06/09/2026
It feels like perimenopause has become the answer to almost everything a woman in her 40s experiences. 🌿
Exhausted - Anxious - Flat - Foggy - Overwhelmed… “It’s perimenopause.”
And yes, sometimes it absolutely is. Perimenopause is very real, and I think it is wonderful that women are finally talking about it more openly and having their symptoms recognised. But I also think we need to be careful not to blame everything on hormones and stop asking questions. Because what else might be going on?
🪻 Has she experienced years of heavy periods that have slowly depleted her iron stores?
🪻 Could low iron be contributing to her exhaustion, anxiety, low mood, brain fog, poor concentration, or even affecting her thyroid function and ability to cope with stress?
🪻 Is she actually absorbing the nutrients she needs? Low stomach acid, long-term use of acid-suppressing medication, gut issues and inflammation can all interfere with nutrient absorption.
🪻 We also need to look at thyroid function, diet, gut health, hormonal contraception and other medications. It can all be part of the picture.
None of this means perimenopause isn’t playing a role. Hormonal changes can have a significant impact on how a woman feels. But sometimes it isn’t just perimenopause. It might be…
👉 Perimenopause and low iron.
👉 Perimenopause and poor nutrient absorption.
👉 Perimenopause and thyroid dysfunction.
👉 Perimenopause and a body that has been running on empty for far too long.
These things can create similar symptoms, or make the hormonal transition feel so much harder than it needs to. This is why I believe we need to look at the whole woman and remain curious about what her body may be trying to communicate.
Dive a little deeper into the WHY…. What is driving the symptoms? What is making them worse? And what does her body actually need to feel supported again?
Because when we find and address what is happening underneath the symptoms, women can feel so much better. 🤍✨