Your labs are “normal”… but you’re exhausted, gaining weight, sleeping poorly, and you just don’t feel like yourself.

Could it still be perimenopause? In my newest YouTube video, I walk through how I think about this common scenario as a primary care nurse practitioner. Because yes—perimenopause may be part of the picture. But we shouldn’t blame every symptom a woman experiences in her 40s on hormones.

We’ll talk about:

• Why normal hormone labs don’t rule out perimenopause

• Thyroid disease, anemia and iron deficiency

• Sleep and mental health

• Midlife weight and body-composition changes

• Muscle and metabolic health • When hormone therapy may—or may not—be appropriate

• Why your health in your 40s and 50s matters for how you age

Midlife isn’t just something we need to get women through. It’s an opportunity to identify risks early and change the trajectory of health.