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She was 38 years old. She came to me not because she thought she was in perimenopause, she came because she thought something was seriously wrong. She had already seen her OB-GYN and been told she was too young. When I reviewed her full hormone panel, the picture was clear. She was not too young. She was exactly the right age for what was happening to her body. She just had not been told that perimenopause can start at 38.