Ep. 82 How the Thyroid Changes in Perimenopause — What You Notice First & Why Proper Testing Matters episode artwork

EPISODE · Jun 19, 2026 · 14 MIN

Ep. 82 How the Thyroid Changes in Perimenopause — What You Notice First & Why Proper Testing Matters

from The Balanced Hormone Solution · host Tracy Rickstrew

Is it perimenopause… or your thyroid?In your late 30s and 40s, symptoms like weight gain, fatigue, brain fog, and hair thinning are often blamed entirely on hormonal shifts.But the thyroid is deeply connected to what’s happening during perimenopause — and it’s frequently under-tested and misunderstood.In this episode, we break down how thyroid physiology changes in perimenopause, the early warning signs women notice first, and what can happen when testing is incomplete.Because “normal labs” don’t always mean optimal function.In This Episode, We Cover:How estrogen and progesterone shifts impact thyroid functionWhy stress and cortisol interfere with thyroid hormone conversionThe difference between T4 and T3 (and why it matters)Early thyroid symptoms that overlap with perimenopauseHow under-eating and overtraining can suppress thyroid outputWhy testing only TSH often misses the full pictureThe role of thyroid antibodies in autoimmune thyroid diseaseWhat can happen metabolically if thyroid shifts go unaddressedIf you’re ready for personalized metabolic and hormone assessment, learn more here:🔗 www.tracyerinwellness.comPerimenopause isn’t the beginning of decline.It’s a phase that requires more precise strategy. 💛

Episode metadata supplied by the publisher feed · Published Jun 19, 2026

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Is it perimenopause… or your thyroid? In your late 30s and 40s, symptoms like weight gain, fatigue, brain fog, and hair thinning are often blamed entirely on hormonal shifts. But the thyroid is deeply connected to what’s happening during perimenopause — and it’s frequently under-tested and misunderstood. In this episode, we break down how thyroid physiology changes in perimenopause, the early warning signs women notice first, and what can happen when testing is incomplete. Because “normal lab...

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Ep. 82 How the Thyroid Changes in Perimenopause — What You Notice First & Why Proper Testing Matters

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