469 - Perimenopause Brain Fog & Fatigue? What Doctors Aren't Telling You
The Marie Forleo Podcast
Marie Forleo
4.7 • 1.8K Ratings
🗓️ 16 December 2025
⏱️ 71 minutes
🧾️ Download transcript
Summary
When your hormones start shifting in midlife, it can feel like you're losing your mind – and no one prepared you for it. Dr. Mindy Pelz knows this spiral all too well. In this raw and deeply validating conversion, she shares what really happens to a woman's brain, body, and identity during perimenopause – and why saying "I'm not okay" might be the most healing step you can take.
Dr. Mindy Pelz is a New York Times bestselling author and a leading voice in women's health, hormones, and aging.
Her books, including Eat Like a Girl, Fast Like a Girl, and her new book: Age Like a Girl empower women to work with their biology, not against it. Through her top-ranked podcast, The Resetter Podcast, and YouTube channel with 110M+ views, Dr. Mindy is changing the menopause conversation, helping women unlock energy, brain clarity, and purpose in their second half of life.
WHAT'S COVERED IN THIS EPISODE:
00:00 Searching for the "new you" as you navigate midlife
02:45 Understanding menopause with a fresh perspective
05:57 The emotional toll it takes to break down and break free
09:08 Why it's powerful to get vulnerable and acknowledging our struggles
11:54 Welcome to the Goo Phase
15:01 The Grandmother Hypothesis will redefine purpose in midlife
36:32 How to embrace the power of the crone
42:04 Understanding how the brain remodels during menopause
49:34 Navigating the neurochemical changes and emotional sensitivity
01:00:55 Reclaiming your identity and prioritizing self-care
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MORE RESOURCES FOR YOU:
Grab your copy of Mindy's new book, Age Like a Girl → https://amzn.to/4pWjmWa
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Transcript
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| 0:00.0 | Mindy, I've gone to so many doctors. I've spent so much money, like all the things and still |
| 0:07.3 | have felt like, nope, nothing's working. So let's start with what you shared specifically at the |
| 0:16.4 | top of the book when you experienced your own personal perimenopause journey taking a turn for the |
| 0:25.4 | worst. Yeah. Yeah. Thank you for all of that. And I couldn't agree with you more from the lens |
| 0:31.8 | of there's so many good books out there. And actually, I don't know if I told you this part. |
| 0:37.6 | I went into contract on this book three years ago. |
| 0:40.9 | So like, it was like, and it was, the book completely morphed into something different |
| 0:46.9 | over time because it was like unbelievable how the menopause space had changed dramatically. So, and here's where it changed. |
| 0:58.2 | We went from not talking about menopause to everybody talking about it, to everybody |
| 1:05.8 | bitting about it, to, oh, we're suffering because we read the hormone replacement study wrong. And we just need to |
| 1:15.1 | get everybody on hormone replacement and all of a sudden menopause will be easy, breezy. |
| 1:20.6 | Yeah. And as you just pointed out, that is not every woman's experience. Nope. |
| 1:26.9 | So for the last 10 years, I've been researching this book and trying to answer what's |
| 1:32.4 | the purpose of menopause because women live 42.5% of our life without a whole organ system. |
| 1:39.8 | Like that whole organ system shuts down, yet we carry on. |
| 1:43.7 | So I knew there had to be a reason. |
| 1:45.9 | So the first thing I just want to say that I think it's exciting that we're talking about |
| 1:51.1 | menopause, but I also think we're missing a huge opportunity to look at menopause as what I |
| 1:58.4 | call our get out a free, get out of jail free card. And I'll |
| 2:03.4 | explain why here in a second. So, God, what happened to me as I was writing this book was I broke. |
| 2:13.8 | I completely broke. And you and I were talking about this this morning. |
| 2:18.1 | I had been wondering for years. |
... |
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