The Superwoman Code

144: Perimenopause - The Change Before The Change


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In this episode of The Superwoman Code, Dr. Ashley Margeson ND breaks down what perimenopause really is (hint: it's like puberty, but in reverse), why it can feel like a hormonal rollercoaster, and the symptoms that often get dismissed or overlooked. From joint pain and sleep disruptions to rage, brain fog, and anxiety spikes, you'll learn that you're not imagining it β€” your body is shifting.

Ashley also shares why energy feels so different during this stage, how biology collides with life load, and three practical ways to navigate perimenopause with more confidence, calm, and support.

What You'll Learn in This Episode
  • What perimenopause actually is, and why it can last 7–10 years.

  • Why hormones don't decline smoothly β€” and what that means for your mood, sleep, and energy.

  • The lesser-known symptoms of perimenopause (like joint pain, rage, and brain fog).

  • Why energy crashes are about more than hormones β€” they're about hormones + responsibility + culture.

  • Three practical tools: cycle tracking, nervous system support, and reframing the story.

Quotable Moments

πŸ’¬ "Perimenopause is a change in your system β€” but you're not supposed to feel like shit as that shift happens." πŸ’¬ "Perimenopause is a rollercoaster because it's the collision of biology and life load."

Resources & Links
  • 🎟️ Tickets to the Hormone Intelligence Event β€” November 6, Halifax

  • πŸ“² Follow Dr. Ashley on Instagram: @drashleymargeson

  • πŸ‘‹ Meet Dr. Ashley at the Atlantic Menopause Show

Takeaway Challenge

Start tracking your symptoms this week β€” even if your cycle feels irregular. Notice when your energy dips, when your mood shifts, or when sleep is off. Patterns give you power β€” and with power, you can plan support.

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The Superwoman CodeBy Dr. Ashley Margeson, ND

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