We unpack why so many women in their 40s feel “off” before cycles change, how hormone fluctuations drive anxiety and sleep loss, and when lifestyle fixes or hormone therapy make the biggest difference. We also discuss PCOS, ultrasound clues, and the limits of “normal” labs.
• defining perimenopause as fluctuation-driven symptoms
• why single-point labs miss dynamic hormone swings
• practical triage of sleep, stress, and nutrition
• training adjustments for longer recovery and DOMS
• melatonin, short-term sleep aids, and caution
• when hormone therapy helps despite normal labs
• age ranges, ultrasound signs, and luteal issues
• PCOS nuance, follicle selection, and cycle resets
• listening to your body and seeking second opinions
• treating only what harms quality of life
Dr. Michael (Mickey) Lavie is a senior obstetrician-gynecologist at Lis Maternity & Women’s Hospital (Tel-Aviv Sorasky medical center) specializing in gynecologic oncology.
In his private clinic Dr. Lavie is actively involved in advancing women’s health, with a focus on the impact of exercise and nutrition on a wide range of conditions, including PCOS, menopause, physical activity during pregnancy, and preventive medicine in women’s cancers.
Married and a father of three.
You can find the workouts and online community here: https://www.bodyholic.fit
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Music is
Composer: Poradovskyi Andrii BMI IPI Number: 01055591064
