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Episode Summary
What happens when the career you’ve done confidently for decades suddenly feels harder because your brain no longer seems to cooperate?
For Tamsen Fadal, perimenopause didn’t arrive with a clear announcement. She felt off, blamed herself, tried to work harder, and kept assuming the symptoms would eventually pass.
Then brain fog began affecting her work as a television journalist.
She would look at a word on the teleprompter and suddenly be unable to say it. A job that once felt almost automatic began creating anxiety and chipping away at her confidence.
In this conversation, Tamsen and Dr. Mariza talk openly about HRT, sleep, self-blame, changing capacity, relationships, career reinvention, and what happens when midlife puts your entire life up for review.
Tamsen also shares the practices that now help her feel grounded and strong, including prioritizing sleep, walking outside, stepping away from devices, cooking more at home, protecting time with loved ones, and giving herself far more grace.
Her message to women entering this transition is simple:
You are not alone, you deserve support, and the next season can be extraordinary.
TAMSEN FADAL
Tamsen Fadal is an award-winning journalist, author, menopause advocate, and host of The Tamsen Show.
After experiencing her own confusing and disruptive transition through perimenopause, Tamsen began using her journalism background to investigate the menopause experience and help women access clearer information and more practical support.
She is also the author of the New York Times bestseller How to Menopause and has become a leading voice in changing the cultural conversation around women, aging, and midlife.
IN THIS EPISODE
- The moment Tamsen realized something deeper was happening with her health
- How brain fog began affecting her work and confidence on television
- Why women so often blame themselves before recognizing perimenopause
- The changes that helped Tamsen feel better, including HRT, magnesium, movement, and sleep
- How she learned to give herself grace when her capacity started changing
- Why relationships, friendships, work, and identity often come up for review in midlife
- How Tamsen rebuilt her relationship with herself after divorce
- Why she left traditional journalism to make menopause one of the biggest stories of her career
- The non-negotiables helping her feel strong, clear, and confident in menopause
QUOTES
“It took away a lot of my confidence.”
“I couldn’t cheat the system anymore.”
“I got to know who I am.”
“You’re not crazy, you’re not alone, and this next season’s gonna be amazing.”
RESOURCES MENTIONED
For connection & meaningful reads, join my book club, The Soulful Shelf, here!
Grab the How to Menopause Book by Tamsen Fadal
Tamsen Fadal Podcast
Tamsen Fadal Website
RELATED EPISODES
785: We Were Warned About Hot Flashes. Nobody Prepared Us for the Rest of Perimenopause
769: Is It Perimenopause or Something Else? How to Finally Connect the Dots with Dr. Mariza
744: The Midlife Brain Reset: How to Protect Your Memory, Focus, and Mental Sharpness Starting Now
717: “I Don’t Feel Like Myself Anymore”: The Mental & Emotional Reality of Perimenopause
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