My peri started 5 years ago (at 38) dizzy, fatigue, brain fog, aches, anxiety through the roof, migraine. Times of feeling flat. Nervous to go out. IBS type symptoms. Unable to string a sentence together, forgetting nouns. Trouble concentrating. Eventually the inability to stand unaided thanks to the anxiety and dizziness. No change in bleeds, so I assume I am chronically ill. Many Drs appointments, consultants, swabs, samples, bloods, sight and hearing checked. Everything always comes back perfect. On waiting list for a couple of other checks, also for private CBT. No alcohol or caffeine for 5 years, early nights, low carbs, low sugar, breath work, 16/8 fasting, self care etc… all made very little difference. Have been terrified of exercising due to heart palpitations and breathlessness. Had EMDR, endless homeopathy, reflexology, massages, somatic therapy. I added supplements in, magnesium, vit D, q10, B complex, folic acid, probiotics, all of which improved some things for a little while, then symptoms all creep back again. Mainly fuelled by the anxiety I think. Am 4 weeks into HRT, (estrogen gel to start and am on day 5 of Utrogestan) can already feel a huge difference. Less anxious overall. Have done two workouts this week and actually feel quite alive today! Cognitive and alert. I was terrified of side effects (thank you anxiety) but have actually been okay. A bit irritable on the first two days of prog. Not felt any today. I have read so much about peri menopause lately, I can’t believe I didn’t ask for HRT sooner. So get all the checks done, ask all the questions, do all the things you are supposed to do. If nothing changes and it looks like peri-menopause, sounds like peri-menopause and feels like peri-menopause then it probably is. I’ve wasted 4 years living less than half a life. Best of luck! X