Most clinicians are unknowingly failing their female patients by treating perimenopause with antidepressants and birth control. In episode 47 of the Nico Misleh Podcast, host Nico Misleh reveals why common symptoms like night sweats, anxiety, and insomnia are often misdiagnosed and how the conventional approach can make things worse. This episode exposes the truth about hormonal fluctuations, the critical role of progesterone and thyroid health, and why bioidentical HRT is the most appropriate and effective therapy to restore vitality.

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Chapters:

0:00 - What Are the First Signs of Perimenopause? 

1:10 - The 3 Stages of a Woman's Hormonal Life Cycle 

2:57 - The Truth About Bioidentical vs. Synthetic Hormones 

3:56 - Top 5 Telltale Symptoms of Perimenopause 

5:51 - Estrogen's Wild Ride vs. Progesterone's Decline 

8:07 - How Perimenopause Can Secretly Destroy Your Marriage 

9:34 - Why You Wake Up Anxious at 3 AM During Perimenopause 

11:23 - How Do You Know If You're in Perimenopause? 

13:26 - Why Progesterone is the First Hormone You Should Replace 

14:49 - Estrogen Dominance: The Hidden Truth 

15:45 - The Biggest Mistake Clinicians Make When Prescribing Estrogen 

17:49 - Why You Can't Rely on Lab Tests Alone for Diagnosis 

19:17 - When Is It Necessary to Start Estradiol Replacement? 

21:17 - How to Become an Expert Clinician in HRT 

23:22 - The Most Overlooked Hormone in Perimenopause Treatment 

25:00 - The "Hokey" Detox Truth My Mentors Taught Me 

26:39 - How Your Liver Health Creates Estrogen Overload 

28:35 - Is Thyroid Medication Overprescribed or Under-Treated? 

29:39 - Why Synthroid (Levothyroxine) Fails Most Patients 

32:30 - Is a Suppressed TSH Actually Dangerous? A Full Breakdown 

34:41 - How to Treat PCOS, PMDD, and Postpartum Depression 

36:06 - The Two Worst "Treatments" for Perimenopause 

39:22 - Why HRT is NOT "Alternative Medicine" 

40:43 - An Appendectomy Analogy: Appropriate vs. Inappropriate Therapy 

45:49 - The Most Important HRT Mindset Shift for Clinicians 

46:46 - Join My HRT Community & Daily Newsletter