
So many women in their 40s feel dismissed, misdiagnosed, or just completely confused by their symptoms. Fatigue, brain fog, weight gain, low mood, poor sleep, hair thinning, gut issues, and more. Are these signs of perimenopause, or thyroid dysfunction? The truth is: it’s often both. Perimenopause is a time when hormones are changing and shifting significantly, which usually impacts thyroid health or amplifies an existing issue. Symptoms of an under active or overactive thyroid often mimic the symptoms of perimenopause—and vice versa. It’s no wonder so many women feel confused or misdiagnosed.
In this episode, we explore the overlapping symptoms of perimenopause and thyroid issues, why women are so often misdiagnosed, and what to do about it. I break down:
- The key differences (and similarities) between thyroid dysfunction and perimenopause
- Why standard thyroid tests often miss the mark
- The essential thyroid markers to request
- The lifestyle and nutrition strategies that support both thyroid and hormonal health
- Other helpful lab tests to consider during your 40s and beyond
If you’ve ever been told “everything looks normal” but still feel far from it—this one’s for you.
Dive in and listen to episode 32 on your favourite podcast platform. Enjoy!
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If you have any questions from this episode that you’d like me to address on a future episode or if you have suggestions for topics and or guests you’d like me to cover and chat with on the show, let me know! You can email me on francesca@francescaliparoti.com or drop me a DM on Instagram.


