Perimenopause symptoms accumulate slowly. Your hair falls out in the shower. You need more coffee to get through the day. You walk into rooms and forget why. Six months of small changes add up to something unrecognizable. You wonder what's happening to your body.

Dr. Iliana Lega confirms perimenopause can last up to 10 years for some women. Hot flashes average seven years of duration. In Ontario, nothing is covered for 50-year-old women unless they have disability or private drug plans. That includes everything, not just hormone therapy. She flags the healthcare provider knowledge gap: women get told there's no role for hormone therapy or receive outright misinformation. Studies show massive undertreatment. Sleep emerges as the central issue. Disrupted sleep cascades into cognitive problems, irritability, zero libido.

Discover why Dr. Lega compares modern expectations to 10,000 years ago when life looked different. Learn which medical societies provide reliable patient resources. Understand why she warns against TikTok except for Canadian Jen Guttner's evidence-based content.

GUEST: Dr. Iliana Lega | @‌ilianalega

Originally aired on 2026-01-19

Perimenopause symptoms accumulate slowly. Your hair falls out in the shower. You need more coffee to get through the day. You walk into rooms and forget why. Six months of small changes add up to something unrecognizable. You wonder what's happening to your body.
Dr. Iliana Lega confirms perimenopause can last up to 10 years for some women. Hot flashes average seven years of duration. In Ontario, nothing is covered for 50-year-old women unless they have disability or private drug plans. That includes everything, not just hormone therapy. She flags the healthcare provider knowledge gap: women get told there's no role for hormone therapy or receive outright misinformation. Studies show massive undertreatment. Sleep emerges as the central issue. Disrupted sleep cascades into cognitive problems, irritability, zero libido.
Discover why Dr. Lega compares modern expectations to 10,000 years ago when life looked different. Learn which medical societies provide reliable patient resources. Understand why she warns against TikTok except for Canadian Jen Guttner's evidence-based content.
GUEST: Dr. Iliana Lega | @&zwnj;ilianalega
Originally aired on&nbsp;2026-01-19

Shane Hewitt & The Nightshift is your late-night companion for real talk, bold ideas, and unfiltered conversations that matter. Hosted by Canadian radio veteran Shane Hewitt, each episode dives into the headlines, human stories, and hidden truths shaping our world—always with curiosity, compassion, and a sharp edge.

From politics and pop culture to mental health, technology, and everyday life, this podcast is where night owls, deep thinkers, and curious minds come to connect. Featuring expert guests, passionate callers, and Shane’s signature style—thoughtful, fearless, and refreshingly real.

If you crave meaningful dialogue, smart perspectives, and late-night radio energy in podcast form, subscribe now and join The Nightshift.

Shane Hewitt &amp; The Nightshift is your late-night companion for real talk, bold ideas, and unfiltered conversations that matter. Hosted by Canadian radio veteran Shane Hewitt, each episode dives into the headlines, human stories, and hidden truths shaping our world&mdash;always with curiosity, compassion, and a sharp edge.
From politics and pop culture to mental health, technology, and everyday life, this podcast is where night owls, deep thinkers, and curious minds come to connect. Featuring expert guests, passionate callers, and Shane&rsquo;s signature style&mdash;thoughtful, fearless, and refreshingly real.
If you crave meaningful dialogue, smart perspectives, and late-night radio energy in podcast form, subscribe now and join The Nightshift.

Shane Hewitt and The Nightshift

Shane Hewitt is known for his engaging and relatable on-air personality, which captivates listeners. His ability to blend insightful commentary with humour and empathy creates a genuine connection with listeners.  Shane Hewitt and the Night Shift provides relatable content, informative discussions and expert insights – along with a balance of anecdotes and entertainment.

Shane Hewitt is known for his engaging and relatable on-air personality, which captivates listeners. His ability to blend insightful commentary with humour and empathy creates a genuine connection with listeners.  Shane Hewitt and the Night Shift provides relatable content, informative discussions and expert insights – along with a balance of anecdotes and entertainment.