# The Truth About Perimenopause Every Woman Should Know with Dr Nicky Keay

An episode of [The Cyclist](https://invisiblenetwork.ai/podcast/1799823350), 5 Aug 2025, 45 min.

Audio: https://anchor.fm/s/101bd2764/podcast/play/106457258/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2025-7-5%2Fafb652b4-0900-d259-f5bc-05ba41aa4c4b.mp3

Hot flushes, low mood, brain fog, weight changes, insomnia... sound familiar? You might be in perimenopause, even if no one’s told you so. This week on The Cyclist, we’re joined by hormone expert and medical researcher Dr Nicky Keay to break down what perimenopause and menopause actually are, when they can start, and what signs to look out for. We cover the most common (and commonly missed) symptoms, how to know if you're in it, and the role of hormones like estrogen, progesterone, and testosterone during this transition. We also dive into RED-S (Relative Energy Deficiency in Sport) and how undereating, stress, and overtraining can impact your hormones at any age, especially during midlife. This is the hormone education we should have received sooner, and a must-listen for anyone wondering if what they’re experiencing is “just stress” or something more. Follow & Connect & connect with us below: @wearethecyclist wearethecyclist.com Hit play and let’s learn to cycle better together.

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