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Health & Wellness

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Health & Wellness

 

 

Tiny Things That Made Up My Mother’s Day 2026

A Single Carnation Wrapped Like a Tiny Present


Here's my series of small things across the day that somehow came together and quietly became Mother's Day 2026.

I'm beginning to appreciate these kinds of celebrations more as I grow older – soft, sporadic moments that make me pause and think, "This is nice. I want to remember this."

The first thing that marked the days to be remembered as Mother's Day was this simple white carnation. Just one flower wrapped carefully with a ribbon, given free by a restaurant where we went for dinner after Mother's Day Mass..

There is something about single flowers that feels very gentle to me now. Maybe age changes the way we see things. Maybe midlife softens you in unexpected ways.

At this point in life, I think I value thoughtfulness more than grandness.

Apparently Russian Desserts Are Part of My Personality Now


I genuinely did not expect "Russian desserts" to become a 'category' for Mother's Day 2026, but here we are!

The Raspberry Pistachio Medovik (Russian layered honey cake) was rich without being overwhelming, layered with cream and raspberry sauce/jam that somehow tasted both indulgent and comforting.

The Oreshki are one-bite walnut-shaped cookies filled with dulce de leche goodness – the kind of dessert that feels old-world in the best possible way.

I think part of growing older is allowing yourself to enjoy oddly specific things without needing to explain them to anyone.

You know, just a simple "Yes, let's have Russian honey cake on Mother’s Day."

By the way, you can get these Russian desserts at Torte by Linda at Bandar Kinrara 5A, Puchong.

Someone Took the Effort to Make a Heart-Shaped Egg


Honestly, this may be one of my favourite photos! Because a heart-shaped egg is such a tiny, unnecessary detail, which is exactly why it feels meaningful.

It was Mother's Day eve, and the chef at Buttermilk Daddy Cafe intentionally shaped an egg into a heart simply because they wanted the meal to feel a little happier, I guess.

And somehow it is these tiny things that stay with you longer than grand gestures do.

Tanghulu and Midlife Contradictions


At this stage of life, my reality is basically this: Taking magnesium glycinate for better sleep at night while deciding to eat sugar-coated (hello inflammation!) dessert the next day. Haha.

The tanghulu looked ridiculously pretty lined up together: grapes, hawthorns, yoghurt-filled strawberries, mandarins, and blueberries. All with glossy sugar shells catching the light.

Anyway, I think adulthood can become so heavy sometimes that small playful things start feeling important again.

In fact, sometimes shiny sugar-coated fruits on sticks are enough.

Coffee and Cake Might Be One of My Love Languages


There was also coffee. And cake. A delightful combination that has followed me through: work stress, deadlines, motherhood, burnout, healing phases, existential crises. LOL!

At this point, coffee shops feel less like "trendy places" and more like tiny pause buttons in life.

These days, I'm learning that moments of rest with coffee and cake are probably what keep us human in the first place.

Mother's Day Mass Cake Offertory


This year, I had the opportunity to sponsor a cake for the offertory during Mother's Day mass.


What I remembered most, though, was not the cake itself. It was the sudden transition from the calmness and orderliness of mass... to the slightly chaotic cake distribution session afterwards.


The delicious cake with soft buttercream started melting quite quickly, so serving the cake became slightly chaotic.


At one point, the first layer of the cake literally slid off the second layer, resulting in buttercream messiness everywhere. Naturally, serving time became much slower while the queue behind kept getting longer and longer...


It was one of those unintentionally funny moments where everyone was trying their best to stay calm while I was quietly panicking over a collapsing cake. At least I think that's what happened. Haha!


I guess that's also what I like about church events sometimes. Beneath all the formalities, there is still warmth, familiarity, and people simply enjoying small moments together.


And somehow, celebrating Mother's Day with sloppy cake after mass felt very wholesome in a simple way.


