October 7, 2025
101. Dr. Mariza Snyder: Why 80% of Perimenopause Symptoms Are Brain Related and Doctors Keep Missing It
Extend Podcast with Darshan Shah, MDAbout this episode
Did you know, 80% of perimenopause symptoms are brain-related, but it takes 4-6 doctor visits to get a diagnosis? In this episode of Extend, Dr. Mariza Snyder reveals why perimenopause has been medicine's best-kept secret and how women can reclaim their health during this critical transition. We discuss why perimenopause is called "the silent shift," the protective power of hormone replacement therapy, and why suffering through this transition is completely optional. Dr. Mariza also shares her personal hormone protocol and why she believes women deserve the gold standard of care during this pivotal decade. Dr. Mariza Snyder is a hormone and metabolic health expert specializing in perimenopause and menopause care. She's the author of "The Perimenopause Revolution" and host of the "Energized with Dr. Mariza" podcast. With nearly 15 years of experience helping women navigate hormonal transitions, she advocates for preventative hormone replacement therapy and comprehensive biomarker tracking. We Also Discuss: 04:54 - Why 80% of Perimenopause Symptoms Are Brain-Related 07:49 - The "Silent Shift" That Happens Years Before Missing Periods 11:21 - Why Standard Blood Work Keeps Women Suffering in Silence 12:57 - The Biomarkers Every Woman Should Track Starting at 35 30:49 - What Women Can Do to Start Managing Perimenopause 39:45 - How Hormone Replacement Therapy Acts as Your "Protective Shield" 55:21 - The Truth About Breast Cancer Risk and HRT 1:01:21 - Advanced Cancer Screening Strategies for Women 1:05:24 - Why Sleep Consistency Can Change Your Life in 10 Days 1:06:23 - The Mindset Shifts That Make Perimenopause Empowering Thank You for Our Sponsors: NextHealth: Your destination for cutting-edge health optimization from IV therapy to hormone balancing. Explore at https://www.next-health.com/ Learn more about Dr. Shah: Website: https://www.drshah.com/ Clinic: https://www.next-health.com/ https://www.instagram.com/nexthealth/ Instagram: https://www.instagram.com/darshanshahmd/ Learn more about Dr. Mariza Snyder: Instagram: https://www.instagram.com/drmariza/ Website: https://drmariza.com/