“I Don’t Feel Like Myself”: What Perimenopause Might Be Trying to Tell You
A 2024 study shows “not feeling like myself” in perimenopause is linked to fatigue, brain fog, anxiety, mood and sexual changes. Learn what this means and how to get support.
Hi, I’m Dr. Troutman — a physician who specializes in weight management and hormone therapy for women in midlife.
This blog is where I put my thoughts onto digital paper: part science, part story — about navigating midlife with curiosity rather than criticism. I write about hormone therapy, weight wellness, sleep, stress, and strength training from my own lens: what I’m learning, what I’m trying, what’s actually helping.
Topics covered here: perimenopause & menopause, hormone therapy (MHT), metabolic health, weight loss in midlife, brain fog, sleep, stress, nutrition, and the research that actually matters.
If you’re navigating the changes of midlife while juggling it all, and still trying to feel like yourself again — you’re not alone, and I’m so glad you’re here.

No spam. No filler. Just evidence-based guidance on hormones, weight, and midlife wellness — written by a physician who’s in the trenches with her patients every week.
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A 2024 study shows “not feeling like myself” in perimenopause is linked to fatigue, brain fog, anxiety, mood and sexual changes. Learn what this means and how to get support.
Knowledge is the beginning. But a personalized plan — built around your specific hormones, metabolism, and history — is what creates real change. When you’re ready to go beyond the blog, Dr. Troutman’s free Meet & Greet is the next step.
A note on this blog: I’m a licensed physician specializing in weight management and hormone therapy, but I’m not your personal doctor — and this blog isn’t medical advice. Everything here is written for educational purposes, based on current evidence and my clinical experience. Before making any changes to your medications, treatment plan, or lifestyle, please work with your own healthcare provider. If you’d like to become a patient at Midlife reMDy, I’d love to meet you.
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