Elizabeth Katzman, Certified Perimenopause Coach and founder of Strong Choices, talks about the silent symptoms of perimenopause—and why we should all start caring about it much earlier than we think.

We cover hormonal shifts, bone loss, cognitive decline, and how perimenopause links to Alzheimer’s. Elizabeth shares insights on HRT, postpartum progesterone, and the impact of toxins and mitochondrial health.

Whether you’re in your 20s, 30s, or already perimenopausal, this is a wake-up call to be proactive. Your future self will thank you.

We talk about: 

06:30 – How estrogen impacts your cholesterol, insulin, and muscle mass

10:00 – The role of body fat in producing the worst type of estrogen

14:00 – Why early menopause is becoming more common

18:00 – Supporting your mitochondria for healthier ovaries and longer hormone production

22:30 – Why your teenage years are the most important time for bone health

28:00 – Why a hot flash is a warning sign of brain and heart issues

30:00 – What most women get wrong about HRT and hormone testing

42:00 – Progesterone for fertility, pregnancy, postpartum, and anxiety relief

50:00 – Benefits of HRT during pregnancy and postpartum

Questions answered in this episode: 

• How does perimenopause increase the risk of Alzheimer’s and cardiovascular disease?

• Why do women start experiencing symptoms of hormone decline as early as 35?

• What are the different types of estrogen, and why does body fat matter?

• How can xenoestrogens and stress lead to early menopause?

• What lifestyle changes support mitochondrial health and hormonal longevity?

• Why is bone health in your teens and twenties crucial for later years?

• What’s the real deal with HRT, and what are most women doing wrong?

• Should you be getting DEXA or Echolite scans in your 30s?

• Does pregnancy later in life delay menopause?

• How can bioidentical progesterone help with postpartum depression and anxiety?

• Is progesterone during pregnancy safe and even beneficial?

• Why does cyclical hormone support matter more than symptom relief alone?

• Can your placenta tincture help during perimenopause or menopause?

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Resources:

• Optimize your preconception health by joining my Baby Steps Course today!
• Optimize your preconception health and fertility through my free hormone balancing, fertility boosting chocolate recipe! Download it now!
• My Amazon storefront
• Elizabeth Katzman's website and Instagram

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