Thread by @ChappelDr

3 in 4 women under 45 are in perimenopause... and have no clue.

Most think it’s just aging.

But it’s a silent hormone crash causing:
• Sleepless nights
• Weight gain
• Anxiety

Here’s how to spot it early (and balance your hormones naturally): 🧵

Perimenopause can start up to 10 years before menopause.

That means it often begins much earlier than most expect.

Women in their 30s and 40s may already be experiencing hormone shifts…

Without being told what’s happening.

(watch this video to spot the signs yourself)

The biggest problem?

Most women think they’re “too young” for hormonal changes.

Doctors often dismiss symptoms as stress or lifestyle.

The result: years of silent suffering.

Hormones act like your body’s communication system.

When estrogen and progesterone fluctuate wildly, the whole system feels off.

That’s why symptoms aren’t “just hormonal,” they touch mood, sleep, energy, and metabolism.

(this video shows 5 common signs of low progesterone)

Common early signs include:

• Unexplained weight gain
• Irregular cycles
• Poor sleep or night sweats
• Mood swings or anxiety
• Brain fog
• Lower libido

If these sound familiar, it may not be “stress.”

Weight gain in perimenopause isn’t just cosmetic.

Estrogen imbalance shifts fat storage to the belly...

Raising the risk of insulin resistance, diabetes, and heart disease.

It’s not vanity. It’s health.

Sleep disruption is another overlooked sign.

Estrogen helps regulate serotonin and melatonin.

When it drops, deep sleep vanishes.

This leads to fatigue, cravings, and worsened mood swings.

Anxiety and mood swings in perimenopause aren’t “just in your head.”

Estrogen regulates GABA → your calming neurotransmitter

When levels swing, the nervous system feels like it’s stuck in fight-or-flight

Even small stressors feel overwhelming.

(watch the science behind it)

Brain fog can be one of the most disabling signs.

Estrogen shifts affect:
• Blood flow to the brain
• Glucose delivery to neurons
• Neurotransmitter balance

The result?
Memory lapses, poor focus, and “losing your words” mid-sentence.

Perimenopause isn’t a “phase” you breeze through.

It can last 4–10 years.

That’s nearly a decade where fluctuating hormones quietly raise risks of:

• Belly fat
• Fatigue
• Mood disorders
• Diabetes & heart disease

Here’s the key:

Perimenopause is not a disease.

It’s a natural transition, but without support, it can increase risks of diabetes, heart disease, osteoporosis, and mental health struggles.

The early signs women think are “just aging” like weight gain, poor sleep, mood swings, are often perimenopause.

Spotting them early gives you the chance to protect your hormones, energy, and long-term health.

I’ve helped hundreds of women balance their hormones, reclaim energy, and prevent long-term complications of perimenopause.

Without crash diets, pills, or quick fixes.

DM me “HORMONES” and I’ll share how my program helps women restore balance, clarity, and confidence.

Follow @ChappelDr for more health insights.

Repost the quote below if you found this helpful.

And comment down below:

What are you struggling with most? 👇

https://twitter.com/1131356004912754688/status/1964671090086777018

Disclaimer:

This content is for informational purposes only and does not constitute personalized medical advice.

Consult your healthcare provider before making changes to your health regimen.

Sources:

PMID: 37755656
PMID: 40264725
PMID: 40094961
PMID: 31942151
PMID: 23770320