Maybe This Is What I Appreciate More Nowadays


A single carnation.
Russian desserts.
A heart-shaped egg.
Tanghulu.
Coffee and cake.
Church cake after mass.


Nothing particularly grand. But all together, they somehow made the days feel memorable in a very "real life" kind of way.


And maybe that is what I want to remember about Mother's Day 2026 after all.


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Why I Finally Feel Better (And My Brain Is No Longer in the Longkang 😄)


What Changed?


In my previous post, I shared how speaking with a menopause specialist helped me make sense of what I was experiencing.


It has been six weeks since that consultation session. I realise I have been feeling better: my sleep has improved, my mind feels clearer, and most noticeably, the "brain in the longkang" feeling that I experienced before is no longer so obvious.


It came from a few things working together (as prescribed by my menopause specialist doctor).


1) Supporting hormonal balance (Oestrogel* gel in the morning daily)

2) Improving sleep quality (200 mg magnesium glycinate every night)

3) Correcting underlying deficiencies (25,000 IU vitamin D3 once a week)


*Note: I already have a Mirena IUD (which provides a progesterone-like hormone (levonorgestrel)) to protect my uterine lining, so additional oral progesterone is not required.


Why Sleep Made Such a Big Difference


When my doctor said that my improvement was likely due to better sleep, it made sense. When sleep improves, other areas tend to improve as well. My thinking becomes clearer, my mood becomes more stable, my energy levels improve, and my cravings for sweet things reduce.


Sleep allows the body to recover and function more efficiently.


A More Stable Version of Me


What I am experiencing now does not feel like a temporary boost. It feels like a return to a more stable state. I feel less foggy, less reactive, and more consistent throughout the day.


What I'm Focusing on Next


Following my recent consultation at the 6th-week mark, I now have a clearer idea of what else to work on next on top of the treatment modalities mentioned above.


These are not drastic changes, but practical adjustments that I can build into my daily routine over time.


First, I'm working on adjusting my sleep schedule. The goal is to be asleep before 11:30 pm so that I can wake up around 8:00 am more consistently. Since better sleep has already made a noticeable difference, maintaining a regular sleep rhythm is a priority.


Second, I'm starting to build a morning exercise habit. The focus is not intensity, but consistency. Even a short session in the morning is enough to begin with. The aim is to make movement a regular part of my routine before work.


Third, I'll be scheduling a blood test (at the 16th week) to review my vitamin D3 levels (last I checked, I was in the deficiency band) and check my thyroid function. This is to ensure that there are no other underlying factors affecting my energy, mood, or overall well-being.


These steps feel manageable and realistic. More importantly, they feel aligned with where I am right now.



A Work in Progress


I may not have everything figured out. However, I am learning that this stage of life is not about doing more or pushing harder. It is about understanding my body better and responding in a more intentional way.


I will see how these changes work over the next few weeks and share an update.


My #PerimenopauseAndMenopause Series


If you're new to this series, here's what you can find out more:


Part 1: I Haven't Quite Felt Like Myself

Part 2: Breaking Down or Waking Up

Part 3: When Burnout Isn't Burnout

Part 4: A Visit That Made Me Feel Seen and Understood


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I Retook the Sorting Hat Quiz. Now I'm a Ravenpuff.


I took the Harry Potter sorting hat quiz in 2024 and got Hufflepuff as my core, which felt about right at the time. Loyal, steady, generally trying to be a decent human being who doesn't make life harder for others.

Then I retook it this year (2026).
And somehow… I'm Ravenclaw now.

For the record (because of course I tracked it), across THREE quizzes, the pattern was… consistent:

Ravenclaw: Clearly dominant
Hufflepuff: Still present
Gryffindor & Slytherin: There, but not running the show

Which, honestly, feels accurate.


So yes, I'm "owning the bird"!


So, I'm a Ravenclaw now.
The bird. The thinking.
The quiet need to understand how things work before I agree with them.

