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Alyssa Dweck

Alyssa Dweck

Gynecologist

Oct 14, 2026

0:59
Yes.
0:59
You know, menopause is that day and time when you look back and realize it's been 12 consecutive months without menstruation.
1:08
But the years, sometimes 2 or 4 to 10 years leading up to menopause, is called perimenopause, and this is really when hormones like estrogen and progesterone start to change, and they can be incredibly volatile.
1:24
And this causes symptoms that are sometimes not easily recognized as hormonal symptoms.
1:31
So our Bonafide sixth annual State of Menopause survey, we- which- where we looked at 2,000 wo- women's responses, revealed that the cognitive and emotional symptoms during this perimenopausal transition were the most disruptive symptoms at all and really disconcerting.
1:52
So it's kind of surpassed the typical hot flashes and night sweats-
2:43
Mm-hmm.
2:44
They act throughout the body, and changes in these hormones not only result in physical discomfort like hot flashes or musculoskeletal joint pain, but they interrupt sleep.
27:57
There's so much
27:57
to say.
27:59
So I think it's no surprise that the Mediterranean style diet is really recommended during this stage of life and truly as a lifestyle, not as a diet for two weeks or three weeks.
28:13
The Mediterranean diet really focuses on lean protein.
28:16
It focuses on higher fiber foods, whole grains, minimal sugar, minimal salt with spices used instead.
28:26
olive oil instead of butter, and other things in moderation.
28:31
And the original purpose of the Mediterranean diet was really to be a heart-healthy diet and to help control things like hypertension and lower risk of cardiovascular disease.

9 MINS LATER

37:35
So what are your thoughts? What are the tips on what we should be thinking about during perimenopause? Yeah.
7:28
So how are we thinking about these women now when it comes to that kind of treatment?
7:34
Well, I think the first thing to realize is that perimenopause lasts for a long time.
7:39
This is not a day in time.
7:41
It's not like, oh, you skip one period and that's it.
7:44
You're done with perimenopause.
7:46
This can be of a two to 10 year duration.
7:49
And oftentimes, symptoms are not even recognized or thought about by a healthcare practitioner or a person until periods become a little bit irregular.

29 MINS LATER

36:54
So let's talk a little bit about, and some maybe non-pharmaceutical ones, but like other treatments that women can turn to.

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