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Hi, this is Jean at Full Circle Health and Wellness and Im here today with Sarah Derubeis. Shes one of our nurse practitioners and were going to be talking about Bio-identical Hormone Replacement for women today. So, Sarah, just a few questions for you. I thought we could start with what is menopause and perimenopause? What are the difference between the two? So perimenopause is the time that a woman may be in for, you know, good 15-20 years of her life. Many women will start having changes with the hormones in their mid-30s. Menopause is a period of time that typically occurs in a womans life around age 50 to 52, but there are many factors that will influence the time frame that a female would stay in perimenopause prior to transitioning into menopause. So what are some of the symptoms? Give us an idea of what to look for because we hear about hot flashes, thats a common complaint, but what are some of the other symptoms that we could be aware of? Sure, so for perimenopause occu