No, I'm not suddenly quoting obscure facts for fun. But, I will:

- mentally reorganise your sentence structure
- question your logic (silently, most of the time)
- and try to find a cleaner way to say something

It's just how my brain works now.

What might really be happening

(using the biological lens)


Perimenopause isn't just physical; it often comes with subtle cognitive and emotional shifts:

- Lower tolerance for nonsense
- Clearer prioritisation (what matters vs what doesn't)
- Less people-pleasing, more self-trust
- More reflective thinking (pattern-seeing, connecting dots)

This combination does look a lot like Ravenclaw traits emerging more strongly.

Apparently there's also a name for this combination: Ravenpuff



A thinking-first, people-aware hybrid.

I once came across a line that described it quite well:

 

"A good head and a good heart are always a formidable combination."

I wish Ravenpuff sounded as cool as that sentence, but I'll take it.

As a Ravenpuff...


I have significantly less patience for things that don't quite make sense.

- Less tolerance for overcomplication
- Less interest in explaining myself five different ways just to soften the message
- More trust in my own judgement

I did have a moment where I thought, "Am I becoming too self-centred?"

But no. I think I've just upgraded from:

“let me adjust for everyone”
to
“let me make sure this actually makes sense first.”

It's not a dramatic change. Just… a clearer one.

Final thoughts (nothing too deep, I promise)


Maybe nothing really changed.


Maybe this part of me was always there, just quieter before.


Or maybe this is just what happens when you start trusting how you think a little more, and stop second-guessing it.


Either way, I guess I'm a Ravenpuff hybrid now.


And honestly?


It fits.


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A Trip That Meant More Than It Looked: Notes from Macau

A Quiet Milestone


This was our first overseas family trip with my in-laws. Not because they have never travelled. In fact, they have travelled far more than my husband and I ever have.


But this time, it was different. This time, hubby and I were the ones bringing them along. There was this quiet, unspoken acknowledgement that we have reached a new stage in life, like a small rite of passage.



A Trip That Became a Mini Pilgrimage


One lovely memory from this trip was how it quietly turned into a mini pilgrimage.


We found ourselves stepping into church after church: Our Lady of Carmel Church in Taipa, St. Dominic's Church, St. Lazarus' Church, Cathedral of the Nativity of Our Lady (Macau Cathedral), and The Chapel of St. Michael.


We celebrated Palm Sunday at St. Lazarus' Church on a Sunday morning. It was beautiful. There's something about being away from home, yet participating in something so familiar: the same rhythm, the same sense of reverence. It reminded me God remains constant, no matter where we are.


At one point, on our way to the Ruins of St. Paul, we wandered into St. Paul's Bookstore, run by The Daughters of St. Paul. We ended up spending more time there than expected, browsing and choosing little Catholic items like pins, crosses, rosaries, etc., each of us drawn to something in our own quiet way.


As I was writing this blog post, I stumbled upon this piece of news: Macau nuns use travel stamps to evangelise tourists.


The Portuguese Egg Tart Moment


Somewhere in between, there was a Portuguese egg tart. Just one from a shop near the Ruins of St. Paul's, eaten while being surrounded by people, noise, and movement.


And so, I just have to take this photo to immortalise the moment. Haha.


And Then… Pink Lights!


And then, there was a completely different kind of joy!


Standing there, watching The Parisian Macao light up in pink, synced to BLACKPINK's GO... I didn't expect to feel that excited!


It was loud and vibrant, completely opposite of the quiet churches we had been visiting.


Almost Sakura


And then, of course, there was my "almost sakura" moment.


According to the QR code beside the tree, it was Zhongguohong (Cerasus campanulata), also known as China Red, a type of cherry blossom found in Southern China that blooms between January and March.


Sometimes, close enough is enough.

The Small Things I Keep Collecting


Somewhere along the way, I found myself doing something familiar: collecting souvenir stamps.


Not the official kind you frame, but the simple landmark stamps, the kind you press onto paper just to say "I was here!"


