You’ve been told your blood tests are normal. That it’s stress or it’s aging. But what if the real reason you feel exhausted, anxious, and unlike yourself is perimenopause and it’s being completely missed?

In this episode, Dr. Shauna Watts sits down with Dr. Mary Claire Haver, a board-certified OB/GYN, Certified Culinary Medicine Specialist, Certified Menopause Provider and the founder of Mary Claire Wellness, to break down how perimenopause is actually diagnosed, why so many women are misdiagnosed, and what’s really happening with your hormones in midlife.

This conversation goes far beyond common menopause symptoms. It explains why perimenopause symptoms can show up years before menopause, why standard hormone blood tests often fail, and how declining estrogen impacts your brain, metabolism, sleep, and overall health.

If you’ve been searching for answers around perimenopause symptoms, hormone replacement therapy (HRT), or why your body feels different in your late 30s or 40s, this episode connects the dots.

This is the episode to share with any woman who’s been told “everything looks fine” but knows something isn’t right.

What we cover in this episode:

• Why perimenopause symptoms are unpredictable and why hormone fluctuations create chaos in the body
• Why blood tests are not reliable for diagnosing perimenopause and what doctors should look at instead
• The importance of listening to symptoms and why women are often dismissed in healthcare
• Lesser-known perimenopause symptoms like vertigo, tinnitus, joint pain, anxiety, and brain fog
• The truth about hormone replacement therapy (HRT) and how the Women’s Health Initiative changed menopause care
• Why HRT risks were overstated and why many women are still not being offered treatment
• The difference between birth control and hormone therapy in perimenopause treatment
• What causes weight gain in perimenopause, including insulin resistance and visceral fat
• Why sleep disruption is one of the earliest and most important symptoms to address
• How to approach perimenopause diagnosis by ruling out other conditions and trusting patient experience

Perimenopause is not just about hot flashes or missed periods. It is a full-body hormonal transition that affects your energy, mood, metabolism, and long-term health.

The problem is most women are navigating it without proper guidance, accurate information, or access to evidence-based menopause care.

This episode challenges outdated medical advice and gives you a clearer understanding of what’s happening in your body and what options you actually have.

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Disclaimer: This podcast and any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice. Information is provided for educational and entertainment purposes only.

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Chapters

00:00 – Why Perimenopause Is Being Missed
02:10 – It’s Not Just Hot Flashes: Hidden Symptoms
04:00 – Estrogen Affects Your Entire Body
05:30 – Why Doctors Aren’t Trained in Menopause
08:00 – Misdiagnosis and Why Women Are Dismissed
10:15 – Why Blood Tests Don’t Detect Perimenopause
16:50 – What’s Really Happening to Your Hormones
23:30 – How to Actually Diagnose Perimenopause
28:00 – HRT vs Birth Control: What’s the Difference
33:00 – Why Doctors Are Afraid of Hormone Therapy
35:00 – The Study That Changed Everything
40:00 – HRT Risks vs Benefits Explained
41:30 – Weight Gain and Belly Fat in Perimenopause

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Keywords
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