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55: Perimenopause: The Neuroendocrine Shift Behind Brain Fog, Sleep, and Weight Changes with Dr. Mariza Snyder

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What if the symptoms you’ve been told are “just aging” are actually signs of a major hormonal transition? Perimenopause can affect sleep, mood, metabolism, brain function, and resilience long before anyone explains what is happening.

In this episode, Dr. Amy Myers sits down with Dr. Mariza Snyder, a functional practitioner, women’s hormone expert, author, and host of Energized with Dr. Mariza. They discuss why perimenopause can feel like a second puberty, how hormone shifts affect the brain and metabolism, and practical tools for tracking symptoms, supporting blood sugar, building muscle, and advocating for better care.

What you’ll learn in this episode:

Why perimenopause includes brain fog, sleep changes, mood shifts, cycle changes, joint pain, body-composition changes, low libido, and reduced recovery—not only hot flashes.

How symptoms, thyroid function, blood sugar, inflammation, cortisol, and age fit into the clinical picture.

Why perimenopause is a neuroendocrine transition and how it can affect mental energy, word recall, mood, and resilience.

How tracking symptoms, sleep, HRV, resting heart rate, and blood-sugar patterns can help you advocate for yourself.

Why movement after meals, exercise snacks, and strength training support metabolic and musculoskeletal health.

How HRT fits into a broader toolbox of individualized care.

About Dr. Mariza Snyder

Dr. Mariza Snyder is a functional practitioner, women’s hormone expert, author, and host of Energized with Dr. Mariza. She focuses on perimenopause, hormones, metabolism, and midlife changes and wrote The Perimenopause Revolution.

Resources:

The Perimenopause Revolution bonuses: https://peri-revolution.com/

Dr. Mariza’s website: https://drmariza.com/

Connect with Dr. Amy Myers:

Website: https://www.dramymyers.com/

Inner Circle: https://www.drmyersinnercircle.com

Instagram: https://www.instagram.com/dramymyers

Connect with Dr. Mariza Snyder:

Website: https://drmariza.com/

Instagram: https://www.instagram.com/drmariza/?hl=en

YouTube: https://www.youtube.com/user/drmarizasnyder

LinkedIn: https://www.linkedin.com/in/drmariza/

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Episode Timestamps

00:01 — Welcome and Dr. Mariza’s introduction

01:23 — Dr. Mariza’s background and her mother’s story

06:48 — Why perimenopause can blindside women

10:38 — Thyroid, mold, autoimmunity, and stress overlap

14:49 — Hormones, rage, boundaries, and changing tolerance

18:40 — Diagnosis and common early symptoms

22:24 — Sleep, joint pain, recovery, body composition, and libido

24:33 — Why sleep is a force multiplier

25:38 — The neuroendocrine transition and second puberty

29:03 — Brain fog, word recall, and executive function

35:25 — Tracking biomarkers and movement after meals

39:11 — HRT as one tool in the care toolbox

44:26 — Earlier perimenopause and strength training

48:03 — Movement, exercise snacks, and book workouts

49:21 — Three ways to take back your health

51:02 — The book, bonuses, and where to find Dr. Mariza

52:20 — Closing

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