Some of your perimenopause symptoms are genuinely histamine-related and some are not. The wine reactions and hives may involve your mast cells, but your hot flashes run on a separate brain circuit. Here is how to tell which symptom belongs to which mechanism, and what an antihistamine can and cannot reach.

Women with PCOS have roughly twice the odds of autoimmune thyroiditis, yet the antibody tests that catch it are routinely skipped. Dr. Shad Abdulla, ND explains why a normal TSH is not the whole picture, what the research actually shows, and the exact panel and conversation script to bring to your next appointment.