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312. Perimenopause Symptoms Can Start in Your Late 30s - Dr. Remina Panjwani

October 13, 2026 · 1 hr 5 min

You might think perimenopause is a 50s problem, but Dr. Remina Panjwani says it can start in your late 30s. She and Gary Brecka go through the early signs, from 3 a.m. wakeups and brain fog to a belly that changes no matter what you eat. They also cover why she prefers the DUTCH test over standard blood work, and how chronic stress and cortisol affect your hormones.


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Timestamps

00:00 - Introduction: nervous system, burnout and menopause

04:22 - Regulate Before You Stimulate TED talk

06:09 - Early warning signs of burnout

07:31 - Morning breathing before your phone

11:14 - Menopause journey and frozen shoulder

13:40 - Perimenopause in your late 30s

17:30 - Joint pain and hormone therapy

18:18 - DUTCH test vs standard blood work

20:34 - Internal medicine to functional medicine

28:01 - Odd Girl Out and The Doctor Within

32:53 - How generational trauma gets passed down

38:37 - Spotting generational trauma in seven-year stages

40:21 - Hypnosis and vibroacoustic therapy

42:56 - Breathwork, HRV and heart-brain coherence

47:47 - Stress, cortisol and weight loss resistance

52:40 - Fasting insulin vs A1C and gut inflammation

55:26 - Gut testing, probiotics and fermented foods

58:57 - Why you can't outperform your nervous system

1:02:10 - Peptides for the right person

1:03:27 - What it means to be an Ultimate Human


Disclaimer: This podcast is for informational purposes only and does not provide medical advice. It is not intended for diagnosing or treating any health condition. Always consult a licensed healthcare professional before making health or wellness decisions.


Gary Brecka is the owner of Ultimate Human, LLC which operates The Ultimate Human podcast and promotes certain third-party products used by Gary Brecka in his personal health and wellness protocols and daily life and for which Ultimate Human LLC and / or Gary Brecka directly or indirectly holds an economic interest or receives compensation.  Accordingly, statements made by Gary Brecka and others (including on The Ultimate Human podcast) may be considered promotional in nature.

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Gary Brecka