If you have Hashimoto’s and feel like your body suddenly changed when you hit your late 30s or 40s, you’re not imagining it.

Maybe you’re gaining weight (especially around your belly) even though you haven’t changed the way you eat. Your energy is lower, you’re waking up in the middle of the night, your brain feels foggy, your mood is different, and suddenly the things that used to work for your body just… don’t anymore.

So is it your thyroid? Is it perimenopause? Or is it both?

|In this episode of The Empowered Thyroid Podcast, I’m breaking down what actually happens to your body during perimenopause and why this hormonal transition can be particularly important for women with Hashimoto’s.

We’ll talk about why perimenopause is much more than simply declining estrogen, how fluctuating estrogen and progesterone can influence your immune system, brain, sleep, metabolism and body composition, and why major hormonal transitions like pregnancy, postpartum and perimenopause can sometimes act as triggers for Hashimoto’s in susceptible women.

I also explain why insulin resistance and abdominal weight gain can become more common during this stage, why the same diet and exercise strategies you used in your 20s and 30s may stop working the way they once did, and why simply eating less and exercising more isn’t always the answer.

We’ll also get into some of the areas I focus on most with women going through perimenopause, including strength training, protein, blood sugar and insulin, stress and sleep, liver health, gut health and hormone metabolism.

And finally, I share my perspective on hormone therapy, including bio-identical hormones like estradiol and micronized progesterone and an important consideration if you’re already taking thyroid medication.

Because perimenopause doesn’t have to mean spending your 40s and 50s feeling like you’ve completely lost control of your body. Your body may need different support now than it did at 25 and understanding what has changed is the first step toward knowing what to do about it.

✅ THE HASHIMOTO’S SOLUTION MASTERCLASS:
If you have Hashimoto’s and want to better understand what may be driving your autoimmunity and what you can actually do beyond simply taking thyroid medication, join me for my FREE 3-day live masterclass, The Hashimoto’s Solution, beginning September 24th at 12:00 PM EST.

👉 Register here: https://www.drvongnd.com/thehashimotossolutionsep2026

LINKS:

• Book a complimentary discovery call with our thyroid-focused team: https://www.drvongnd.com/apply
• Download my FREE thyroid lab guide: https://www.drvongnd.com/thyroidlabguide
• Learn more about our comprehensive 5-month thyroid program, the Thyroid Reset System: https://thyroidresetsystem.vipmembervault.com/products/courses/view/1107407

If you enjoyed this episode, share it with a friend, follow the podcast, and leave us a rating/review. Thanks so much for listening! 💗