Overview

• Mathur reports waking between 3 a.m. and 5 a.m. led to severe fatigue and subsequent brain fog during her perimenopausal transition
• She describes hot flashes, night sweats, joint stiffness and mild anxiety in social settings as part of her symptom profile
• Despite maintaining a healthy diet, Mathur experienced unexpected cholesterol increases linked to declining estrogen levels
• Dr. Mansi Sharma explains that falling estrogen disrupts lipid metabolism and can raise cardiovascular risk without timely intervention
• Physicians recommend regular hormone and lipid screenings combined with balanced nutrition, exercise and medical consultation to manage perimenopausal changes