
Too often, women are told they’re “too young” or “just stressed” when they report sleep changes, mood swings, or unexplained weight gain. In truth, perimenopause can begin as early as the mid-30s, with symptoms that are subtle and easily overlooked. Here are ten early signs to know, and how we address them at Bespoke Medicine.

GLP-1 medications like Ozempic, Wegovy, and Mounjaro have reshaped the weight-loss conversation. For many, they’ve brought hope and real results; for others, confusion and side effects. In my practice, I guide patients through this journey so they lose weight with results and with an empowered mindset.