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You’re not who you were… but not fully who you’re becoming yet

by Dr. Flora Sinha
May 07, 2026
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Have you had the thought lately…

“I just don’t feel like myself.”

Not in a dramatic way.

You’re still functioning.
Still showing up.
Still doing what needs to be done.

But something feels… different.


Not worse.

Just unfamiliar.


Perimenopause doesn’t always begin with obvious symptoms.

It often begins with shifts in brain signaling.

Fluctuating estrogen affects:

→ Serotonin (mood stability)
→ Dopamine (focus + motivation)
→ Cognitive processing speed


Which means your internal baseline changes…

Before anything obvious shows up externally.


So instead of asking,

“How do I get back to who I was?”

Try this instead:

At the end of the day, ask yourself:

“Where did things feel different today?”

→ Where did your patience feel shorter?
→ Where did your focus drop faster?
→ Where did things feel heavier than usual?


Not to fix it.

Just to notice.


Because clarity starts with awareness.

And this phase requires a different kind of awareness
than most women are used to.


If this put words to something you’ve been feeling…

Reply or comment back with:
“I’ve been in this space.”

I respond to each and every response 1f642

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You walk into a room and forget why. You lose the word mid-sentence. You reread the same email three times and have to remind yourself to really focus on the forth. If you are quietly terrified this is early dementia, take a breath. For most women in their late 30s and 40s, this is perimenopause. Estrogen is not just a reproductive hormone. It is deeply involved in memory, focus, and word reca...
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Heart racing for no reason. Waking at 3 AM with your mind sprinting. Forgetting the word you have said ten thousand times. Crying at a commercial, then numb an hour later. At 39, I genuinely thought I was losing my mind. I am a physician. My labs were normal. And I still felt like a stranger in my own body. Here is what I needed someone to tell me: You are not crazy. You are not imagining it. Y...

The Weekly REbalance With Dr. Flora

Each week, you will get an inside look at personal stories and science-backed insights on navigating burnout, perimenopause, metabolism changes, mood shifts, and the mental load that comes with all of it. This newsletter will help you understand what’s happening in your body and nervous system without the overwhelm.

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