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If you’re in your 40s and struggling with sleep, anxiety, or worsening PMS, early perimenopause may be the reason. In this video, I explain how declining progesterone can drive symptoms—and when bioidentical progesterone support may help. -- Many women in their early to mid-40s are told they’re “too young” for perimenopause—yet symptoms like insomnia, anxiety, mood changes, and heavier periods begin to appear. In this video, I walk you through: Why progesterone often declines before estrogen in early perimenopause How progesterone affects the brain, sleep, and nervous system When progesterone support may be helpful Common dosing patterns during early perimenopause Important safety considerations Why lab testing can be helpful—but isn’t the whole story This video builds on Part 1 of the Perimenopause Series, where I explain how the perimenopausal transition unfolds and why symptoms can feel unpredictable. My goal is to help you feel informed, validated, and empowered as you navigate this phase. ⏱️ TIMESTAMPS (CHAPTERS) 00:00 Early perimenopause & progesterone overview 00:38 Why early perimenopause feels so hard 01:15 Foundations still matter (and why this isn’t failure) 01:40 What progesterone actually does 02:34 Forms of progesterone 03:10 Safety considerations 03:27 Progesterone dosing in early perimenopause 04:35 Lab testing: helpful but not perfect 05:04 Closing thoughts & what’s next Medical Disclaimer: This video is for educational purposes only and does not replace personalized medical advice. Always consult your healthcare provider before starting or changing any treatment.