Hello Pixiek. If your brain fog is a spacey, dizzy, lightheaded feeling that is with you from sun up to sun down then we are definitely twins. I agree with you that this was one of my worst symptoms with panic attacks, mood swings, and depression following a close second place. Yes, stress, anger, and not eating correctly also made me feel more spacey.
Mine was simply horrible when my perimenopausal symptoms became severe in August 2002 to about mid 2004. I'd have days when it was so severe that things did not seem real, then I'd have a couple days where it was so mild that I felt "normal" again. Lately I've had more mild days than severe spacey days.
Initially, it was my understanding that this feeling that the doctors call derealization was caused by anxiety, panic attacks and/or depression. I was given various antianxiety medications that did not eliminate the spacey feeling, but did help me to better handle that sensation. It wasn't until I tried the CombiPatch that I noticed, within about 30 minutes, that the fog started to lift and the spacey feeling wasn't as intense.
What worked well for me was birth control pills, primrose oil, flaxseed oil, Wellbutrin XL and a good multivitamin. I really began to notice the "fog" lifting when I started taking birth control pills. I have a friend who is 56 years young and she also has this same hormone imbalance symptom. She found relief by using Vivelle hormone patch, compounded progesterone cream, plus antidepressant. She was the first person that I actually know who confessed to having a difficult time going through perimenopause and menopause.
Please don't think that I'm pushing using antidepressants because I was strongly against using them when they were first prescribed...but when I found myself spiraling down I had to do something to regain my life. The antidepressants helped get me out the house, but it was hormones that helped with the mood swings, spacey feeling, depression, anxiety, panic attacks...and the list goes on and on.
I've tried just about all the natural remedies, except for black cohosh because I just didn't feel right about that particular herb. I read so many books and articles about perimenopause and tried using "natural progesterone" based upon a certain book that I read. I know that progesterone cream work for some women, but in my case it made all my symptoms worst despite varying the dose. Thank God for the pharmacist who told me that some women just can not tolerate the progesterone cream.
Presently, I'm not taking birth control pills because of my blood pressure (a product of perimenopause). What are you presently using, or have tried? Do you have days when it's not intense? Did you sometimes feel off balance like you're leaning to one side when you are walking?
Please remain encouraged because this will pass...when, did you ask???????? If someone here finds out then please let me know

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