11: The Early Signs of Perimenopause Most Women Miss with Dr. Robin Berzin

Perimenopause is one of those phases women are often taught to recognize only after it becomes obvious. The cycle can still look regular, labs can still look normal on paper, and one appointment may not give enough context to explain why the body suddenly feels different. In this episode of The Ovary Club, I'm joined by Dr. Robin Berzin to talk about how to build a clearer picture of early perimenopause before symptoms become impossible to ignore. We get into what women should start paying attention to, why tracking patterns over time matters, how stress, blood sugar, thyroid, and adrenal health can overlap with hormonal changes, and what to ask for when you want more useful answers. Dr. Robin Berzin is a Columbia-trained internal medicine physician, functional medicine pioneer, and founder and CEO of Parsley Health, the first national functional medicine and longevity clinic in the US. She is also the author of State Change: End Anxiety, Beat Burnout, and Ignite a New Baseline of Energy and Flow and one of the leading voices helping women understand the physical root causes behind symptoms they are too often told to brush off. Want to go deeper with this episode? Insiders get to submit questions and receive monthly Q&As directly from Alisa. Join us at alisavitti.kit.com/products/the-ovary-club   What's Discussed: 01:54 – Why so many women miss the early perimenopause window. 03:36 – The symptoms that can show up before perimenopause looks "obvious." 06:58 – Why this stage matters for your long-term health span. 10:23 – Where HRT fits into the bigger perimenopause conversation. 14:57 – What testing can help clarify when everything feels confusing. 23:13 – Why stress and metabolism can make perimenopause harder to read. 33:43 – The brain and focus changes women do not always connect to hormones.   **Thank You to Our Sponsors:**  FLO Living (supplement): Get 25% off with the code podcast25 at floliving.com  Ovary Club Insiders: Ovary Club: Join us at alisavitti.kit.com/products/the-ovary-club    **Learn more about Alisa Vitti:**  Instagram: @alisa.vitti  Website: alisavitti.kit.com/    **Learn More About Dr. Robin Berzin:** Website: www.parsleyhealth.com Instagram: @parsleyhealth and @robinberzinmd X: @parsley\_health and @robinberzinmd LinkedIn: www.linkedin.com/in/robin-berzin-md Facebook: https://www.facebook.com/parsleyhealthwww.facebook.com/parsleyhealth