Fatigue, brain fog, and lightheadedness are frustrating because they are symptoms, not diagnoses. Many different things can produce similar sensations. Sometimes the answer is relatively simple. Other times, several factors are happening at once.
Perimenopause is often associated with hot flashes, irregular periods, mood changes, and sleep problems. But the hormonal changes happening during this transition can also affect metabolism, body composition, blood sugar regulation, and cholesterol.
GLP-1 medications also change how the digestive system works, which means gut health deserves to be part of the conversation.
How closely are cortisol and thyroid function connected?