Perimenopause Symptoms Can Start in Your Late 30s - Dr. Remina Panjwani | TUH 312

About this video

Brecka interviews internal and functional medicine physician Dr. Remina Panjwani, whose TED talk ‘Regulate Before You Stimulate’ frames the episode. She argues a chronically stressed, fight-or-flight nervous system underlies much burnout and that perimenopause symptoms can begin in the late 30s, discusses what she says standard blood panels miss compared with more detailed hormone testing, and explores generational trauma as, in her view, stress passed biologically through families. Brecka admits his wife’s menopause exposed a blind spot in his own biohacking knowledge.

Key takeaways

• Panjwani argues nervous system regulation should come before adding more stimulation or interventions
• Panjwani states perimenopause can begin in the late 30s and is often, she claims, misattributed
• Panjwani presents generational trauma as, in her telling, stress encoded and passed on biologically
• Brecka claims no one can outperform a chronically dysregulated nervous system

Episode details: published October 13, 2026 · 16.7K views · 1:05:28 long. Summary written by Self Growth Videos from the episode itself. Gary Brecka is a commercial health figure, not a physician. The claims described are Brecka’s or his guests’, presented for education — not medical advice and not endorsed by Self Growth Videos. Consult a qualified professional before changing your own health practices.

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