The Sleep Diagnosis That Hides Behind Menopause

Posted on October 29, 2026 by Dr. Lisa Tabrizi

You were in bed by ten. You did not lie awake. As far as you know, you slept. And you woke at six feeling like you had been hit by something. There is a headache behind your eyes most mornings that clears by about ten. You are foggy until the second coffee. You hit a […]

New Menopause Guidelines in 2026: What’s Actually New for Canadian Women?

Posted on October 21, 2026 (October 21, 2026) by Dr. Lisa Tabrizi

There’s been plenty of excitement surrounding the newly updated American menopause treatment guidelines, released in October 2026 by the American College of Obstetricians and Gynecologists (ACOG). And while I’m delighted to see menopause receiving more attention, I think it’s important to ask a question: How much of this information is actually new? As a naturopathic […]

The First Ten Steps of the Morning: Joint Pain in Perimenopause

Posted on October 16, 2026 (October 17, 2026) by Dr. Lisa Tabrizi

You put your feet on the floor and it hurts. Not badly. Not enough to mention to anyone. Just enough that you take the first ten steps carefully, like someone considerably older than you are, and by the time you reach the kitchen it has mostly worn off. Your hands feel thick and stiff until […]

Perimenopause and Headaches: Why They Change in Midlife and When to Get Checked

Posted on October 15, 2026 (October 15, 2026) by Dr. Lisa Tabrizi

October is Menopause Awareness Month, and one symptom that rarely gets talked about is pain. Maybe you’ve had the odd headache for years, but lately they come more often, last longer or hit harder. Or maybe migraines you thought you’d outgrown are back. Here’s the short answer: headaches often change during perimenopause, the years leading […]

The Sentence You Did Not Say at Your Last Appointment

Posted on October 9, 2026 (October 10, 2026) by Dr. Lisa Tabrizi

You had it ready. You had practised it in the car. And then the appointment ran short, and the moment passed, and you said thank you and you left, and you drove home with the same problem you arrived with. Maybe it is that sex has started to hurt, and you have quietly stopped initiating. […]

You Are Not Eating Too Much. You Are Eating Too Little of One Thing.

Posted on September 25, 2026 (September 23, 2026) by Dr. Lisa Tabrizi

It is 3:40 in the afternoon and you are standing at the kitchen counter eating crackers out of the box. You are not hungry in a way you can explain. You had lunch. A good lunch, actually, a big salad, the kind you would describe to someone else as healthy. And yet here you are, […]

Perimenopause vs Menopause: Which Stage Are You In?

Posted on September 22, 2026 (September 22, 2026) by Dr. Lisa Tabrizi

You are 44. Your period arrived twice this month, you woke at 3 a.m. for the fourth night running, and a friend told you that you must be in menopause. You are probably not. Perimenopause vs menopause is one of the most common points of confusion we hear from women looking for menopause and perimenopause […]

Your Thyroid Is Normal and You Still Feel Terrible: Thyroid or Perimenopause?

Posted on September 18, 2026 (September 20, 2026) by Dr. Lisa Tabrizi

You brought a list to your appointment. You had thought about it for weeks before you booked. Exhausted. Gaining weight without changing anything. Hair coming out in the shower. Cold all the time. Foggy. Flat in a way that is not quite sadness. Your thyroid gets checked. The result comes back normal. You are told […]

Checking the Chair Before You Stand: Heavy Periods in Perimenopause

Posted on September 4, 2026 (September 16, 2026) by Dr. Lisa Tabrizi

You stand up at the end of a meeting and you do the thing you now do automatically. A quick glance behind you. A small recalibration of the day depending on the answer. You have a spare set of clothes in the car. You know which washroom on which floor. You have declined things, quietly, […]

The Word Is Right There and You Cannot Find It: Brain Fog in Perimenopause

Posted on September 1, 2026 (September 16, 2026) by Dr. Lisa Tabrizi

It is 8:52 on a Tuesday morning. You are three sentences into explaining something you know inside out, and the word is gone. Not a difficult word. An ordinary one. You talk around it, you land somewhere close enough, and the meeting moves on. Nobody noticed. You noticed. Your heart is going a little faster […]

Summer Plans, Summer Body, and the Question Nobody Wants to Ask Out Loud

Posted on August 21, 2026 (September 16, 2026) by Dr. Lisa Tabrizi

The invitation arrives in June. A wedding, a cottage weekend, a beach day with friends you have known for twenty years. And somewhere between saying yes and finding something to wear, a quieter thought surfaces. What happened to my body? You have not changed how you eat. If anything, you eat less carefully now than […]

Sleeping Through a Southern Ontario Summer: Night Sweats, Humidity, and 3 A.M. Wakeups

Posted on July 31, 2026 (September 16, 2026) by Dr. Lisa Tabrizi

It is 3:07 a.m. You are awake, again. The room is warm. The sheets are damp. Your mind has already started running through tomorrow’s list, and the harder you try to fall back asleep, the further away it gets. By July, many women have stopped expecting anything different. Sleep has become something that happens to […]

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