Hi Rose, is this a good place to through in a question for the q&a with Dr Mark, since I won't be able to join live? I was wondering if he might have any advice to offer around perimenopausal fatigue? HRT has helped enormously but I still don't enjoy the energy levels I used to take for granted and wonder if there is more I could be doing to improve the situation? I eat well (obviously, I'm on here!) and exercise, though not as often as I used to. I'm sure others have experienced the same dip in energy levels.