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Estrogen drops less skin hydration, elasticity, and collagen Thinner, drier skin more prone to cracks, irritation, and flare-ups Weakened immune response increased skin reactivity Perimenopause also involves fluctuating progesterone, which can create more irregular cycles and skin changes

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If eating anything stays impossible for more than a day or two, take it to your prescriber rather than trying to fix it with food choices

Elliott Lewis, a psychiatrist and obesity medicine specialist, frames it this way: If we truly understand that metabolic and mental health systems are inseparable, then psychiatrists being involved in metabolic treatment makes complete sense. Youre not stepping outside your lane youre addressing the whole patient