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In every issue of the ‘hood Magazine, we ask local experts questions that are helpful for our community! This Ask the Expert was printed in the April 2026 Issue of ‘hood. Check out the full digital issue at the link!
Why does alcohol affect me differently in perimenopause?
During perimenopause, estrogen and progesterone fluctuate unpredictably. Alcohol amplifies those swings by increasing estrogen levels and impairing liver detoxification. The result? More hot flashes, mood changes, breast tenderness, and heavier cycles.
Does alcohol affect sleep and weight?
Yes. Alcohol disrupts REM sleep, raises nighttime cortisol, and destabilizes blood sugar. This can worsen night sweats, 3 a.m. waking, anxiety, and abdominal weight gain—already common in this transition.
Is it harmful from a functional wellness perspective?
Alcohol increases inflammation, stresses the liver, disrupts the gut microbiome, and depletes key nutrients. Perimenopause narrows your resilience window, so even moderate intake can intensify symptoms.
Sarah Roe
CNM
Flourish Wellness & Birth Co.
2908 E 26th Street
Sioux Falls, SD 57103
605.271.4170
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