The Balanced Hormone Solution

Ep. 82 How the Thyroid Changes in Perimenopause — What You Notice First & Why Proper Testing Matters


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Is it perimenopause… or your thyroid?

In your late 30s and 40s, symptoms like weight gain, fatigue, brain fog, and hair thinning are often blamed entirely on hormonal shifts.

But the thyroid is deeply connected to what’s happening during perimenopause — and it’s frequently under-tested and misunderstood.

In this episode, we break down how thyroid physiology changes in perimenopause, the early warning signs women notice first, and what can happen when testing is incomplete.

Because “normal labs” don’t always mean optimal function.

In This Episode, We Cover:

  • How estrogen and progesterone shifts impact thyroid function
  • Why stress and cortisol interfere with thyroid hormone conversion
  • The difference between T4 and T3 (and why it matters)
  • Early thyroid symptoms that overlap with perimenopause
  • How under-eating and overtraining can suppress thyroid output
  • Why testing only TSH often misses the full picture
  • The role of thyroid antibodies in autoimmune thyroid disease
  • What can happen metabolically if thyroid shifts go unaddressed


If you’re ready for personalized metabolic and hormone assessment, learn more here:

🔗 www.tracyerinwellness.com

Perimenopause isn’t the beginning of decline.

It’s a phase that requires more precise strategy. 💛

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The Balanced Hormone SolutionBy Tracy