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Welcome back to the Stay Juicy podcast! If you’ve been feeling anxious, sleepless, or like your body is betraying you, this one’s for you. I’ll share the story of a patient who thought she was falling apart, and why her experience mirrors what so many women face in perimenopause. We’ll talk about why hormone therapy isn’t the magic fix, why your symptoms are really signals, and how midlife is less about losing yourself and more about finally discovering who you are.

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00:00 — Opening reflections on perimenopause and the struggle bus
01:27 — Why this season’s theme is “evolution”
04:00 — Story of a patient on HRT who developed anxiety
08:00 — Why fluctuating hormones drive symptoms more than “low” estrogen
12:00 — Dr. Arianna’s personal experience with anxiety and palpitations
16:00 — Lifestyle + emotional work: therapy, journaling, meditation
20:00 — Deep dives into self-inquiry practices (Joe Dispenza, family constellation therapy, ayahuasca)
27:00 — Why lifestyle shifts (alcohol, nutrition, stress) matter more in midlife
32:00 — Labs vs. reality: why symptoms > numbers
38:00 — Key questions to ask yourself: body signals, resisting change, what you need now
45:00 — The role of neurodivergence and ADHD in midlife struggles
52:00 — Why sleep is non-negotiable during perimenopause
56:00 — Encouragement: you’re not losing your sh*t, you’re evolving
59:00 — Call to action: quiz, book, follow on socials, Tula Wellness