The perimenopause is a hormone rollercoaster, so blood tests are not very helpful. You should be excluding other potential causes for symptoms. A clinician should be looking for red flags in their patient but if it's nothing else. If a woman says she's absolutely exhausted, she's completely fine, and over the last few months, she's exhausted. Blood tests are going to be needed to see if there's a thyroid problem or anemia.

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