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If you’re exhausted but can’t fall asleep, or you wake up between 1–3 a.m. with your brain wide awake, this episode is for you. In Episode 9 of The Dr. Greg Show, Dr. Greg Mongeon breaks down why sleep is often the first thing to fall apart during perimenopause. This isn’t “just stress” or aging. Hormone shifts, blood sugar crashes, cortisol rhythm disruption, and liver overload all play major roles in wrecking sleep during midlife. By the end of this episode, you’ll understand why your body feels tired but wired, why sleep feels light and unrefreshing, and what actually helps restore deep, restorative rest. Key Takeaways Poor sleep in midlife is not random — it’s hormonal and physiological Progesterone decline makes sleep fragile and reduces calming brain signals Cortisol dysregulation can cause racing thoughts and 1–3 a.m. wake-ups Blood sugar crashes often trigger middle-of-the-night waking The liver becomes more active overnight and can overstimulate the body if overloaded Gut health affects serotonin and melatonin production Sleep is a keystone — healing doesn’t happen without it Common Sleep Symptoms Discussion What’s Actually Disrupting Sleep in Perimenopause Practical Steps That Support Better Sleep Resources & Links Hormone Symptom Tracker https://drgreg.practicebetter.io/#/5e... Functional Testing & Care Options https://www.vitaefm.com Ask Dr. Greg a Question support@vitaefm.com Subscribe for weekly insights on hormones, gut health, detox, and women’s wellness Like, subscribe, and share this episode with someone who’s tired of being tired