
The 34 Symptoms of Perimenopause, Explained by Systems
The 34 symptoms of perimenopause, numbered and sorted into three systems: sex hormones, thyroid and stress. See where they overlap and what to track first.
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Written by Dr. Angela Goldstein, ND, for the patient who has been told everything looks normal and knows it is not.

The 34 symptoms of perimenopause, numbered and sorted into three systems: sex hormones, thyroid and stress. See where they overlap and what to track first.

Low mood, anxiety and fatigue that sleep does not fix often have measurable physical drivers worth investigating.

When low mood and anxiety arrive out of nowhere, hormone imbalance is often the missing explanation behind the symptoms.

Exhaustion and brain fog in your 40s are not just stress. Here is what perimenopause is really doing to your energy, brain and body.