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Estrogen is supposed to be the hormone that helps you feel energized, focused, and feminine… so why does it sometimes feel like it’s turning against you? In this episode, Dr. Greg unpacks what really happens when estrogen becomes imbalanced in perimenopause. He explains why “estrogen dominance” doesn’t always mean your estrogen is sky-high, how your liver, gut, and detox pathways determine whether estrogen is cleared or recirculated, and why you can feel like you have too much one month and not enough the next. By the end, you’ll understand why symptoms like breast tenderness, bloating, heavy periods, mood swings, anxiety, hot flashes, night sweats, or vaginal dryness may actually be signs of estrogen mismanagement in the body, not that you’re “broken” or going crazy. Key Takeaways: Estrogen is the body’s gas pedal - when unbalanced, it can feel like all gas, no brakes. True balance depends on progesterone, liver detox, and gut health. Endocrine-disrupting chemicals and sluggish bile or bowels can mimic or worsen estrogen overload. Both high and low estrogen cause issues - from bloating and irritability to hot flashes and dry skin. Support balance with hydration, daily movement, fiber-rich foods, stress reduction, and regular detox pathways. Resources & Next Steps: Hormone Symptom Tracker: Use our comprehensive tracker to map symptoms related to estrogen, progesterone, testosterone, cortisol, insulin, thyroid, vitamin D, and more. https://drgreg.practicebetter.io/#/5e... Become a Patient: Want to explore working with Dr. Greg and the team? Learn more about our functional medicine approach and care options at www.vitaefm.com Initial Eval Link: https://drgreg.practicebetter.io/#/5e... Ask Dr. Greg a Question: Have a question you’d like Dr. Greg to answer on a future episode? Email us at support@vitaefm.com. Subscribe for weekly insights on hormones, gut health, detox, and women’s wellness. Got a question or want to inquire about becoming a patient? Send a message to our team! Email us at support@vitaefm.com. Keywords: perimenopause symptoms, estrogen dominance, estrogen detox, hormone balance, women’s health podcast, functional medicine, Dr Greg Mongeon, bioidentical hormones, menopause support, hormone therapy, gut health, detox for women