What Is Perimenopause? | Dr.Sara Gottfried & Dr. Andrew Huberman

And we've got all of these women that are marching toward potentially a greater risk of Alzheimer's disease . And they have this opportunity in their forties and their fifties to take hormone therapy and they may not be offered it because the typical conventional approach based on wh I is to say , unless you're having hot flashes and night sweats that are severe , I'm not gonna give you hormone therapy . And I , I just want to call that out .

What Is Perimenopause? | Dr.Sara Gottfried & Dr. Andrew Huberman

And I say that to women and they're like , I have that like help me . So this is then circling back to wh I where women are scared to death of taking hormone therapy . And we've got all of these women that are marching toward potentially a greater risk of Alzheimer's disease .

What Is Perimenopause? | Dr.Sara Gottfried & Dr. Andrew Huberman

I would say no , that is not the way to approach it further . The concept right now in conventional medicine is that hot flashes and night sweats are these nuisance symptoms that we will take care of temporarily , maybe with a little bit of estrogen and progesterone or a birth control pill because it's given a lot or that they pass or , you know , suck it up , suck it up . It doesn't matter that you're not sleeping anymore , you know , turn down the temperature in the room and that's not right because hot flushes and night sweats are a biomarker of cardio metabolic disease .

What Is Perimenopause? | Dr.Sara Gottfried & Dr. Andrew Huberman

To me , this problem is not just menopause . What's more interesting is to talk about perimenopause .

What Is Perimenopause? | Dr.Sara Gottfried & Dr. Andrew Huberman

I think I think so because we believe that the system is regulated by estrogen . So the decline in estrogen starting around age 4043 is kind of the average seems to be the driver behind cerebral hypometabolism . The way I describe it to my patients is it's like slow brain energy .