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hi everyone my name is Dr Mary Claire Haber and I am a board certified obstetrician gynecologist Im also the Creator and founder of the Galveston diet Im also a certified culinary medicine specialist which is the marriage of nutrition and Medicine together I have combined my unique talents and drive to become a menopause expert I counsel patients utilizing hormone replacement therapy nutrition exercise so that they can be as healthy as possible in the future and today I am coming on live to talk to you about perimenopause is it perimenopause or menopause or could it be something else because a lot of the signs and symptoms of these diseases can overlap and with other medical conditions so I want to make sure that you recognize some of the conditions associated with perimenopause and menopause and that you know what testing should be done to rule out other are conditions that it might also be so this is the most important thing to remember no two women are alike we are all absolutely