Perimenopause and menopause can feel confusing, overwhelming and often misunderstood. Michelle and Kevin welcome naturopathic doctor Dr Marianne Trevorrow for an in-depth, evidence-based conversation that cuts through the noise.

They unpack what perimenopause and menopause actually are, how to recognize early (and often overlooked) symptoms, and why so many people don’t realize what’s happening until it disrupts their daily lives. Dr Trevorrow also breaks down the history and misconceptions around hormone therapy, including the lasting impact of the Women’s Health Initiative study, and explains what current research really says about safety and effectiveness.

The conversation goes beyond hormones to explore the critical role of lifestyle medicine. From plant-forward nutrition and metabolic health to sleep, stress, strength training, and the realities of midlife demands, this episode offers practical insights for navigating this stage of life with clarity and confidence.

You’ll also learn:

• Why hormone therapy isn’t one-size-fits-all
• The difference between systemic and localized estrogen treatments
• How to think about “on-label” vs. “off-label” therapies
• Why weight gain, sleep disruption, and mood changes are so common
• How diet, fiber, and movement can significantly impact symptoms
• What to watch for with iron levels and nutrient absorption
• How these changes can impact trans people differently

Whether you’re experiencing symptoms yourself or supporting someone who is, this episode is a comprehensive, empowering primer on midlife health.

• Dr Marrianne Trevorrow's site: https://www.drmarianne.ca/

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