# Perimenopause or Thyroid Problems? How to Tell the Difference (And Why It Might Be Both)

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Text version: https://stenobird.com/podcast/the-goode-health-functional-medicine-longevity-autoimmune-6433631/perimenopause-or-thyroid-problems-how-to-tell-the-difference-and-why-it-might-be-both.md
Podcast: [The Goode Health: Functional Medicine, Longevity & Autoimmune](https://stenobird.com/podcast/the-goode-health-functional-medicine-longevity-autoimmune-6433631)
Published: 2026-05-18T07:30:00+00:00
Episode link: https://www.nicolegoodehealth.com
Audio file: https://episodes.captivate.fm/episode/75446b5f-2dc7-44f3-8d39-268c90d32ecc.mp3
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Duration seconds: 1040

## Resource

Are Your Symptoms Perimenopause or Thyroid Problems? If you’re in your 40s and suddenly dealing with fatigue, brain fog, weight gain, poor sleep, low mood, or feeling unlike yourself, but your blood tests keep coming back “normal,” this episode of The Goode Health Podcast will help you understand what may actually be happening beneath the surface. Nicole Goode explores one of the most common and misunderstood health issues women face in midlife: the overlap between perimenopause and thyroid dysfunction. In this episode, Nicole breaks down why perimenopause symptoms and hypothyroidism symptoms can look almost identical, how fluctuating hormones can directly affect thyroid function, and why so many women are told their symptoms are “just stress” or “just age.” 01:45 – Why Perimenopause and Hypothyroidism Get Confused 03:20 – What Perimenopause Does to Your Hormones and Thyroid Function 08:10 – How to Tell Whether Symptoms Are Hormonal or Thyroid-Related 09:40 – What Testing to Ask For + Symptoms to Track RESOURCES: Grab all the links and resources mentioned in this episode at https://www.nicolegoodehealth.com/the-goode-health-podcast/episode-126 DISCLAIMER: The content in this podcast and related website is not intended to be a substitute for medical advice. It is not intended to be used to diagnose or treat, instead it is designed to help educate and inspire. Always seek the advice of a professional medical practitioner or qualified health practitioner. Never ignore or disregard advice given to you based on information in this podcast or related website and do not delay in seeking medical advice.

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