April 26, 2026

Why You're So Tired in Perimenopause (And What to Do About It)

Why You're So Tired in Perimenopause (And What to Do About It)
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If you are eating well, exercising, cutting alcohol, doing everything right, and your body is still not cooperating, this episode is the one you have been waiting for.


Dr. Shauna Watts sits down with Dr. Mariza Snyder, functional practitioner and hormone specialist, for one of the most clinically grounded conversations about what perimenopause is actually doing to your body. Your brain, your metabolism, your stress response, your gut, your immune system. All of it.


This is the episode to send to every woman in your life who has been told her symptoms are just stress, just aging, or just life.


What is covered in this episode:

➡️ Why perimenopause symptoms are so unpredictable, and why the chaos is completely physiological, not psychological

➡️ What declining estrogen and progesterone are doing to your insulin sensitivity, and why eating less and moving more has stopped working

➡️ The cortisol connection: why chronic stress and declining hormones are a compounding combination that makes every symptom louder

➡️ What "tired but wired" actually means physiologically

➡️ The mitochondria piece: why perimenopause fatigue is not ordinary tiredness, it is cellular, and what that means for your energy

➡️ Why so many women are gaining visceral fat despite doing everything right, and what the research actually says about metabolism in midlife

➡️ Dr Marisa's most practical daily habits for rebuilding energy, including her take on electrolyte water

➡️ Why addressing your nervous system is not a wellness add-on. It is a clinical priority.


If this episode made something click for you, send it to one woman in your life who keeps saying she just does not feel like herself anymore. She probably has not had anyone explain it to her like this. And if you found it useful, leave a review so more women can find the show.


Dr. Mariza is coming back for part two, where the conversation goes deep on food, gut health, protein, and how to eat in a way that actually supports your midlife body. You will not want to miss it.


Follow Dr. Mariza Snyder

https://www.instagram.com/drmariza/

https://drmariza.com/

https://www.facebook.com/drmarizasnyder/

https://www.linkedin.com/in/drmariza https://www.amazon.com/Perimenopause-Revolution-Reclaim-Hormones-Metabolism/dp/1401997406


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Follow Dr Shauna and the podcast on social:

Podcast Website: ⁠www.allaboutyoupod.com⁠.

Instagram: https://www.instagram.com/allaboutyou_withdrshaunawatts https://www.instagram.com/drshaunawattsgp

LinkedIn: https://www.linkedin.com/in/shauna-watts-a903a5247


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

01:14 — Meet Dr Mariza Snyder: hormone specialist and author

02:17 — Why perimenopause symptoms are so unpredictable

06:04 — The woman who thought she was a fraud for feeling better

18:21 — Gaining weight despite doing everything right

20:01 — Insulin resistance in perimenopause: what is actually happening

23:37 — Cortisol explained: what it is, why it matters, what to do

31:06 — What role does inflammation play in perimenopause

39:18 — What is going wrong with energy in perimenopause

42:48 — The vicious cycle: fatigue, cravings, and mitochondria explained

44:41 — Tired but wired: why your brain energy feels scattered

49:58 — Daily habits that make the biggest difference to energy

56:20 — Three takeaways from Dr Shauna


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