A little bit about me- early 40’s, perimenopausal for years and recently began HRT in August of 2025. I’m on the estrogen patch and oral bioidentical progesterone. How do I know if my dosage is too high or too low? 🤔 My provider’s guidelines is to prescribe based on my symptoms alone. What are the symptoms if estrogen is too high or low; and if progesterone is too high or low? I’m starting to not trust my body and question everything. 😢 My PCP recommended doubling my estrogen dosage and I got mild headaches almost daily and felt more moody than usual. I also doubled the progesterone as prescribed and couldn’t sleep like the previous dosage. I normally take my progesterone during the day since it causes me to feel anxious and not sleepy at all. I got tired of sleepless night and rely on magnesium glycinate. How long should you try a dosage before it feels unbearable or worse? It feels like hormone medication is an experimental game. I’ve never had a journey like this before and feel overwhelmed when I’ve got other health conditions to manage (e.g., constipation, acid reflux, joint pain, and orthopedic injuries). Help!!! ❤️🤷‍♀️

Anxiety is one of the most common symptoms we see in our perimenopause patients. Around 60 percent of women in perimenopause report experiencing anxiety, and over 40 percent experience heart palpitations. Hormonal fluctuations during this time can trigger your fight or flight response and intensify anxiety symptoms out of nowhere 🫠 Hormone therapy is often the most effective way to address perimenopause related anxiety, but there are also some really helpful supportive tools you can use day to day 🤗 ✅ Nervous System Support: 👉🏻 Magnesium Glycinate + L-theanine ✅ Vagus Nerve Activation: 👉🏻 Ice Pack Hack: Hold an ice pack on your neck or chest for 10-15 minutes. This will quickly reset your nervous system. 👉🏻 Physiological Sigh: Deep slow breath in through the nose, at the top of the breath do one more quick inhale to fully expand your lungs, and then slowly exhale through your mouth. Repeat this 3-4x. 👉🏻 Quick grounding tools: Sour candy or a Boom Boom stick can sometimes help interrupt panic or driving anxiety in the moment 🙏🏼

Hello Ladies. I recently added testosterone to my HRT cocktail. I am also hypothyroidic and taking Synthroid. The testosterone is giving me heart palpitations and jitteriness that I was not prepared for. A little research showed that testosterone increases free T4 and reduces TSH, which is why it feels like my Synthroid is suddenly in overdrive. But Estradiol does the opposite! I am stuck in this hormonal conundrum and meanwhile my heart might explode. Has anyone experienced this before and how do I find balance? *Also worth noting that the Testosterone is non-negotiable because my menopausal brain fog was unbearable (I quit my job because I no longer felt qualified). Can anyone help me sort out this mess?

I’ve gained about 15 pounds in 10 months. I eat approximately 2200-2500 calories, walk 10k-14k steps in a day, have a desk job, eat 150g of protein a day, 25-35g of fiber and mainly a whole food diet. I also strength train 3 times a week for about 45 minutes each. I’m on progesterone, and an every other day 1/2 pump of testosterone cream. My sleep has improved this past year but could also keep getting better. I’ve been managing my stress through meditation, breath work and sauna. I’ve cut high intensity cardio out for now. I’ve also recently been put on thyroid medication as my T3 and T4 have been a bit sluggish. I still can’t lose the weight and I’m losing my muscle definition 😩. What else can I do to get a handle on the fat gain and muscle loss?

Hey everyone! 👋 Drop your best perimenopause/menopause tips and hacks in the comments so we can all help each other out!💛 Sharing your experiences and what’s worked for you can make a big difference for someone just starting their journey!