Perimenopause and menopause can feel like your whole body changed overnight.Sleep, mood, weight, energy, joints, libido, anxiety, brain fog.And then the messaging gets confusing fast. Especially around HRT.In this episode, Jennifer Seven interviews Dr. Kajal Roy, Medical Director of Niyan Medical in Leesburg, Virginia. Dr. Roy takes a proactive, preventive approach to midlife health and is double board-certified in Internal Medicine and Obesity Medicine. She is also a proud member of The Menopause Society and The International Menopause Society. You can find Dr. Roy at Niyan Medical.We cover:• The stages in plain language: perimenopause, menopause, postmenopause• Why symptoms can be so wide-ranging (far beyond hot flashes)• The most common early signs women miss or mislabel• When it’s time to book an appointment and what to bring• The elephant in the room: WHI headlines and the fear of HRT• The purpose of HRT and how clinicians choose options• Timing, the “window” conversation, and individualized risk• Beyond sex hormones: cortisol, insulin, thyroid, and sleep hormones• What to monitor vs what’s noise• The single most important next step if you feel overwhelmedThis conversation is educational and not medical advice. Personal decisions should be made with your clinician.Want support after you listen?Join us free inside The Menopause Map on Skool. Post your biggest symptom cluster and where you feel stuck, and I’ll point you to a simple first step.

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