{"id":30225,"date":"2025-09-08T11:36:30","date_gmt":"2025-09-08T04:36:30","guid":{"rendered":"https:\/\/w9wellness.com\/?p=30225"},"modified":"2025-10-24T15:52:48","modified_gmt":"2025-10-24T08:52:48","slug":"hormone-imbalance-women-40-perimenopause","status":"publish","type":"post","link":"https:\/\/w9wellness.com\/en\/hormone-imbalance-women-40-perimenopause\/","title":{"rendered":"Hormonal imbalance in people over 40: Understanding Perimenopause and how to take care of your health"},"content":{"rendered":"<p>Many women, when they reach their 40s, often begin to feel changes in their bodies that are not the same as before. Even though they have not yet reached menopause, they still experience hot flashes, insomnia, mood swings, or irregular menstruation, which are all signs of &quot;hormonal imbalance&quot; that are common in this age group. Book <em>Hormone Repair Manual<\/em> Dr. Lara Briden, ND, calls this \u201cSecond Puberty\u201d because it marks the time when the body enters a perimenopause state, where hormones change dramatically, similar to entering adolescence all over again. Understanding this change is crucial to maintaining a healthy and confident hormonal balance in your 40s.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-repair-manual.jpg\"><img fetchpriority=\"high\" decoding=\"async\" width=\"755\" height=\"500\" src=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-repair-manual.jpg\" alt=\"Hormones in people over 40\" class=\"wp-image-30236\" srcset=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-repair-manual.jpg 755w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-repair-manual-300x199.jpg 300w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-repair-manual-18x12.jpg 18w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-repair-manual-600x397.jpg 600w\" sizes=\"(max-width: 755px) 100vw, 755px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/line.me\/R\/ti\/p\/%40083phnuf\" style=\"background-color:#ba0c49\">Make an appointment to consult with us<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">What is perimenopause?<\/h2>\n\n\n\n<p>Perimenopause or <strong>Premenopause<\/strong> It is the time when the body begins to change hormones until it enters menopause, which means that menstruation stops for at least 12 months.<\/p>\n\n\n\n<p>Perimenopause usually begins in women of <strong>40+<\/strong> And it can take years. During this time, the body will encounter \u201c<strong>Hormonal swings<\/strong>&quot;Especially estrogen that fluctuates erratically and progesterone that decreases, causing <strong>Hormonal imbalance<\/strong> Affects mood, sleep and weight<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Difference between Perimenopause and Menopause<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Different stories<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Perimenopause<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Menopause<\/strong><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>period<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">It starts to come irregularly, sometimes missing, or coming heavier and more frequently than usual.<\/td><td class=\"has-text-align-center\" data-align=\"center\">Absent for \u226512 months<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>hormone<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Estrogen fluctuates erratically, progesterone is low and imbalanced.<\/td><td class=\"has-text-align-center\" data-align=\"center\">Persistent low estrogen and progesterone<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>symptom<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Hot flashes, mood swings, poor sleep<\/td><td class=\"has-text-align-center\" data-align=\"center\">Hot flashes, night sweats, vaginal dryness, osteoporosis<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>health risks<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risk of hormonal fluctuations, migraines, insomnia, depression<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risk of long-term hormone deficiency such as heart disease, osteoporosis, and dementia.<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>period<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Several years before menopause<\/td><td class=\"has-text-align-center\" data-align=\"center\">It starts when menopause ends and lasts forever.<\/td><\/tr><\/tbody><\/table><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Common symptoms in women over 40<\/h2>\n\n\n\n<p>If you have at least 3 of these 9 symptoms, it could be a sign that you are entering perimenopause.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Menstrual periods are heavier or longer than usual.<\/li>\n\n\n\n<li>Shortened menstrual cycle (&lt; 25 days)<\/li>\n\n\n\n<li>Menstrual cramps<\/li>\n\n\n\n<li>Breast pain, swelling, or lumps<\/li>\n\n\n\n<li>Poor sleep, waking up in the middle of the night<\/li>\n\n\n\n<li>Night sweats, especially before menstruation<\/li>\n\n\n\n<li>Migraine headaches during menstruation<\/li>\n\n\n\n<li>Mood swings, irritability<\/li>\n\n\n\n<li>Weight gain without changing eating or exercise habits<\/li>\n<\/ol>\n\n\n\n<p>\u201cAbout 20% of women have prominent symptoms during the perimenopause period.