I feel like I’m an unwitting expert on this symptom as I’ve been battling it for a year. I’ll give you a summary…(!)
It can be due to too low or too high estrogen - or estrogen fluctuations. Don’t ask me why estrogen fluctuations cause this if our own bodies are constantly fluctuating pre-menopausally through our cycles but anyway….
My symptoms are getting a lot better just recently since switching from patches to gel.
My Newson dr says that in peri we often need quite high amounts of estrogen (100 or 4 pumps or even higher) to override our own fluctuations. That way what our ovaries make is a drop in the ocean.
I don’t know if that’s true because everyone seems to be different with this.
But all I can say is that this symptom is hell. For an entire year I haven’t slept normally because I shake internally all night with my heart beating hard and faster than usual. The lack of sleep is life destroying. I am hopeful I’m on the right path…
But if you are just feeling “slightly low energy” and increased estrogen due to that - maybe reconsider. I mean, this isn’t a symptom you want to mess with
Some low energy might be preferable!!