You may be dealing with something that's completely invisible on a standard blood test. Even HRT doesn't reach it.
Researchers have a name for it:
The "Cellular NAD+ Drain."
NAD+ works like a tiny battery in your cells, turning the food you eat into usable energy. In perimenopause your body makes less of it, while an enzyme called CD38 destroys what's left. Less in, more out.
You've probably tried more sleep, coffee, magnesium, B12 and still hit the wall. That's because none of it reaches the real problem. This is happening at the cellular level. And left alone, the drain only widens, taking more of your energetic days and the moments with your loved ones...
RESEARCHERS FOUND...
By your mid 40s, your cells hold only about 50% of the NAD+ they did in your 20s.