About this episode

In this episode, Alisa Vitti and Dr. Robin Berzin discuss the early signs of perimenopause that many women overlook and how to better understand hormonal changes.

Perimenopause is one of those phases women are often taught to recognize only after it becomes obvious. The cycle can still look regular, labs can still look normal on paper, and one appointment may not give enough context to explain why the body suddenly feels different. In this episode of The Ovary Club, I'm joined by Dr. Robin Berzin to talk about how to build a clearer picture of early perimenopause before symptoms become impossible to ignore. We get into what women should start paying attention to, why tracking patterns over time matters, how stress, blood sugar, thyroid, and adrenal health can overlap with hormonal changes, and what to ask for when you want more useful answers. Dr. Robin Berzin is a Columbia-trained internal medicine physician, functional medicine pioneer, and founder and CEO of Parsley Health, the first national functional medicine and longevity clinic in the US. She is also the author of State Change: End Anxiety, Beat Burnout, and Ignite a New Baseline of Energy and Flow and one of the leading voices helping women understand the physical root causes behind symptoms they are too often told to brush off. Want to go deeper with this episode? Insiders get to…

People in this episode

Host: Alisa Vitti

Guest: Dr. Robin Berzin

Topics covered

• perimenopause
• hormonal changes
• women's health
• functional medicine
• symptom tracking

Keywords

• perimenopause
• hormonal changes
• symptoms
• women's health
• functional medicine
• stress
• blood sugar
• thyroid health
• adrenal health

Mentioned in this episode

Organizations: Parsley Health

Books & works: State Change: End Anxiety, Beat Burnout, and Ignite a New Baseline of Energy and Flow

Places: Columbia

More episodes of The Ovary Club with Alisa Vitti

• 20: The Science Behind Your Libido + Why It Changes Across Your Cycle and Perimenopause · September 8, 2026 · 42 min
• 19: The Cortisol Loop Hijacking Your Hormones with Dr. Taz Bhatia · September 1, 2026 · 56 min
• 18: The Muscle-Hormone Connection Every Woman Needs to Know · August 25, 2026 · 37 min
• 17: The Thyroid Problem Hiding Behind Your Hormone Symptoms with Dr. Amie Hornaman · August 18, 2026 · 54 min
• 16: The Questions Women Are Asking About Hormones Over 35, Answered by Women's Hormone Health and Functional Nutrition Expert · August 11, 2026 · 37 min
• 15: Why Perimenopause Is a Critical Window for Cardiovascular Health with Dr. Suzanne Steinbaum · August 4, 2026 · 1h 15m

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