09/04/2026
Day 3 of the brain series.
Four stages. Most women have no idea which one they're in.
And the one that gets missed is stage two, because you're still having periods. So everyone tells you you're fine while your cycle quietly slides seven days in either direction and the fog rolls in.
research found the earliest brain changes connected to Alzheimer's begin earlier than anyone thought. In the women who go on to develop them, during perimenopause. Not at 70.
Which sounds terrifying until you flip it. If it starts there, that's where you can do something about it.
Not a warning. A window.
So here's where to start today.
1. Write down the date your period started. That's it. Just the date, in your notes app, every month. You cannot tell which stage you're in from memory, and the difference between stage one and stage two is whether those dates are moving by a week. Three months of dates and you'll know.
2. Pick up something heavy twice a week. Muscle isn't about the mirror. It's where your body handles blood sugar, and steadier blood sugar is a better day for your brain. Two sessions. Twenty minutes. Start with your own body weight if that's what you've got.
3. Find out what your blood pressure actually is. Not the number from three years ago. Midlife blood pressure is one of the most consistently identified modifiable risk factors for dementia, and it is silent, and the machine at the pharmacy is free. Go stand at it this week.
Comment your stage. 1, 2, 3, or 4. I'll tell you what's worth paying attention to at yours.
Annie August
Nurse Practitioner
If you want someone to go through all of this with you, that's the Clarity Visit. 30 minutes, $39
Age Well Hormone Health
St. Charles, IL