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

Posted on 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 […]

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Checking the Chair Before You Stand: Heavy Periods in Perimenopause

Posted on 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, […]

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

Posted on 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 […]

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

Posted on 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 […]

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

Posted on 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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Why Hot Flashes Feel Worse in Summer (And What Actually Helps)

Posted on by Dr. Lisa Tabrizi

You are standing on a patio in Burlington in the middle of July. The sun has been down for an hour. Everyone else is comfortable. And then it starts, that unmistakable rise from your chest into your neck and face, the flush, the sweat, the sudden urgent need to be somewhere cold. If you have […]

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Why Am I Suddenly Growing More Facial Hair? Understanding Facial Hair Growth During Perimenopause

Posted on by Dr. Lisa Tabrizi

One of the more surprising changes women notice during perimenopause is the appearance of unwanted facial hair. It may start with a few stubborn chin hairs, darker hairs along the jawline, or increased growth on the upper lip. For many women, this change feels frustrating, embarrassing, and completely unexpected. The good news is that you’re […]

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Why Stress Hits Differently in Perimenopause

Posted on by Dr. Lisa Tabrizi

You’re not stressed the way you used to be stressed. It’s something else. A low hum that doesn’t switch off. Tired in a way that sleep doesn’t fully fix. Running at full capacity — and yet feeling emptier than before. Small things triggering bigger reactions. A sense of your nervous system being permanently slightly on […]

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Menopausal Hormone Therapy: Is It Safe?

Posted on by Dr. Lisa Tabrizi

If you’ve been struggling with hot flashes, night sweats, poor sleep, mood changes, or vaginal dryness, you’ve likely wondered whether menopausal hormone therapy (MHT) is right for you. You’ve also probably heard conflicting messages. One friend says hormones are dangerous. Another swears they changed her life. Social media has strong opinions on both sides. So […]

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Why Your Skin Is Changing in Midlife (And What Actually Helps)

Posted on by Dr. Lisa Tabrizi

You’ve always known your skin. You knew its tendencies, its rhythms, what it liked and what it didn’t. And then, somewhere in your late 30s or early 40s, it changed. More dryness than before. A dullness that doesn’t lift with moisturizer. Fine lines appearing faster than expected. Or, confusingly — breakouts, after years of clear […]

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Why Am I Gaining Weight Despite All My Efforts?

Posted on by Dr. Lisa Tabrizi

Midlife Weight Gain in Burlington: Why the Scale Isn’t Moving (Even When You’re Trying Hard) “I barely eat anything.” “I walk every day.” “I don’t understand why I’m gaining weight.” These are some of the most common things I hear from women in their 40s, 50s, and beyond. The truth is that most people are […]

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Why Your 40s Are the Most Important Decade for Your Bones

Posted on by Dr. Lisa Tabrizi

There are no warning signs. No pain. No obvious symptoms. Nothing that tells you something is changing. Bone loss in perimenopause is entirely silent — until it becomes a problem. If you’re in your 40s, your bones are already in one of the most critical windows of your life. The decisions you make now — […]

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