the goop podcast A Guide to Perimenopause & Menopause
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Aug 26, 2025 Gwyneth Brown hosts Taz Bhatia, an integrative physician and founder of Center Spring MD. They dive into the often-taboo topics of perimenopause and menopause, discussing the hormonal shifts that occur and how lifestyle impacts these changes. Bhatia offers practical tools to help women navigate symptoms like night sweats and hot flashes. The conversation emphasizes a holistic approach, blending traditional and alternative medicine, to empower women to embrace this transformative life stage confidently.
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Perimenopause Starts Early And Gradual
- Perimenopause is a slow hormonal shift that often begins around age 35 and progresses quietly.
- Early awareness lets you intervene with lifestyle and delay more severe symptoms.
Cortisol Falls Before Progesterone
- Cortisol dysregulation often precedes progesterone decline in perimenopause.
- That cortisol–progesterone interaction underlies early sleep and anxiety changes.
Low Progesterone Causes Estrogen Dominance
- Falling progesterone creates relative estrogen dominance and irregular, heavier periods.
- Progesterone is needed to properly shed the uterine lining each cycle.
