If you've been feeling foggy, exhausted, or like your body just stopped cooperating ( like mine has) your hormones are likely sending you a message. Here's the science behind what's really going on.
In your 40s, your body begins perimenopause the transition phase before menopause that can last 2–8 years. 😱
During this time, estrogen and progesterone levels begin to fluctuate and decline. Because estrogen plays a role in regulating your mood, metabolism, bone density, cholesterol, and even your cardiovascular system, these changes can have a wide-reaching impact on how you feel every day.
Research from Johns Hopkins Medicine confirms that declining estrogen increases cortisol sensitivity , meaning stress hits harder, sleep becomes disrupted, and brain fog becomes more common. Hot flashes affect up to 75% of menopausal women and can persist for 4–5 years or longer, according to multiple clinical studies.
What can you do? Evidence-based strategies include:
• Whole foods nutrition lean protein, calcium-rich foods, healthy fats, and magnesium (found in leafy greens and seeds) all support hormone function.
• Phytoestrogens found naturally in flaxseed, soybeans, and red clover, these can have a mild estrogenic effect and may help moderate symptoms.
• Hormone Replacement Therapy (HRT) for women experiencing significant symptoms, HRT is FDA-approved and supported by updated 2024 research showing it reduces long-term risks for cardiovascular disease, diabetes, and osteoporosis when started at the right time.
Most importantly: your symptoms are real, measurable, and treatable. This is your body shifting not failing.
💬 Community Question:
What perimenopause symptom has hit you or surprised you the most? Drop your experience below. You might help someone feel less alone. 🫂