It reminded me of Taipei, where I first started this little habit. There's something quietly satisfying about it. A small, tangible way of holding onto moments that would otherwise pass too quickly.


The Stairs...


Also, a small note for anyone romanticising heritage walks, but Macau comes with… a lot of stairs. The kind that immediately brought back memories of my trip to South Korea.


The kind that quietly humbles you while you're trying to look like you have your life together. Hahaha.


What Stayed With Me


Maybe that's what this trip was, without expectations, but still exactly what I needed.


A collection of small moments I chose to notice.

A quiet milestone.

A Palm Sunday far from home, yet deeply familiar.


Not sakura,

but close enough to be beautiful in its own way.


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A Dental Visit He Was Actually Looking Forward To (And Yes, That's Normal in This House)


I know this might sound unusual, but my son actually enjoys hospital visits (like mother, like son... 😏)

Doctor's appointments? He's curious.
Dental check-ups? He's excited.
Teeth cleaning and scaling? He looks forward to it.

So no, this wasn't one of those "bracing for impact" parenting moments.

But even then, our recent visit to the dental clinic at Pantai Hospital Kuala Lumpur still stood out in a very meaningful way.

And that's thanks to Dr Priyanka Mahendru.

When a Good Experience Becomes an Exceptional One



When your child is already comfortable with dental visits, the benchmark becomes higher.

It's no longer just about "not being scared". It's about the quality of interaction, attention to detail, and whether the experience feels genuinely thoughtful.

Dr Priyanka impressed me from the start.

She has this ability to quickly find common ground, not just with the child, but also with the parent. There's a natural flow in how she communicates, making the whole session feel collaborative rather than clinical.

What did I appreciate most?

She listens.

As a parent, you're not sidelined. Your input isn't dismissed. Instead, it becomes part of the conversation, which makes a big difference in how confident you feel about your child's care.

A Proud Mum Moment (Because This Is Apparently Rare)



Somewhere in the middle of the session came a moment I didn't expect to feel this proud about.

Dr Priyanka shared that my son has no cavities or caries at all. And then she added something that stayed with me: "This is actually quite rare for boys between 8 to 10 years old."

Let's just say… I had a quiet internal celebration. 😄🎉

Because behind that simple statement is a mix of daily habits, small reminders, and consistent care over time. And hearing it validated by a professional just hits differently.

More Than Just Teeth Cleaning



The session itself was smooth (as expected with him).

But what stood out was how attentive Dr Priyanka was beyond just the cleaning.

She pointed out observations related to his oral health that linked to other areas, including his nasal cavity issues. That kind of holistic attention always reassures me that we're not just addressing symptoms in isolation.

It's thoughtful. It's thorough. And it reflects genuine care.

The Cherry on Top: A Blind Box Plushie



Of course, no story is complete without a little fun.

We signed up for the kids' dental care package, and he got a blind box plushie at the end of the visit.

Was he happy? Absolutely.
Did it make the whole experience even more memorable? Also yes.

Even for a child who already enjoys these visits, that little surprise adds a layer of joy that stays with them.


Why This Experience Matters


This wasn't about overcoming fear.

It was about:
- reinforcing a positive relationship with healthcare
- being heard as a parent
- and seeing a healthcare provider go beyond the basics

And honestly, those are the experiences that build long-term trust.


Would I Recommend This? Without Hesitation


If you're looking for a dentist who:

- communicates well with both child and parent
- pays attention to the bigger picture
- and creates a genuinely positive experience

I would absolutely recommend Dr Priyanka for your child's oral care.

And if you're lucky, you might walk away with more than just clean teeth…
maybe even a proud moment or two!



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I Only Feel Like Writing When I'm Falling Apart. Here's What That Taught Me.


Note: Some of these thoughts began as late-night rants, which I later unpacked with the help of my AI assistant. What you are reading is still deeply personal, just more clearly expressed.

