacmedicine.com/hipaa-notice.html</loc>
    <lastmod>2026-05-18</lastmod>
    <changefreq>yearly</changefreq>
    <priority>0.5</priority>
    <xhtml:link rel="alternate" hreflang="en" href="https://lacmedicine.com/hipaa-notice.html"/>
    <xhtml:link rel="alternate" hreflang="x-default" href="https://lacmedicine.com/hipaa-notice.html"/>
  </url>

  <!-- Accessibility Statement -->
  <url>
    <loc>https://lacmedicine.com/accessibility.html</loc>
    <lastmod>2026-05-18</lastmod>
    <changefreq>yearly</changefreq>
    <priority>0.5</priority>
    <xhtml:link rel="alternate" hreflang="en" href="https://lacmedicine.com/accessibility.html"/>
    <xhtml:link rel="alternate" hreflang="x-default" href="https://lacmedicine.com/accessibility.html"/>
  </url>

  <!-- Privacy Policy -->
  <url>
    <loc>https://lacmedicine.com/privacy.html</loc>
    <lastmod>2026-05-18</lastmod>
    <changefreq>yearly</changefreq>
    <priority>0.5</priority>
    <xhtml:link rel="alternate" hreflang="en" href="https://lacmedicine.com/privacy.html"/>
    <xhtml:link rel="alternate" hreflang="x-default" href="https://lacmedicine.com/privacy.html"/>
  </url>

</urlset>
