Perimenopause is a time of significant hormonal change, and many women describe not feeling like themselves. Fluctuations in estrogen and progesterone can impact sleep, mood, energy, and cognitive function—leading to symptoms like insomnia, anxiety, low motivation, and brain fog. These changes are real, common, and often very disruptive to daily life. Hormone replacement therapy (HRT) can be a safe and effective option to help restore balance and improve quality of life when appropriately prescribed. At Uptown Integrative Health, we take an individualized approach to care. Comprehensive hormonal testing with Ann Nzeruem, NP, helps us better understand your unique hormone patterns and guide treatment decisions.