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why are hormones imbalanced?<\/h2>\n\n\n\n<p>During this age, the ovaries begin to function irregularly, causing <strong>Low progesterone<\/strong> But estrogen still fluctuates so much that it causes symptoms similar to riding a \u201croller coaster\u201d or <strong>Estrogen Roller Coaster<\/strong><\/p>\n\n\n\n<p>Many symptoms are not caused by \u201clow estrogen\u201d as most people believe, but by <strong>Hormonal imbalance<\/strong> Between decreased progesterone and high estrogen swings<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg.webp\"><img decoding=\"async\" width=\"1024\" height=\"564\" src=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-1024x564.webp\" alt=\"Hormones in people over 40\" class=\"wp-image-30227\" srcset=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-1024x564.webp 1024w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-300x165.webp 300w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-768x423.webp 768w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-1536x846.webp 1536w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-18x10.webp 18w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg-600x330.webp 600w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Estrogen-Roller-Coaster-Ride.jpg.webp 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" href=\"https:\/\/w9wellness.com\/en\/hormone-package\/\" style=\"background-color:#ba0c49\">Hormone balance check<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Hormonal mechanisms during premenopause<\/h2>\n\n\n\n<p>During <strong>Perimenopause<\/strong> Hormonal changes do not occur gradually. Estrogen, which many people think will gradually decrease, actually does. <strong>Uncertain ups and downs<\/strong> It&#039;s like riding a roller coaster, at the same time. <strong>Progesterone returns to a low level<\/strong> Because the ovaries start to work irregularly<\/p>\n\n\n\n<p>This condition is called <strong>Progesterone Deficiency<\/strong> Or a lack of progesterone hormone causes the balance between estrogen and progesterone to be lost, resulting in various symptoms that women over 40 often experience, such as hot flashes, trouble sleeping, mood swings, or headaches.<\/p>\n\n\n\n<p>So, many of the symptoms in the pre-menopausal period <strong>It is not caused by low estrogen.<\/strong> But it is caused by an imbalance of both hormones together.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-center\">Progesterone is produced by the corpus luteum, also known as <em>eggshell<\/em> It occurs after an egg is released from the ovaries. This hormone plays a key role in maintaining the body&#039;s balance, regulating the menstrual cycle, and preparing the uterus for pregnancy.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Progesterone.jpg\"><img decoding=\"async\" width=\"755\" height=\"500\" src=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Progesterone.jpg\" alt=\"Hormones in people over 40\" class=\"wp-image-30237\" srcset=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Progesterone.jpg 755w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Progesterone-300x199.jpg 300w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Progesterone-18x12.jpg 18w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/Progesterone-600x397.jpg 600w\" sizes=\"(max-width: 755px) 100vw, 755px\" \/><\/a><\/figure>\n\n\n\n<p>Progesterone is produced in the egg corpus luteum after ovulation.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">How do you know if you&#039;re in perimenopause?<\/h2>\n\n\n\n<p>Many people may wonder if their symptoms, such as hot flashes, insomnia, or mood swings, are caused by stress or if they are entering a new stage of life. <strong>Perimenopause<\/strong> For sure, the way to confirm this is: <strong>Hormone level testing in conjunction with symptom assessment by a physician<\/strong><\/p>\n\n\n\n<p>Commonly used tests include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Estrogen (Estradiol)<\/strong><\/li>\n\n\n\n<li><strong>Progesterone<\/strong><\/li>\n\n\n\n<li><strong>FSH and LH<\/strong> (Ovarian stimulating hormone)<\/li>\n<\/ul>\n\n\n\n<p>The most common test results are: <strong>Estrogen is still high and fluctuating<\/strong>, <strong>Progesterone decreases<\/strong>, or <strong>Elevated FSH levels<\/strong> This indicates that the body is entering pre-menopausal conditions. The test also helps to rule out other diseases that have similar symptoms, such as: <strong>Thyroid dysfunction<\/strong> or <strong>Anemia<\/strong> You can also<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to cope with hormonal fluctuations during premenopause<\/h2>\n\n\n\n<p>Proper care of your body can help reduce symptoms of hormonal imbalance. Key approaches include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Increase progesterone levels naturally<\/strong>Such as using <em>bioidentical progesterone<\/em> Under the care of a specialist doctor<\/li>\n\n\n\n<li><strong>Support ovulation<\/strong>By adjusting lifestyle behavior and nutrition to be balanced<\/li>\n\n\n\n<li><strong>Helps expel excess estrogen<\/strong>Promote liver function by eating green leafy vegetables, broccoli, sulfur-rich vegetables (such as garlic, acacia, stink beans) and increasing fiber by at least 25 grams per day.