Perimenopause Symptoms

Most women experience perimenopause in their thirties and it can last 7-10 years.

How do you know if you are suffering from perimenopause?

Perimenopause is the transitional period before menopause. During perimenopause, levels of estrogen, a key female hormone, start to decrease. You may begin having menopause-like symptoms, such as hot flashes or irregular periods. Perimenopause can last for years, and when you go a full 12 months without a period, menopause has officially begun.

Common symptoms of perimenopause include:

  1. Changes to your periods: The first sign of perimenopause is usually a change in the normal pattern of your periods, such as irregular cycles. Eventually, you’ll stop having periods altogether.

  2. Mental health symptoms: These may include changes in mood (such as low mood, anxiety, mood swings, and low self-esteem) and problems with memory or concentration (often referred to as “brain fog”).

  3. Physical symptoms: These can range from hot flushes (sudden feelings of heat or cold in your face, neck, and chest) to difficulty sleeping due to night sweats, palpitations, headaches, muscle aches, joint pains, weight gain, skin changes, reduced sex drive, vaginal dryness, and more.

We Can Help

Remember that symptoms can vary from person to person, and seeking advice early can help reduce the impact of perimenopause and menopause on your health, relationships, and work. If you suspect you’re experiencing perimenopause or menopause symptoms, consider reaching out to us. We have helped hundreds of women fight this battle. We have the tools and the know-how to get you back to you.

The Real Reason You Can't Lose Weight After 35 | Balanced Wellness

The Real Reason You Can't Lose Weight After 35

Tammy Ryan, Nurse Practitioner | Balanced Wellness, Rock Hill SC

After 25 years of practice, I've discovered why traditional weight loss fails—and the breakthrough that's changing everything for my patients.

87%

of people over 35 have a hidden hormone-gut dysfunction that makes weight loss nearly impossible—regardless of diet and exercise.

I'm Tammy Ryan, a Certified Nurse Practitioner and owner of Balanced Wellness in Rock Hill. In my 25 years of practice, I've seen thousands of patients struggle with the same frustrating cycle: eating clean, exercising regularly, yet the scale won't budge.

What I've discovered through my training as a Certified Functional Medicine Provider and Hormone Specialist will change how you think about weight loss forever.

The Hidden Saboteur Inside Your Body

Your hormones and gut bacteria are in constant communication. When this conversation breaks down—due to stress, processed foods, toxins, or aging—your body enters "survival mode." It slows your metabolism, increases cravings, and stores fat around your belly.

You're not failing at weight loss. Your body is literally fighting against it.

🔬 The 2025 Breakthrough

Scientists have identified specific gut bacteria that control your hunger hormones, metabolism, and fat storage. When these are out of balance, weight loss becomes virtually impossible—no matter how perfectly you eat or exercise.

Are You Experiencing Hormone-Gut Sabotage?

Check if any of these sound familiar:

  • Uncontrollable afternoon cravings
  • Energy crashes and brain fog
  • Sleep disruption (especially 1-4 AM)
  • Stubborn belly fat that won't budge
  • Low libido and decreased interest in intimacy
  • Mood swings and irritability
  • If you checked 3 or more, your hormone-gut axis is likely compromised.

    Real Patient Success

    "I tried everything for 3 years. When Tammy identified my hormone-gut connection issues, I lost 35 pounds in 4 months and feel like myself again for the first time in years."

    - Jennifer M., Age 38, Rock Hill SC

    My Proven 4-Phase Solution

    The Hormone-Gut Reset Protocol

    • Phase 1: Advanced testing to identify your specific imbalances
    • Phase 2: Targeted gut microbiome restoration
    • Phase 3: Bioidentical hormone optimization
    • Phase 4: Metabolic reactivation and sustainable weight loss

    This approach has helped my patients overcome:

    • Weight loss resistance and metabolic dysfunction
    • Thyroid disorders and chronic fatigue
    • PCOS, menopause, and hormone imbalances
    • Low testosterone, ED, and andropause in men
    • Autoimmune conditions and digestive issues
    • Anxiety, depression, and mood disorders

    ⏰ Why Timing Matters

    The longer hormone-gut dysfunction continues, the harder it becomes to reverse. The good news? With the right approach, most patients see significant improvements within 90 days.

    Ready to Break Free from Weight Loss Resistance?

    I'm accepting new patients for comprehensive hormone-gut assessments. Let's identify what's been holding you back and create your personalized healing plan.

    Schedule Your Assessment: 803-226-7371 Learn More About Our Approach

    What to Expect in Your Assessment

    During your comprehensive consultation, we'll:

    • Review your complete health history and current symptoms
    • Identify potential hormone and gut imbalances
    • Discuss advanced testing options specific to your needs
    • Create a personalized action plan for your healing journey
    • Answer all your questions about the process

    About Tammy Ryan

    Certified Nurse Practitioner (25+ years experience)

    Owner, Balanced Wellness, Rock Hill, SC

    Certified Functional Medicine Provider

    Certified Hormone Specialist, Menopause Association

    Serving patients throughout North Carolina and South Carolina

    This information is for educational purposes only. Individual results may vary. Always consult with a qualified healthcare provider before making changes to your health regimen.

    Tammy Ryan

    As a certified Nurse Practitioner specializing in functional medicine and bioidentical hormone replacement therapy, I aim to help both men and women uncover and treat the root causes of their health issues. My experience with thousands of individuals has shown that personalized care makes all the difference. After many enlightening years in an imperfect medical system, I’ve returned to my holistic roots.

    I've established a private practice where personalized consultations and customized protocols, free from insurance constraints, are key. For men, this could mean addressing issues like fatigue and reduced libido. For women, it might involve alleviating symptoms such as hot flashes and mood swings. My goal is to help you achieve optimal health and vitality through the principles of lifestyle medicine.

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