Is it perimenopause or your thyroid? How to tell the difference.

We just spent an entire month talking about hormone and lab testing in perimenopause. But there's one major problem: a whole lot of what we blame on perimenopause can also look suspiciously like thyroid dysfunction. So…which fucking one is it?

ICYMI the list of perimenopause symptoms by body system (also y’all are welcomed for that)

I get it. SO many of these symptoms overlap with hypothyroidism:

  • fatigue

  • weight gain/change

  • hair loss

  • anxiety

  • brain fog

  • insomnia

  • constipation

  • irregular periods

  • temperature changes

To name a few. They look so similar because they ARE so similar. This is why I will always be an advocate for complete + comprehensive lab testing including a full comprehensive thyroid panel (TSH, FT4, FT3, Thyroid Antibodies + Reverse T3+ reproductive hormones

Symptoms that make me look HARDER at the thyroid side of things: cold intolerance, constipation, hair/skin changes.

Symptoms that make me look harder at peri: new sleep disruption, cycle changes, vasomotor symptoms.

I don’t assume its one or the other. The answer CAN BE BOTH. I know rude. Don’t shoot the messenger.

Here is a good image if you’re a visual person


Want someone who takes a look at ALL of this and understands how to dig through all of the information?

If your brain is like FUCK YES I’ve been looking for you. Sign up for a Hormone Strategy Session Here.

If you want to know more you can always book a consultation call  so you have the clarity + understanding you need (and yes again, with me— not a sales person or a bot :)

Disclaimer: The information on this blog is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. It should not replace personalized medical advice. Always consult your healthcare provider before making changes to your medications, supplements, diet, or treatment plan.

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how to know if you’re in perimenopause after a hysterectomy (and how to test your hormones)