Is It Perimenopause? The Symptoms, the Science, and the Solutions with Dr. Heather Hirsch

If you've been dismissed, confused, or told to "just push through"—this episode is for you. CEO Amanda Tress sits down with Dr. Heather Hirsch, board-certified internist, nationally recognized menopause specialist, and bestselling author of The Perimenopause Survival Guide, to have the conversation millions of women desperately need: what is actually happening in your body during perimenopause, why so many women go misdiagnosed for years, and what you can do about it—right now. Dr. Heather breaks down the hormonal rollercoaster of perimenopause—progesterone dropping first, estrogen swinging high and low—and explains why symptoms like migraines, anxiety, sleeplessness, and hair loss often get treated as separate problems when they're all the same root cause. You'll hear her take on HRT (spoiler: the fear has been wildly overblown), what bioidentical progesterone actually does in the brain, and why she compares starting hormone therapy to "trying on jeans—you have to try it on to see what your body needs." You'll learn: The earliest signs of perimenopause most women—and their doctors—completely miss The three buckets of solutions: lifestyle, non-hormonal medications, and hormone therapy What HRT is FDA-approved for—and the off-label uses that are changing women's lives Why transdermal estrogen is preferred over pills—and what to know about patches, gels, and rings The truth about GLP-1s in midlife: when they help, when they're the wrong tool, and what's being missed Dr. Heather also shares why you cannot out-meditate a low estrogen level—and why lifestyle alone, as powerful as it is, has its limits when your hormones are in freefall. This is the permission slip so many women in our community have been waiting for. Whether you're 38 and noticing something's "off," or 52 and finally ready to stop suffering—this episode is your roadmap. Because at the FASTer Way, we don't celebrate restriction—we celebrate fueling, strength, and real results that last. Join FASTer Way: https://www.fasterwaytofatloss.com/ Don't forget to check out our merch, supplements and other great deals: https://fasterwayshop.com/ Subscribe: youtube.com/FASTerWaytoFatLoss Follow us on Instagram: Amanda Tress: @amandatress FASTer Way to Fat Loss: @fasterwaytofatloss Dr. Heather Hirsch: @heatherhirschmd The Collaborative: @thecollaborative.telemed