17/06/2026
"Your results came back normal."
I hear this constantly β from women who are exhausted, foggy, not themselves, and have been told there's nothing to find.
Normal means you fall inside a reference range. It doesn't mean your levels are optimal for how you want to feel.
There's a meaningful difference between the two β and for women in perimenopause especially, levels that sit at the low end of normal can be enough to affect energy, mood, cognition, and metabolism.
The markers I look at in clinic go beyond a standard blood panel. Ferritin above 50, optimal thyroid function, not just TSH in range. Fasting insulin alongside glucose. These are the numbers that tell a fuller story.
If you've been told everything's fine and it doesn't feel fine β it's worth looking deeper.
Comment CONSULT if you want a review with me (NZ only)
Comment HARMONY if you want to understand your metabolism and numbers in my Metabolic Harmony course β it covers the full rundown of what to look for and what optimal actually means for metabolic health and weight management.