<\/li>\n\n\n\n<li><strong>Control weight and reduce abdominal fat<\/strong>To balance hormones and reduce the risk of chronic diseases<\/li>\n\n\n\n<li><strong>Reduce chronic inflammation<\/strong>Avoid sugar, white flour, and alcohol, and supplement with foods that have anti-inflammatory properties, such as turmeric, fish oil, and colorful fruits and vegetables.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Lifestyle adjustments to restore hormone balance<\/h2>\n\n\n\n<p>Maintaining a healthy daily routine can help reduce hormonal fluctuations and promote a more balanced body rhythm. Some ways to do this include:<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li><strong>Get enough rest<\/strong>Getting 7\u20138 hours of sleep a night allows melatonin, cortisol, and sex hormones to function according to their natural cycles.<\/li>\n\n\n\n<li><strong>Manage stress<\/strong>Use yoga, massage, or meditation to relax, increase endorphins, and help you sleep more deeply.<\/li>\n\n\n\n<li><strong>Reduce alcohol<\/strong>Avoiding or reducing the amount of alcohol you drink allows your liver to function optimally and reduces inflammation in the body.<\/li>\n\n\n\n<li><strong>Choose foods that are good for your hormones.<\/strong>Focus on anti-inflammatory foods such as vegetables, fruits, whole grains, fish, and healthy oils, while minimizing processed foods and sugar.<\/li>\n\n\n\n<li><strong>Exercise regularly<\/strong>Aerobics, weight training, and stretching can help balance insulin, strengthen muscles and bones, reduce cortisol levels, and improve sleep.<\/li>\n\n\n\n<li><strong>Give yourself time<\/strong>Do activities you enjoy, such as reading, listening to music, or spending time with loved ones, to recharge and reduce daily stress.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-balance-40.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"755\" height=\"505\" src=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-balance-40.jpg\" alt=\"\" class=\"wp-image-30250\" srcset=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-balance-40.jpg 755w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-balance-40-300x201.jpg 300w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-balance-40-18x12.jpg 18w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/hormone-balance-40-600x401.jpg 600w\" sizes=\"(max-width: 755px) 100vw, 755px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Nutrients and supplements to balance hormones for those over 40<\/h2>\n\n\n\n<p>In addition to rest, exercise, and good nutrition, certain nutrients and herbs can help relieve symptoms and support hormone balance, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Magnesium Glycinate<\/strong> \u2192 Helps reduce stress, relax the body and help you sleep better.<\/li>\n\n\n\n<li><strong>Taurine<\/strong> \u2192 Promotes brain function, reduces anxiety, and nourishes the heart.<\/li>\n\n\n\n<li><strong>Vitamin B6 (P5P)<\/strong> \u2192 Reduces premenstrual symptoms (PMS) and helps balance estrogen levels.<\/li>\n\n\n\n<li><strong>Ashwagandha<\/strong> \u2192 Adaptogen herbs that help reduce stress and promote quality sleep.<\/li>\n\n\n\n<li><strong>Fish Oil (Omega-3)<\/strong> \u2192 Reduces inflammation, balances blood fats, and nourishes both the heart and brain.<\/li>\n\n\n\n<li><strong>Vitamin D3 + K2<\/strong> \u2192 Strengthens bones, boosts immunity, and reduces the risk of atherosclerosis.<\/li>\n\n\n\n<li><strong>Probiotics<\/strong> \u2192 Balances the intestines, reduces inflammation and helps strengthen the immune system.<\/li>\n\n\n\n<li><strong>Micronized Progesterone<\/strong> \u2192 A well-absorbed form of progesterone helps reduce hot flashes and balances overall hormones.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Doctor&#039;s advice<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e27\u0e31\u0e22\u0e17\u0e2d\u0e07.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"755\" height=\"505\" src=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e27\u0e31\u0e22\u0e17\u0e2d\u0e07.jpg\" alt=\"\" class=\"wp-image-30247\" srcset=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e27\u0e31\u0e22\u0e17\u0e2d\u0e07.jpg 755w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e27\u0e31\u0e22\u0e17\u0e2d\u0e07-300x201.jpg 300w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e27\u0e31\u0e22\u0e17\u0e2d\u0e07-18x12.jpg 18w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/09\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e27\u0e31\u0e22\u0e17\u0e2d\u0e07-600x401.jpg 600w\" sizes=\"(max-width: 755px) 100vw, 755px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>\u201cBeing in your 40s doesn&#039;t mean your body is starting to deteriorate. It&#039;s a time of hormonal changes that require personalized care. Early hormone screening and lifestyle changes can help you maintain energy, sleep well, and live confidently.