---
title: "Perimenopause, Menopause & Hormones: What Every Woman Needs to Know"
description: Dr. Tami Meraglia discusses women's hormonal health, perimenopause, and why personalized care is key to vitality and longevity.
image: https://blog.sofiahealth.com/hubfs/Podcast%20Landing%20Page%20Banner%202024%20(1)-1.png
---

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# Perimenopause, Menopause & Hormones: What Every Woman Needs to Know

![Picture of Sofia Health Staff](https://blog.sofiahealth.com/hubfs/Sofia.png)

 By [Sofia Health Staff](https://blog.sofiahealth.com/author/team-sofia-health) on March, 10 2025

[mailto:?body=https://blog.sofiahealth.com/perimenopause-menopause-hormones-what-every-woman-needs-to-know-dr-tami-meraglia](mailto:?body=https://blog.sofiahealth.com/perimenopause-menopause-hormones-what-every-woman-needs-to-know-dr-tami-meraglia)

![Perimenopause, Menopause & Hormones: What Every Woman Needs to Know](https://blog.sofiahealth.com/hubfs/Podcast%20Landing%20Page%20Banner%202024%20(1)-1.png)

#### In this episode of[Sofia Unfiltered](https://sofia-health.com/podcast/),  Riley Rees welcomes Dr. Tami Meraglia, a leading expert in women's hormonal health. With over 20 years of experience in functional medicine, Dr. Tami has been a pioneer in hormone and weight loss treatments. She shares her journey from ballet dancer to medical expert and discusses the importance of addressing perimenopause, menopause, and overall women's wellness through personalized approaches.

### Why "Fine" Isn’t Good Enough in Health

Dr. Tami realized early in her medical career that traditional healthcare often overlooks the nuances of hormonal health. Patients were told they were "fine" despite experiencing exhaustion, weight gain, and mood imbalances. This led her to pursue further education in naturopathic medicine, blending traditional and holistic approaches to help women achieve true wellness beyond disease management.

## Recognizing Hormonal Imbalances

Many women struggle with unexplained fatigue, brain fog, insomnia, and weight gain, often dismissed as normal aging. Dr. Tami highlights the importance of recognizing these as symptoms of hormonal imbalances rather than inevitable signs of aging. Progesterone deficiency, for instance, can cause frequent nighttime awakenings, anxiety, and an overall sense of restlessness, while estrogen loss can lead to joint pain, inflammation, memory issues, and decreased skin elasticity. Additionally, testosterone deficiency, often overlooked in women, can result in reduced motivation, muscle loss, and low libido. Without proper diagnosis and treatment, these imbalances can affect long-term health, increasing the risk of osteoporosis, cardiovascular disease, and cognitive decline.

## Personalized Hormone Therapy

Contrary to common misconceptions, hormone replacement therapy (HRT) is not inherently dangerous or prohibitively expensive. Many people assume that HRT requires costly compounded medications or specialized treatments, but bioidentical estradiol and progesterone are available in FDA-approved forms at regular pharmacies, often covered by insurance or available at low costs. Additionally, some believe HRT is a luxury rather than a necessity when in reality, it can significantly improve quality of life by addressing symptoms like fatigue, insomnia, and cognitive decline. Dr. Tami debunks these myths, explaining that when prescribed correctly, HRT offers significant benefits without breaking the bank. She stresses the importance of working with a knowledgeable provider who understands individual hormonal needs rather than relying on outdated fears.

> [Sofia Health](https://sofiahealth.com/service/) connects you to traditional, integrative, nutritional, holistic, and spiritual healing professionals to help you personalize your healing journey.

### Taking Control of Your Health

Dr. Tami encourages women and men to be proactive about their health. She advises finding a provider who listens, educates, and prioritizes prevention. Many people struggle with providers who dismiss their symptoms or rely solely on generalized treatments, which may not address individual hormonal needs. Instead of accepting subpar care, she stresses the importance of seeking a specialist who takes a comprehensive and personalized approach. A knowledgeable provider should evaluate hormonal levels, assess lifestyle factors, and offer treatment options tailored to each person’s unique biology. By staying informed and advocating for themselves, women can take meaningful steps toward better health and long-term well-being.

 

###### **More from Sofia Health**

Check out the full episode of the [Sofia Unfiltered podcast](https://sofia-health.com/podcast/), " [Hormones, Perimenopause, and the Science of Women's Health with Dr. Tami Meraglia](https://sofia-health.com/podcast/hormone-testing-perimenopause-menopause-the-essential-guide-for-women-to-thrive/)", available on [Apple Podcasts](https://podcasts.apple.com/us/podcast/sofia-unfiltered/id1687718998) and [Spotify](https://open.spotify.com/show/5X8aEtdcNsWRsk5dwQAVtF).

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Disclaimer: The Sofia Unfiltered Podcast by Sofia Health is for general informational and entertainment purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have. For any health concerns, users should seek the assistance of their healthcare professionals.

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