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Stay Hydrated Hydration may reduce headaches, dizziness, and fatigue during the adjustment period

Hormonal change in perimenopause itself affects the gut microbiome, which means the gut and hormones are influencing each other in both directions

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Vitamin A Vitamin A is sometimes overlooked, but it is necessary for T3 to enter the nucleus of your cells

Regular follow-ups - typically every 1-3 months - are essential for tracking weight, metabolic markers (like blood glucose and cholesterol), menstrual cycle changes, and any medication side effects