Rachel Brown, a nurse practitioner and owner of Vida Aesthetics and Wellness here in Houston, explains that this is when communication between your brain and ovaries starts getting a little choppy, causing your hormones to fluctuate. They start with full lab panels — checking hormones, thyroid function, and micronutrients like vitamin D and B12, because deficiencies there can mimic perimenopause symptoms. When those things are optimized, a lot of women start feeling like themselves again — sometimes even reducing the need for anxiety or depression meds. You’ve probably heard of GLP-1 peptides for weight loss, but there’s also GHK, which helps boost collagen and skin health. By combining hormone therapy, medical weight loss, and peptides, Vida Aesthetics and Wellness helps women stop feeling dismissed and start feeling good again — inside and out.