The New Science of Perimenopause: HRT, Brain Changes & What Actually Works | Dr. Mary Claire Haver | #178

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I sat down with Dr. Mary Claire Haver, board-certified OBGYN, certified menopause specialist, and author of The New Menopause and The New Perimenopause. Together we pull back what is actually happening inside a woman's body during the perimenopause transition, and what we can do about it.

What we explore:

- Why perimenopause starts in the brain, triggering fog, mood shifts, and sleep disruption years before your last period.

- The staggering research gap that has left perimenopause understudied and millions of women dismissed.

- How 20% of women absorb transdermal estrogen poorly without knowing it, and why testing matters.

- What metabolic syndrome of menopause is and why visceral fat doubles during the transition without diet changes.

- How to use GLP-1s safely in midlife while protecting muscle mass and bone density.