Fatigue
Beyond ordinary tiredness — the fatigue of hormonal transition requires ruling out other causes first.
What's Happening
Fatigue in perimenopause can stem from multiple causes: poor sleep from night sweats, direct hormonal effects on energy systems, and underlying conditions (thyroid disorders, anemia, vitamin D deficiency) that become more common in this life stage. Always rule out these other causes before attributing fatigue to perimenopause alone.
Supplements Worth Considering
Iron (test levels first)
Heavy periods common in perimenopause can cause iron deficiency. Get a ferritin level before supplementing.
Vitamin B12
Deficiency causes fatigue and neurological symptoms. More common than realized. Test before high-dose supplementing.
Ashwagandha
May improve energy and reduce fatigue related to stress and cortisol dysregulation.
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When to See Your Doctor
- →Fatigue is severe or has lasted more than a few weeks
- →You have not had thyroid function tested recently
- →You have not had iron/ferritin and B12 checked
- →Fatigue is accompanied by unexplained weight changes, hair loss, or cold intolerance
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