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From the quiet changes most women never see coming… to the confusion that gets mislabeled as stress or “just life” – this episode unpacks what perimenopause actually is, and why it deserves better language than fear or silence. Host Tamara Khoury sits down with Tina Chagoury, a licensed clinical dietitian specializing in women's hormone health, to break down a transition that touches everything – energy, sleep, mood, metabolism, body composition – long before anyone calls it menopause. They explore how erratic hormones can look like anxiety, fatigue, inflammation, or stubborn weight gain, why so many women feel “off” in their mid-30s, and how to support the body without extremes, restriction, or fear-driven nutrition. The message here isn’t decline – it’s clarity, context, and compassion. If you’ve ever wondered why your body feels different despite nothing changing on the outside, this episode will make things make sense. We dive into: – What perimenopause actually is – The early signs nobody explains – Estrogen, progesterone & testosterone in plain language – Misdiagnosis & mental health during hormone shifts – Why blood sugar + muscle are major players for women 35+ – The problem with “eat less, train more” culture – How to nourish instead of deplete – Why this phase isn’t the end – it’s an evolution At its core, this conversation reframes perimenopause as a second learning curve – one that becomes far less overwhelming when women are given information instead of fear. If this episode resonates, share it with a woman who deserves to feel informed, not blindsided. 🎧 Listen on Apple, Spotify & YouTube @balancednotboringpodcast 🔁 Share with a parent or woman who needs better answers 🔔 Subscribe to Balanced Not Boring for real conversations about modern life, wellness, and womanhood Timestamps: 00:00 – Intro: Perimenopause Without Fear 01:00 – What Perimenopause Actually Is 02:45 – Egg Reserve, Ovulation & Why Hormones Change 04:18 – Estrogen, Progesterone & Testosterone Roles 06:05 – Early Signs: Anxiety, PMS & Mood Shifts 08:02 – Misdiagnosis & Mental Health During Perimenopause 09:45 – Gut Health, Cortisol & Anxiety 11:18 – Tracking Symptoms & Knowing Your Body 12:10 – Inflammation, Water Retention & Weight Shifts 13:12 – Losing the “Buffer” in Mid-30s 15:00 – Why Perimenopause Is Harsh but Menopause Isn’t 15:40 – Is It Too Late to Start in Your 40s or 50s? 16:20 – Why Women Go Into Extremes (Eat Less + Train Harder) 16:55 – What Women Were Taught Wrong About Food & Body 18:20 – Muscle Over Thinness: Preparing for Perimenopause 18:45 – How to Build a Plate for Hormone Support 20:10 – Protein, Fats, Fiber & Carb Structure 21:00 – Why Cutting Carbs Backfires for Women 22:10 – Carb Quality, Timing & Quantity 23:45 – Estrogen, Insulin & Blood Sugar 25:50 – Insulin Resistance Across the Cycle & Perimenopause 27:10 – Mood, Anxiety & Blood Sugar Connection 28:55 – Why the Brain Needs Glucose (Not Sugar) 30:20 – Stabilizing Blood Sugar Through Nutrition 31:22 – Resensitizing the Body to Insulin Through Muscle 32:45 – Protein Targets & Distribution 33:50 – Why Women Need Resistance Training 35:05 – Hot Flashes & Temperature Regulation 36:15 – Thyroid, Deficiencies & Metabolic Signs 38:05 – Pregnancy Later in Life & Postpartum vs Perimenopause 40:00 – Rapid Fire: Signs, Myths & Cycle Trends 41:35 – Final Thoughts: Clarity Over Fear 42:05 – Where to Find Tina & Takeaways