01/28/2026
Perimenopause doesn’t suddenly begin with hot flashes.For many women, it starts quietly in the late 30s and early 40s—with changes in sleep, mood, metabolism, and mental clarity that are often dismissed as “stress” or “aging.”Your labs may look normal, but your symptoms are telling a story worth listening to.When you understand the patterns behind hormonal change, you can work with your body instead of fighting it.If this feels familiar, you’re not alone—and you’re not broken. Support at this stage can change everything.