68. Perimenopause – Understanding the Transition, Symptoms, Testing, and Treatments

With over 14 years of experience in Adult-Gerontology care, Krysha Mallari is a board-certified Nurse Practitioner dedicated to optimizing functional health and enhancing quality of life for adults and older adults. Having worked across diverse settings including hospitals, nursing homes, and clinics in inner-city Philadelphia, Krysha has extensive experience managing complex chronic diseases throughout the adult life spectrum. Her background in aesthetic medicine combined with integrative health provides a holistic approach to patient care.

We’re exploring the hormonal changes women face during perimenopause in this episode, focusing on estrogen, progesterone, and testosterone. Krysha shares her insights on how a holistic approach can support women both internally and externally, addressing symptoms like mood swings, weight changes, and cognitive clarity. We also discuss the importance of comprehensive hormone testing and thyroid health, highlighting the need for accessible and affordable evaluations. By bridging the gap between conventional and integrative medicine, we empower women to navigate these changes with confidence and improve their overall quality of life.

Topics discussed in this episode include:

• How Krysha transitioned from conventional to integrative medicine and aesthetics.

• Why a holistic approach is essential for managing perimenopause and menopause.

• How hormonal fluctuations impact mental and physical health, including mood and energy.

• Why less-discussed symptoms like migraines and joint pain need attention.

• How comprehensive hormone testing aids in effective treatment planning.

• Why hormone metabolism often gets overlooked in traditional medical education.

• Why estrogen, progesterone, and testosterone levels fluctuate during perimenopause.

• Why thyroid health is critical for metabolism and toxin clearance.

• How genetics and lifestyle influence perimenopausal symptoms severity.

• Why hormone replacement therapy should be personalized to individual risks and needs.

• How bioidentical hormones mimic natural hormone functions more closely.

• Why strength training and diet are crucial for managing perimenopausal symptoms.

• How stress management techniques like mindfulness and breathwork aid hormonal balance.

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