The Versions of Me


There is a version of me that only shows up when I am not okay.

She appears, usually a few days to one week before my period.
She could be dramatic, and in a kind of heavy, inward pull I have soon come to recognise.

I call it my "valley of darkness".

During this phase, everything feels... louder.
Not externally, but internally. My thoughts are sharper, my emotions closer to the surface, and my tolerance for things that I deem as nonsense becomes very low.

And interestingly, this is also when I have the most to say.

Ideas come rapidly.
Connections form effortlessly.
Thoughts that I normally brush aside suddenly feel urgent, important, and worth unpacking.

This is when I rant.
And more often than not, those rants turn into blog posts.

Then, just as suddenly, it all disappears.

When the Shift Happens


The moment my period comes, something shifts.

The emotional intensity softens.
The urgency fades.
The thoughts that once felt so compelling now seem… distant.

And with that, the ideas vanish.
Not reduced. Not dulled.
Vanished.

For the past one and a half weeks, especially after returning from my Macau family trip (which I am struggling to blog about), I have been sitting in this strange calm quietness.

No strong opinions.
No pressing thoughts.
No stories demanding to be written.

Just… stillness.

At first, I thought this meant I was blocked.

But what if it is not a block?
What if it is simply a shift in state?

Comparing the Two States


I am beginning to realise that my writing does not come from discipline alone.
It comes from emotional signals.

The Messier Side


When I am in that darker phase, my mind is actively processing:

frustrations
observations
unresolved questions
quiet tensions I do not usually confront

It is messy, but it is also honest.

And honesty, especially the uncomfortable kind, is incredibly fertile ground for writing.

The Calmer Side


But once my hormones stabilise, my system does something else.
It regulates. It calms. It restores balance.

And in doing so, it removes the very tension that fuels my writing.

Redefining My Own Expectations


Perhaps the problem was never creativity.
The problem was expectation.

I expected myself to:

generate ideas when I feel stable
create from a place that is naturally quieter
produce “insight” without emotional friction

But that is not how I seem to be wired.

I am not a constant-output writer.
I am a signal-driven one.

I write when something feels off.
I write when something needs to be understood.
I write when there is a question I cannot ignore.

And when those signals are not present, my mind rests.

Maybe This is Not A Weakness


For a while, I wondered if this pattern meant something was wrong with me.

Why can I only write when I feel low?
Why can I not produce consistently like others do?

But now I see it differently.

There are two versions of me at play:

One that feels deeply and generates meaning
One that organises, refines, and moves forward

Neither is better.
They simply serve different purposes.

The issue was that I kept asking the second version to do the first version's job.

What I Am Learning to Do Differently


Instead of fighting this rhythm, I am starting to work with it.

When I am in the "valley":

I capture everything
I do not filter
I let the thoughts be messy and incomplete

When I come out of it:

I revisit what was written
I shape it
I give it structure and clarity

In other words, I am learning that I do not need to create and refine at the same time.

A Quiet Realisation


Right now, I may not have new ideas.
But that does not mean I have nothing to say.

It may simply mean that the part of me that feels the need to say it is resting.
And perhaps that is just as important.

Maybe the goal is not to force consistency but to understand the rhythm and trust that when the noise returns, so will the words.

If you have ever noticed your thoughts becoming clearer in your most emotional moments, you are not alone. Perhaps there is something there worth listening to.

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I Tried to Stay Healthy. Here’s Why It Still Feels Financially Punishing.


Staying Healthy Is Expensive. So Why Does the System Still Reward Illness?


Let me start by saying this is not a perspective from an insurance agent, financial planner, or healthcare provider. This is purely a reflection from someone living within the system, paying for it and trying to make sense of it.

Because in my opinion, the reality looks like this, even if you don't fully agree with me:

Health screening? Expensive.
Healthy food? Expensive.
Gym memberships / personal training? Expensive.
Health supplements? Expensive.
Insurance premiums? Increasing year on year.

