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July 23, 2026
Brain fog, mood changes, disrupted sleep, weight gain, and changes in sexual wellness can make perimenopause feel confusing and isolating. Christopher Hensley speaks with Dr. Susan Hardwick-Smith—OB-GYN, certified menopause practitioner, author, and founder of Complete Midlife Wellness Center—about how changing hormone levels may affect the brain and body. Dr. Hardwick-Smith discusses the phases of perimenopause and menopause, common questions surrounding hormone therapy, the importance of finding properly trained care, and practical ways women can support muscle, metabolism, and long-term health. The conversation also draws an important connection between health-span planning and financial planning: informed decisions made earlier can compound over time. This episode is educational and is not personal medical advice. Consult a qualified healthcare professional about individual symptoms and treatment decisions.