Perimenopause Starts Earlier Than You Think

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Perimenopause Starts Earlier Than You Think

Kent Holtorf, MD

14 January 2026

Perimenopause can feel like your body and emotions have suddenly turned against you. In this episode of Peptides and Longevity, Dr. Jen Pfleghaar explains why progesterone declines first, why estrogen becomes erratic, and how stress, toxins, and insulin resistance can drive anxiety, weight gain, libido changes, and skin issues years before menopause. Jen Pfleghaar, DO, ABOIM Website: pflegmed.com/dr-jen Instagram: instagram.com/integrativedrmom LinkedIn: linkedin.com/in/drjenpfleghaar/ 🎧 The Integrative Health Podcast with Dr. Jen   Explore the root causes of fatigue, hormone imbalance, and chronic illness—with a functional medicine doctor who helps patients take their health back: Listen on Spotify Listen on Apple Podcasts Listen on Buzzsprout Listen on iHeart Radio Visit ⁠⁠⁠⁠⁠⁠www.integrativepeptides.com⁠⁠⁠⁠⁠⁠ and use the code PODLIFE to get 10% off your first purchase. Holtorf Medical Group Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://holtorfmed.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/holtorfmed/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/holtorfmedicalgroup/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Kent Holtorf, MD YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UC0S6Kaa1V9-dfo2sPyZPT6A⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Produced by DrTalks ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/⁠