And yet, when it comes to actually using insurance, many of the things that help us stay healthy aren't claimable at all.

When Prevention Becomes Personal


This realisation became even more apparent as I started paying closer attention to my own health, particularly in this phase of life.

Perimenopause is not a disease, but it is a transition that affects energy, sleep, mood, metabolism, and overall wellbeing.

Managing it often involves regular monitoring, follow-up consultations with specialist doctors, hormonal support, and lifestyle adjustments. None of which are typically considered "claimable".

So here lies the disconnect: you are not sick, but you are also not entirely "fine". And the system, as it stands, does not quite know what to do with that in-between space.

The System Isn't Designed for Prevention


Most insurance systems are built around a very specific idea: you can only claim after something has gone wrong, which means you can claim when you are diagnosed with a disease, when treatment becomes necessary, and when treatment costs become significant.

Which also means you cannot claim when you are trying to detect problems early, manage long-term health proactively, or reduce future risks.

In other words, the system is designed for intervention, not prevention, and this creates a strange paradox.

The Prevention Paradox


From a logical standpoint, prevention makes sense. Like this: early detection → simpler treatment → lower cost → fewer large claims

So in theory, encouraging preventive care should benefit both individuals and insurers. But in practice, preventive care sits outside the system.

Why? Because preventive care requires upfront spending, doesn't guarantee immediate outcomes, and is harder to standardise across populations. Whereas treatment is clearly defined, measurable, and easier to price and insure.

So instead of a system that rewards staying well, we end up with one that primarily responds to illness.

The Real Cost of "Staying Healthy"


What many of us are experiencing today is a shift. Health is no longer just about treating disease.
It's about maintaining metabolic health, hormonal balance, mental wellbeing, and long-term quality of life.

But maintaining all of this often comes with out-of-pocket costs. And over time, it starts to feel like, "I'm paying to stay healthy… and I'm still paying in case I get sick."

That double layer of cost is where the frustration comes from.



So What Can We Do Within the Limits of the System?


Well, the system won't change overnight, but I guess how we respond to it can. Instead of viewing this as an either-or situation, i.e., "insurance or prevention", it's more helpful to see them as two separate roles.

Insurance as Protection, Not Everyday Use


Insurance should be best understood as protection against catastrophic events, i.e., the unexpected, high-cost situations that we cannot plan for. It's not designed to cover routine health maintenance.

Prevention as Personal Investment


Preventive care, which includes health screenings, supplements, and gym sessions, becomes a form of long-term investment in quality of life, especially in life stages like perimenopause, where the goal is not just to treat illness but to maintain stability and function.

Be Selective, Not Exhaustive


Not every supplement, test, or trend is necessary. Focusing on evidence-based screenings, essential lifestyle habits, and medically guided interventions can help reduce unnecessary spending.

Create a "Health Fund" Mindset


Instead of reacting to costs, I read that some people allocate a specific budget for health maintenance, treating it as a planned expense rather than a recurring frustration.
'

A System That Hasn't Caught Up (Yet)


Healthcare systems around the world are slowly shifting toward prevention. But change takes time.

In the meantime, some of us are navigating this in-between space. We are more aware of our health than ever before but still operating within systems designed for a different era.

The reality is, taking care of our health today requires both protection for the unexpected
and intentional investment in the everyday.

This is not a conclusion from the industry. It is a perspective from someone living within it.

It may not feel fair. But it is, for now, the reality we work within. And perhaps the real shift is this: not waiting for the system to reward prevention, but choosing it anyway.

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A Visit That Made Me Feel Seen and Understood About Perimenopause


So I have written about something many women quietly experience – the moment when burnout does not quite feel like burnout anymore. If you missed it, you can read it here: "The Subtle Changes of Your Forties: When Burnout Might Actually Be Perimenopause".

