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Midi Health NewsPerimenopause

5 Things I Wish I Knew Before Perimenopause Hit Me at 42

Dr. Thomas Paloschi (Longevity Physician & Health Expert)
Last updated: 2026/09/03 at 8:33 AM
By Dr. Thomas Paloschi (Longevity Physician & Health Expert)
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3 Min Read
5 Things I Wish I Knew Before Perimenopause Hit Me at 42
5 Things I Wish I Knew Before Perimenopause Hit Me at 42
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I’m a 44 year old mom in perimenopause, and it started for me at 42. I’m not afraid to admit that it changed everything, and I want to share exactly what I wish someone had told me sooner.

Contents
1. Perimenopause Completely Took Me By Surprise2. I Thought Menopause Only Happened in Your 50s3. I Didn’t Know I Needed to Eat Differently4. I Worried I Wouldn’t Find My Way Back to Myself5. I Didn’t Realize How Much Perimenopause Affects EverythingFrom Breakdown to BreakthroughWhy I’m Sharing This

If you’re between the ages of 35 and 60 and struggling with perimenopause or menopause, I hope this helps you feel a little less alone.

1. Perimenopause Completely Took Me By Surprise

I felt like I was having a nervous breakdown. I had crippling anxiety and didn’t want to leave the house. I had raging mood swings, crying one minute and irritated the next. I had no motivation for things I once loved. I stopped sleeping and woke up with night terrors. My brain fog was so bad I thought I had dementia.

I did not connect any of these with declining hormones.

2. I Thought Menopause Only Happened in Your 50s

I Thought Menopause Only Happened in Your 50s

I didn’t know what perimenopause was, or that it could start as early as 35 for some women. I assumed I had years before I needed to think about any of this.

3. I Didn’t Know I Needed to Eat Differently

As my hormones changed, my body changed with them. The extra belly weight I used to be able to lose quickly just didn’t budge. The constant bloating after every meal was frustrating.

I eventually learned that upping my protein and lowering my cortisol levels were key to feeling better.

4. I Worried I Wouldn’t Find My Way Back to Myself

I was at an all-time low in how I felt about myself. I had no confidence or motivation like I used to. Luckily, I learned I didn’t have to live that way.

5. I Didn’t Realize How Much Perimenopause Affects Everything

Perimenopause can touch every part of your life, your libido, your nervous system, your physical and mental health. There are over 40 recognized symptoms, and every woman experiences it differently. No two journeys look the same.

From Breakdown to Breakthrough

Honestly, my breakdown became my breakthrough. I found help. I found a functional physician who actually listened. I changed some things, and I also gave myself grace, even as I’m still navigating all the changes.

Some days feel worse than others, but I’m grateful for my body and everything it has carried me through.

Why I’m Sharing This

My mission is to keep telling my story, so more women feel less alone as they navigate this chapter of life too.

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Dr. Thomas Paloschi (Longevity Physician & Health Expert)
By Dr. Thomas Paloschi (Longevity Physician & Health Expert)
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Dr. Thomas Paloschi is a longevity physician and health educator focused on helping people make better-informed decisions about aging and long-term health. Based in Milan, Italy, he combines his medical background with an interest in longevity science, preventive health, and evidence-based approaches to health optimization.
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I’m Midi. In my late 40s, I struggled with poor sleep, constant fatigue, brain fog, and unexpected anxiety. When my concerns were dismissed as a normal part of aging, I realized I wasn’t alone. Millions of women face similar midlife health challenges without the specialized care and answers they deserve.
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