{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"In Tune MD","title":"The Perimenopause Roller Coaster No One Warns You About\" - Dr. Isha & Dr. Trivedi | In Tune Ep. 4","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/ec2a25c0\"></iframe>","width":"100%","height":180,"duration":1650,"description":"If you're in your 40s and suddenly don't feel like yourself — you're waking up at 2 a.m., the brain fog won't lift, your patience is paper-thin — you may have been told it's stress. Or depression. Or just \"getting older.\" But what if it's something else entirely? In this episode of Intune, Dr. Isha Mannering sits down with endocrinologist Dr. Shamita Trivedi to walk through what's really happening to women's hormones in midlife — and why so many are being given the wrong answers.\nWhat you'll learn:\n \n• Why perimenopause is a \"wild roller coaster\" — not a steady decline\n• The antidepressant vs. hormone treatment gap affecting women in midlife\n• Three specific self-advocacy questions to bring to your next doctor's appointment\n• How to reduce your invisible load and move through burnout\n• The mindset shift that separates self-worth from productivity\nTIMESTAMPS\n0:00 — Welcome to Intune\n0:49 — Introducing Dr. Shamita Trivedi\n2:16 — The perimenopause roller coaster no one explains\n3:26 — Why women's midlife health has been under-researched\n4:08 — \"She was given antidepressants instead of hormones\"\n5:21 — How to advocate for yourself (3 specific questions)\n8:00 — A layered approach to hormone replacement\n10:59 — Treating the beautiful human, not just the numbers\n12:21 — Bringing breathing, grounding, and yoga into the clinic\n16:00 — Burnout and the sandwich generation\n19:02 — Reducing your invisible load\n23:01 — \"I am valuable AND I'm productive\"\n25:30 — Connect with Dr. Trivedi\n→ Follow Dr. Shamita Trivedi on Instagram: @Dr.Trivedi_hormonedoc\n→ Visit her practice online: drshanithatrivedi.com\n→ Subscribe to InTune MD for evidence-based conversations on health, parenting, and emotional well-being\n→ Dr. Isha Mannering is a board-certified pediatrician, international media medical expert, and founder of InTune MD. Her platform bridges clinical expertise with practical wellness for families and individuals seeking reliable, compassionate guidance.\n#perimenopause ...","thumbnail_url":"https://img.transistorcdn.com/mOOqszJ_09oV17UFzQuMFEGBJUBwsVbEpQW4cySj69Y/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9kYzhl/ZjFkM2Y0NDYwM2Qw/ZmQzNGFmM2M5OTQy/NjI0YS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}