Taking the Next Step


After recognising that some of the changes I was experiencing could be linked to perimenopause, I decided to do something about it. So I went for a consultation with Dr. Premitha Damodaran, a menopause specialist at Pantai Hospital Kuala Lumpur.

I went in with a list of symptoms: mood swings, sleep disruptions, brain fog, cholesterol shifts, etc., but I also went in with a quiet question: is this really what I think it is?

A Consultation That Looked at the Whole Picture


What I appreciated most about the session was how the consultation itself was not rushed. Instead, it felt like a thoughtful conversation. 

She asked about different aspects of my health, not just one isolated symptom. We spoke about my cholesterol levels; menstrual cycle – how regular or irregular it has been; and weight changes. She also asked about my Mirena IUD and why I chose to have it.

But the conversation did not stop there. Beyond that, she explored things that are often easy to dismiss, such as my sleep patterns, mood changes, memory, and even whether I had any joint pain or bowel changes. These things are usually ignored or dismissed, but they are actually part of the bigger picture.

Our body does not work in isolation. Everything is connected. Hence, it makes total sense to also look at all these different aspects of health.

Understanding What My Body Is Already Doing


One of the most reassuring parts of the consultation was realising that my body is not "falling apart". Without going into too much detail, what I wanted to say is that the narrative was changed from "something is wrong" to "something needs to be balanced".

Starting with the Foundation: Sleep


Interestingly, we are not trying to fix everything at once. The first focus is sleep. She explained that improving sleep can influence many other areas such as energy levels, mood, and even the ability to stay consistent with lifestyle habits.

Start with the foundation, and let the rest build from there.

We also spoke about exercise. Not as something I need to force immediately, but as something to build into gradually, especially weight training, once my sleep and energy improve.

There is a time to push, and there is a time to restore. Not as a pressure to immediately "do more", but as a next step when my body is ready. This perspective stayed with me.

Rather than trying to fix everything at once, we start with something that supports the body more holistically. And sometimes, restoration needs to come first.

Walking Away Feeling Supported


If my previous article was about awareness, this experience was about reassurance.

There is something deeply comforting about being heard, understood, and guided with clarity. It reminded me that navigating perimenopause does not have to be confusing or isolating. With the right support, it becomes something we can understand, manage, and even learn from.

I am still at the beginning of this journey. There will likely be adjustments along the way, like new observations, new questions, and perhaps new insights.

But for now, I feel more grounded. Not because everything is solved, but because I understand a little more about what my body is going through. And I truly believe that understanding is the most important first step.

Watch Dr. Premitha's short video about perimenopause.


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The Subtle Changes of Your Forties: When Burnout Might Actually Be Perimenopause

A Personal Observation


I have begun noticing changes in myself that I could not immediately explain for the past 4-5 years, but they have intensified since last year.

My sleep feels different. I couldn't fall asleep fast enough. I need a moment longer to recall a word. Situations that I would normally handle without much thought feel a little more draining than before. My brain feels like it's in the drain. Lots of things could trigger an onslaught of emotions. I feel challenged in many ways, and I dislike the feeling of not being in control.

At first, I assumed it was simply the result of a busy season of life. Like many women in their forties, I am balancing work, studies, family, and the usual responsibilities that come with adulthood.

But as I started paying closer attention, I realised these changes were not random. They seemed to follow a pattern that many women eventually encounter: the stage of perimenopause, which is the hormonal transition before menopause.

Perimenopause can begin several years before menopause itself, and hormonal fluctuations during this time can affect sleep, mood, metabolism, and cognitive function. Ouch!

Five Signs You May Be Entering Perimenopause


Here are five signs that are often mistaken for burnout but may actually be related to perimenopause.

1. You Notice More "Brain Fog" Than Before


Many women begin to notice changes in memory or concentration during perimenopause. You might take longer to recall certain words, forget why you entered a room, or feel that your thinking is slightly slower than before. For women like me who rely heavily on mental sharpness at work or in daily life, this can feel worrying.

