Episode 144

Published March 10, 2026

In this insightful episode, Dr. Mariza Snyder and Dr. Jaclyn Smeaton delve into the often-overlooked topic of perimenopause, shedding light on its complexities and the challenges women face during this transitional phase. 

This episode also explores:

• The role of estrogen in insulin sensitivity and how fluctuations can lead to weight gain, cravings, and muscle loss
• Recognizing the signs of perimenopause, which can often be subtle and easily dismissed
• The need for better education and support for both women and clinicians regarding perimenopause
• The significance of DUTCH testing in providing a clearer picture of hormonal health
• Empowering women to advocate for their health and seek support during perimenopause

Key Moments

0:00 Episode Introduction

2:46:1 Dr. Mariza's Personal Journey

14:11:02 Understanding Hormonal Changes

19:46:22 The Concept of Hormone Chaos

27:04:19 The Importance of Comprehensive Testing

28:18:13 Become a DUTCH Provider

30:52:04 Addressing Weight Changes During Perimenopause

31:19:22 Understanding Hormonal Changes in Perimenopause

32:34:23 Strategies for Managing Cravings and Blood Sugar

34:32:12 The Impact of Alcohol on Hormonal Health

38:32:07 Stress, Sleep and Their Effects on Metabolism

46:32:07 Creating Morning and Evening Rituals for Balance

54:25:01 The Call for a New Approach to Women's Health

About our speaker

Dr. Mariza Snyder is a leading advocate for women in midlife, with over 17 years of experience as a clinician, author, and speaker supporting women through perimenopause and beyond. She hosts the top-rated Energized with Dr. Mariza podcast with more than 13 million downloads and reaches a global audience of over 400,000 followers, offering practical, science-backed guidance on hormones, metabolism, and vitality. Her book, The Perimenopause Revolution, was released last year and empowers women to approach perimenopause with confidence, resilience, and clarity. 

Show Notes

Check out Dr. Mariza’s book, The Perimenopause Revolution, and her podcast, Energized with Dr. Mariza! Follow Dr. Mariza on Instagram @drmariza.

Become a DUTCH Provider today to get access to free educational resources like our Perimenopause Management course, expert clinical support, peer-reviewed and validated research, and comprehensive patient reports.

Disclaimer: Special offer of 50% OFF first five kits is invalid 60 days after new provider registration.