Anxiety in perimenopause isn't a mood problem — it's a clearance problem. Liz Roman and Becca Chilczenkowski break down COMT, GAD1 and FUT2: the three genes that decide how fast you clear adrenaline, whether you can build GABA, and whether your gut can grow the bacteria that make it. Plus why L-glutamine can make anxiety worse, why oral GABA mostly doesn't work, the lab markers hiding in plain sight on your standard panel, and why "your genes didn't change — your estrogen did."
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