Is this perimenopause… or is something else going on? It’s one of the most common questions Dr. Mariza hears from women in their late 30s and early 40s, especially when their periods are still regular and they’ve never experienced a hot flash. In this solo episode, Dr. Mariza breaks down why early perimenopause can be so difficult to recognize and the less obvious signs that often appear first, including exhaustion, anxiety, irritability, brain fog, sleep changes, worsening PMS, migraines, and changes in stress tolerance. She shares three important clues for identifying a possible perimenopause pattern: looking for clusters of symptoms, noticing changes from your normal baseline, and tracking how symptoms change throughout your cycle. But hormones aren’t always the entire story. Dr. Mariza also explains why thyroid dysfunction, low iron, metabolic issues, nutrient deficiencies, sleep problems, and other conditions deserve investigation, even when perimenopause is part of the picture. Plus, you’ll learn how to track your symptoms and walk into your next healthcare appointment prepared to ask better questions. Listen now to connect the dots, understand what your body is telling you, and get clearer on your next steps. IN THIS EPISODE Why so many women over 35 aren’t sure whether they’re in perimenopause The early perimenopause symptoms women often mistake for stress or burnout Why you can be in perimenopause while still having regular periods The three clues Dr. Mariza uses to recognize a perimenopause pattern Why tracking changes from your personal baseline matters How your menstrual cycle can reveal patterns in mood, sleep, migraines, and energy What else to investigate, including thyroid, iron, metabolic health, and sleep How to advocate for yourself when your labs look “normal” but you don’t feel like yourself QUOTES “Stop looking at the one symptom that proves you’re in perimenopause. Start looking at the collection of clues and patterns that your body is exposing.” “Perimenopause doesn’t usually show up with a giant flashing sign.” “Hormones may be a huge part of the picture without being the entire picture.” RESOURCES MENTIONED Order my newest book: The Perimenopause Revolution http://drmariza.com/book Comprehensive Perimenopause Lab Guide Stop surviving and start thriving, join Midlife on Fire Collective now https://drmariza.com/trial RELATED EPISODES 768: Why Your Period Gets So Weird in Perimenopause + What Actually Helps with Kaya and Yasmin Purohit 764: Why Your Nervous System Feels Dysregulated (Even When You’re Doing Everything Right) with Roseann Capanna-Hodge 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman 650: Unlock Your Health: The Ultimate Biomarker & Lab Blueprint to Thrive in Midlife and Beyond

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