{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The Modern Midlife Collective","title":"Episode 40: “Why Can't I Drink Like I Used To? The Truth About Alcohol in Perimenopause”","html":"","width":"100%","height":180,"duration":3847,"description":"One completely ordinary glass of wine.\n\nThen suddenly you’re awake at 3 a.m., your heart is racing, you’re hot, your sleep is wrecked, your stomach feels off—and the next morning feels suspiciously like a hangover that should have required a much bigger night out.\n\nSound familiar?\nIn this episode of The Modern Midlife Collective, Dr. Jillian and Dr. Ade explore why many women notice that alcohol affects them differently during perimenopause and menopause.\n\nAnd while hormones are part of the conversation, the answer is much more nuanced than “your estrogen dropped.”\nAlcohol is landing in a body that may now have different body composition, total body water, sleep architecture, medications, metabolic demands and nervous-system vulnerability—all while estrogen is becoming increasingly unpredictable during the menopause transition.\nThis episode is about recalibration, not perfection.\nNo shame. No judgment. No gold stars for abstinence.\nJust better information.\n\nIN THIS EPISODE\n\nDr. Jillian and Dr. Ade discuss:\nWhy alcohol may suddenly feel stronger in midlife\nWhy perimenopause is better described as hormonal turbulence than a simple estrogen decline\nHow alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH2) metabolize alcohol\nWhy genetic differences can dramatically affect alcohol tolerance\nHow lower total body water can contribute to higher blood-alcohol concentrations\nAge-related changes that may affect the “bounce-back”\nWhy alcohol may make you sleepy while still disrupting restorative sleep\nREM sleep and those notorious 3 a.m. awakenings\n“Hangxiety” and the nervous-system rebound after alcohol\nAlcohol as a potential hot-flash or night-sweat trigger\nWhy different drinks may feel different—even though ethanol is still ethanol\nHistamine, sulfites and why red wine may suddenly make some women miserable\nWhy “red wine is good for your heart” deserves more nuance\nAlcohol and breast-cancer risk\nAlcohol’s effects on appetite, weight-management goals and training...","thumbnail_url":"https://img.transistorcdn.com/vSb4RMla_S75bpWB9Zxjk3g6nojoX9zmEdCD7Xe_JSw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9kMTZj/YjIwZGE1ZTU5Mjk2/NmU2NTU1NmM3N2Ni/ZTc0MC5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}