\u201d <\/p>\n\n\n\n<p>Dr. Chalermpol Innachit (Dr. Nong), W9 Wellness Center<\/p>\n<\/div>\n<\/div>\n\n\n\n<p>Perimenopause is a transitional period that many women over 40 face without warning. Estrogen levels remain high while progesterone levels drop, causing a variety of physical and emotional symptoms. Understanding these mechanisms and taking proper care of yourself, whether it&#039;s adjusting your lifestyle, choosing good nutrition, supplementing with essential nutrients, or consulting a medical professional when necessary, will help women confidently navigate this period and build a strong and balanced foundation for their 40s.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-a89b3969 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/w9wellness.com\/en\/chalermpon-innachit\/\" style=\"background-color:#ba0c49\">Make an appointment for a hormone test with Dr. Nong.<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p><strong><strong>Praram 9 Hospital (3rd floor, Building A)<\/strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Phone number: 092-9936922<\/li>\n\n\n\n<li>Line:&nbsp;<strong><a href=\"https:\/\/line.me\/R\/ti\/p\/%40083phnuf\">@w9wellness<\/a><\/strong><\/li>\n\n\n\n<li>Opening-closing hours: 08.00 \u2013 17.00 hrs.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns has-background is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\" style=\"background-color:#f1f1f1\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<p class=\"has-text-align-center\"><strong>Written and compiled by<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/08\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e19\u0e32\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e40\u0e09\u0e25\u0e34\u0e21\u0e1e\u0e25.png\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/08\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e19\u0e32\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e40\u0e09\u0e25\u0e34\u0e21\u0e1e\u0e25.png\" alt=\"\" class=\"wp-image-30102\" srcset=\"https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/08\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e19\u0e32\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e40\u0e09\u0e25\u0e34\u0e21\u0e1e\u0e25.png 150w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/08\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e19\u0e32\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e40\u0e09\u0e25\u0e34\u0e21\u0e1e\u0e25-12x12.png 12w, https:\/\/w9wellness.com\/wp-content\/uploads\/2025\/08\/\u0e2b\u0e21\u0e2d\u0e42\u0e2b\u0e19\u0e48\u0e07-\u0e19\u0e32\u0e22\u0e41\u0e1e\u0e17\u0e22\u0e4c\u0e40\u0e09\u0e25\u0e34\u0e21\u0e1e\u0e25-100x100.png 100w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong><a href=\"https:\/\/w9wellness.com\/en\/chalermpon-innachit\/\">Dr. Chalermpon Innachit (Dr. Nong)<\/a><\/strong><\/p>\n\n\n\n<p>Anti-aging and preventative medicine physician<br>W9 Wellness Center<\/p>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Many women, as they approach their 40s, begin to experience physical changes that are not the same as before. Even though they are not yet menopausal, they still experience hot flashes, insomnia, mood swings, or irregular periods. These are all signs of a \u201chormonal imbalance\u201d that is common during this age group. In the book Hormone Repair Manual by Dr. Lara Briden, ND, this condition is called \u201cSecond Puberty,\u201d or the second puberty. This is because it is the time when the body enters a pre-menopausal state (perimenopause) with sudden hormonal changes, similar to entering adolescence all over again. Understanding this change is crucial to maintaining a healthy and confident hormonal balance in those over 40. What is perimenopause? Perimenopause is the time when the body begins to change hormones until entering menopause, which means that menstruation stops for at least 12 months. Perimenopause typically begins in women over 40 and can last for several years. During this time, the body experiences \u201chormonal fluctuations,\u201d especially estrogen, which fluctuate erratically. And progesterone decreases, causing hormonal imbalance, affecting mood and sleep [\u2026]<\/p>","protected":false},"author":2,"featured_media":30240,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-30225","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-hub"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0e2e\u0e2d\u0e23\u0e4c\u0e42\u0e21\u0e19\u0e27\u0e31\u0e22 40+ \u0e44\u0e21\u0e48\u0e2a\u0e21\u0e14\u0e38\u0e25 \u0e40\u0e02\u0e49\u0e32\u0e43\u0e08 Perimenopause \u0e41\u0e25\u0e30\u0e27\u0e34\u0e18\u0e35\u0e14\u0e39\u0e41\u0e25\u0e2a\u0e38\u0e02\u0e20\u0e32\u0e1e - W9wellness<\/title>\n<meta name=\"description\" content=\"\u0e2e\u0e2d\u0e23\u0e4c\u0e42\u0e21\u0e19\u0e27\u0e31\u0e22 40+ \u0e40\u0e08\u0e2d\u0e23\u0e49\u0e2d\u0e19\u0e27\u0e39\u0e1a\u0e27\u0e32\u0e1a \u0e19\u0e2d\u0e19\u0e44\u0e21\u0e48\u0e2b\u0e25\u0e31\u0e1a \u0e2d\u0e32\u0e23\u0e21\u0e13\u0e4c\u0e41\u0e1b\u0e23\u0e1b\u0e23\u0e27\u0e19? 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