
Why Your “Normal” Labs Might Be Missing Perimenopause Entirely
11/3/2026
0:00
29:34
This week we sat down with Alexandra Hemphill, a nurse practitioner specializing in perimenopause and integrative women’s health, to talk about why so many women are told their labs are “normal” while still feeling awful.
We get into the labs most doctors skip, why HRT may be more beneficial starting in perimenopause rather than waiting for menopause, the gut-hormone connection, and the simple daily habits that can get you ahead of symptoms before they pile up.
In this Episode, You’ll Learn:
- Why standard lab panels miss what’s going on in perimenopause
- The full panel of labs Alex recommends: thyroid, iron, ferritin, B12, vitamin D, and omegas
- Why women should track their symptoms before even looking at labs
- The gut-hormone connection, and how slower digestion affects hormones
- Starting HRT in perimenopause may be more beneficial than waiting for menopause
- The liver’s role in estrogen metabolism
- Weight training and bone loss
- Simple daily habits to get ahead of perimenopause symptoms
Connect with Alex
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