What if the symptoms disrupting your life are connected to perimenopause, even if you’ve never had a hot flash? Andrea Donsky spent 14 years in perimenopause and 11 of them with no idea what was happening to her body. Now, as a seven-time published menopause researcher, nutritionist, and bestselling author of Nourishing Menopause, she’s helping women put language to experiences that have been overlooked for far too long. In this episode, Andrea joins Dr. Mariza to unpack her research into 103+ reported symptoms of perimenopause and menopause and why hot flashes aren’t even among the most common. Fatigue ranks #1, while nine of the top 10 symptoms are cognitive or mental-health related. They also discuss why women are still being dismissed by healthcare providers, the foundational role of nutrition, blood sugar, sleep, movement, and stress management, and why perimenopause deserves to be viewed as an opportunity to protect your long-term health. Most importantly, you’ll learn why this transition rarely looks the same from one woman to the next and why having the right vocabulary can completely change how you advocate for yourself. Listen now to better understand what your changing body may be trying to tell you and the tools that can help you feel like yourself again. ANDREA DONSKY Andrea Donsky is a nutritionist, menopause researcher, bestselling author, and co-founder of We Are Morphus. She has worked in health and wellness for 26 years and has spent nearly a decade focused specifically on perimenopause and menopause. Her research explores women’s real-world experiences during the menopause transition, including more than 100 reported symptoms and women’s experiences seeking care. She is the author of Nourishing Menopause, a research-backed guide combining nutrition, lifestyle, holistic health, and conventional approaches to help women feel their best through this transition. IN THIS EPISODE Why Andrea spent 11 years in perimenopause without realizing it The 103+ symptoms women have reported during perimenopause and menopause Why fatigue is the #1 reported symptom, not hot flashes The surprising dominance of brain, cognitive, and mental-health symptoms Why 40% of women in Andrea’s research reported feeling dismissed by healthcare providers How nutrition, blood sugar, sleep, movement, and stress support women through this transition Why HRT can be one valuable tool alongside foundational lifestyle strategies How perimenopause can become a window of opportunity for protecting long-term health QUOTES “I was in perimenopause for 14 years total, 11 of which I had no idea.” “We know that there’s 103 different symptoms of perimenopause and menopause.” “The number one symptom across the board is fatigue.” RESOURCES MENTIONED Use code DRMARIZA and get 10% off on your Womeness Order Nourishing Menopause by Andrea Donsky Sign up now to receive your bonus: "The Nourishing Menopause Bonuses" Andrea Donsky Website Andrea Donsky Instagram Andrea Donsky Youtube RELATED EPISODES 770: The Heart Disease Risk Factor Most Women Aren’t Watching: What Your Blood Sugar and Insulin Can Reveal with Dr. Philip Ovadia 769: Is It Perimenopause or Something Else? How to Finally Connect the Dots with Dr. Mariza 768: Why Your Period Gets So Weird in Perimenopause + What Actually Helps with Kaya and Yasmin Purohit 750: The Underlying Cellular Cause of Midlife Fatigue, Brain Fog & Low Motivation with Andrew Salzman

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