Other things that are going on in your life can impact the severity of hormone symptoms. There is a little bit of a gray area between what might be a pre menstrual disorder and what might be something progressing into perimenopause. So it really, I will say to my patients, if they feel that they're losing well being at certain times and they're not sure what it is,. It might have impacts on sleep, on mood, it might be getting a bit hot and sweaty.

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