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Many women reach a point where something begins to feel different. Sleep changes. Stress tolerance shifts. Emotions feel closer to the surface. And many women are surprised to learn that these changes often begin years before menopause, during a phase called perimenopause. In this video, I explain what is actually happening physiologically during perimenopause — how hormonal signaling between the ovaries, brain, and metabolism begins to fluctuate, and why this transition can look very different from one woman to the next. Understanding the biology behind these changes can help women recognize what their bodies are experiencing and seek thoughtful medical guidance during this transition. Topics discussed in this video • What perimenopause is • Why many women stop feeling like themselves • Hormone signaling changes before menopause • Why symptoms can appear years before menopause • How this transition affects sleep, mood, and metabolism About Dr. Kelly Brown Dr. Kelly Brown is a board-certified physician and founder of ember, a concierge medical practice focused on longevity, prevention, and whole-person health. Learn more: https://www.emberdr.com 00:00 Why many women stop feeling like themselves 00:42 What perimenopause actually is 02:05 Why hormones begin to fluctuate 03:45 How these changes affect the brain and mood 05:12 Why symptoms can look different for every woman 06:30 Understanding the physiology of the transition