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7 Things No One Tells You About Perimenopause

menopause perimenopause Oct 08, 2026

By Elena Bensonoff, Clinical Pharmacist and Wholistic Practitioner

"Your labs are normal."

If you're a woman in your 40s or 50s, there's a good chance you've heard those words. Maybe you heard them right after describing the 3 a.m. wake-ups, the weight settling around your middle, or the fog that makes you lose words mid-sentence.

And maybe you left that appointment wondering: If everything is normal, why don't I feel like myself?

I understand. I'm walking through this transition myself. And after more than 25 years as a Clinical Pharmacist and Wholistic Practitioner, reviewing thousands of labs, I can tell you this: women are given far too little information about one of the biggest physiological shifts of their lives.

Here are seven things I wish every woman knew.

1. Perimenopause can start years before your last period

Menopause is officially one moment: 12 months without a period. Perimenopause is the transition leading up to it, and it often begins in your early-to-mid 40s,...

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