Karen, 49, Executive Director, mother of two teenagers, described feeling “out of control in my own body” and increasingly concerned about her performance at work and patience at home. Karen sought support after 9 months of worsening perimenopausal symptoms, including: Frequent hot flashes and night sweats Sleep disruption (waking 2-3 times per night) Heightened anxiety and irritability Brain fog and reduced concentration at work Loss of motivation to exercise despite knowing