Research shows that cognitive symptoms such as brain fog, slower recall, and reduced focus are common during perimenopause and are linked to hormonal fluctuations affecting brain function. The brain contains many receptors for oestrogen, and fluctuations in this hormone can influence memory and processing speed.

2. Your Tolerance for Stress Feels Lower


Another common experience during perimenopause is a change in how the body responds to stress. Hormonal fluctuations can affect the body's stress-response system, including how the nervous system regulates cortisol and emotional responses.

Situations that once felt manageable may now feel more draining. You may find yourself feeling overwhelmed more easily, especially when juggling multiple responsibilities at work or at home. This is so true.

3. You Have Difficulty Falling Asleep


Sleep disruption is one of the earliest and most overlooked signs of perimenopause. As Dr. Mary Claire Haver highlights, many women experience a "hidden sleep crisis" during this stage, often mistaking it for stress rather than a hormonal shift.

Some women find that they feel tired but have difficulty falling asleep. Others may notice that their sleep schedule shifts or that they wake earlier than usual. For me, I couldn't fall asleep as fast as I wanted it to be. Sometimes I could lie in bed for two hours before being able to fall asleep. One reason for this is that progesterone, a hormone that has calming and sleep-supporting effects, may fluctuate or decline during this stage of life.

4. Your Body Stores Weight Differently


Many women are surprised to notice weight changes during their forties, even when their diet and activity levels remain the same. Experts note that visceral fat increases even without lifestyle changes due to hormonal shifts.

Hormonal decline can lead to weight changes and fat redistribution, particularly abdominal fat. Oestrogen plays a role in how the body distributes fat. Changes in oestrogen levels can influence how the body stores fat, which is why many women notice increased weight around the abdomen during the perimenopause stage. Clothes may fit differently even if overall weight has not changed dramatically.

5. Your Emotions Feel More Sensitive at Times


Many women report feeling "not quite themselves" emotionally during early stages. Mood swings, irritability, and emotional changes are common symptoms of perimenopause. You might feel more irritable than usual or react more strongly to situations that previously felt minor.

These emotional shifts can come and go as hormone levels fluctuate throughout the cycle. This fluctuation affects the brain chemicals that regulate mood, including serotonin and GABA. When hormone levels fluctuate, mood regulation can become more sensitive.



Why High-Performing Women Often Notice These Changes More


Interestingly, many women who notice these changes most clearly are those who are used to functioning at a high mental and emotional capacity.

Women in their forties are often balancing demanding careers, family responsibilities, and multiple commitments. They are accustomed to being organised, efficient, and mentally sharp. Because of this, even small shifts in sleep, memory, stress tolerance, or energy can become noticeable.

When these changes appear, it's easy to assume that something is wrong or that burnout is setting in. However, hormonal fluctuations during perimenopause can affect several systems in the body at the same time, including sleep regulation, cognitive processing, mood stability, and metabolism.

For women who have spent years managing complex schedules and responsibilities, these subtle changes may feel especially surprising.

To be very honest, I was taken aback by these changes, particularly the feeling that they were no longer entirely within my control.

Taking Action


Because of that, I began reading and researching to better understand what was happening in my body. I needed this knowledge not just for information, but to reduce unnecessary self-criticism and self-doubt.

I'm not labelling myself or limiting what I can do. I'm creating awareness. And with awareness, we can begin to adapt our routines, priorities, and self-care in ways that support our well-being more sustainably.

It also made me reflect on something else. For many years, women's health experiences were not openly discussed. Conversations around hormonal changes were often minimised or simply not prioritised.

But times are changing. More women today are beginning to speak, share, and seek understanding, not just for themselves but for those who come after them. In many ways, we are part of a generation that is learning to listen to our bodies more closely and to give language to experiences that were once kept quiet.


That realisation led me to take the next step: to speak with a menopause specialist and better understand what my body needs.


In this next post, I share what that consultation was like and why it made me feel more supported than I expected.


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