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Episode #76 Gaslit in Perimenopause: When ‘Normal Labs’ Hide the Real Problem
In this episode of The Landy Peek Podcast, Landy sits down with Jessica O’Sickey, a nurse practitioner, double-certified nutrition coach, and mom of two young kids, to talk about what so many women experience in midlife—but rarely feel fully supported through: perimenopause symptoms, medical dismissal, and the exhausting process of advocating for yourself until someone finally listens.
Jessica shares her personal journey of being repeatedly brushed off by multiple providers—even with nearly two decades of healthcare experience—while navigating symptoms like extreme fatigue, mood shifts, brain fog, changes in cycle, midsection weight gain, and libido changes. Together, Landy and Jessica unpack the difference between “normal” labs and what actually feels optimal, why symptom-based care matters, and how women can begin making practical, sustainable shifts in nutrition and lifestyle without falling into the all-or-nothing cycle.
The conversation also explores why what worked in your 20s and 30s may not work the same way now—and how to adjust with grace, strategy, and small changes that fit real life.
In this episode, you’ll hear:
What it feels like to be told you’re “too young” for perimenopause—and why that’s not accurate for many women
Common perimenopause symptoms that are often dismissed or misattributed
Why “normal” lab work doesn’t always mean you’re fine—and the key distinction between normal vs. optimal
How functional testing (including cycle-timed testing) can offer clarity and validation
Practical lifestyle adjustments that can make a real difference (sleep, training intensity, alcohol, recovery)
Why “pushing harder” often backfires in midlife—and what to do instead
A more supportive approach to nutrition: adding what you need vs. restricting what you love
Macro-based nutrition as a framework for balance (without cutting entire food groups)
How blood sugar swings can impact energy, cravings, and weight changes in perimenopause
The mindset shift that helps women stop spiraling after “one off-plan meal”
Jessica’s coaching style and why human support matters more than just a set of numbers
Key takeaways:
If you feel like something is off, keep advocating. You know your body. And while it can be exhausting to keep pushing for answers, you deserve care that listens, validates, and supports you—especially in a season of life where you’re still showing up for everyone else.
Connect with Jessica O’Sickey
Instagram: @TheMacro_NP
Email: [email protected]
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By Landy PeekIn this episode of The Landy Peek Podcast, Landy sits down with Jessica O’Sickey, a nurse practitioner, double-certified nutrition coach, and mom of two young kids, to talk about what so many women experience in midlife—but rarely feel fully supported through: perimenopause symptoms, medical dismissal, and the exhausting process of advocating for yourself until someone finally listens.
Jessica shares her personal journey of being repeatedly brushed off by multiple providers—even with nearly two decades of healthcare experience—while navigating symptoms like extreme fatigue, mood shifts, brain fog, changes in cycle, midsection weight gain, and libido changes. Together, Landy and Jessica unpack the difference between “normal” labs and what actually feels optimal, why symptom-based care matters, and how women can begin making practical, sustainable shifts in nutrition and lifestyle without falling into the all-or-nothing cycle.
The conversation also explores why what worked in your 20s and 30s may not work the same way now—and how to adjust with grace, strategy, and small changes that fit real life.
In this episode, you’ll hear:
What it feels like to be told you’re “too young” for perimenopause—and why that’s not accurate for many women
Common perimenopause symptoms that are often dismissed or misattributed
Why “normal” lab work doesn’t always mean you’re fine—and the key distinction between normal vs. optimal
How functional testing (including cycle-timed testing) can offer clarity and validation
Practical lifestyle adjustments that can make a real difference (sleep, training intensity, alcohol, recovery)
Why “pushing harder” often backfires in midlife—and what to do instead
A more supportive approach to nutrition: adding what you need vs. restricting what you love
Macro-based nutrition as a framework for balance (without cutting entire food groups)
How blood sugar swings can impact energy, cravings, and weight changes in perimenopause
The mindset shift that helps women stop spiraling after “one off-plan meal”
Jessica’s coaching style and why human support matters more than just a set of numbers
Key takeaways:
If you feel like something is off, keep advocating. You know your body. And while it can be exhausting to keep pushing for answers, you deserve care that listens, validates, and supports you—especially in a season of life where you’re still showing up for everyone else.
Connect with Jessica O’Sickey
Instagram: @TheMacro_NP
Email: [email protected]
Stress, Rewritten
Join Stress, Rewritten