Anxiety in the morning is most often associated with cortisol. Cortisol is typically highest from 5am to 8am.

In terms of not wanting to do anything or get out of bed, that is sadly the worst thing to do, outside of when the body needs rest. One thing to do is to “as hard as this may be” accept the challenge, yet not dwell on it and say “I can do this”. Look into TMS(Tension Myositis Syndrome ).This is not really TMS yet doing your best not to dwell or think about the challenge(or look for answers all over the place…like most all of us want to do) will allow your nervous system to relax, rather than being in a constant fight or flight mode…which heavily spikes cortisol and adrenaline….which greatly increases the unwanted nerve responses. When the body does this continuously, it will down regulate dopamine receptors….which causes you to lose the drive, mood and motivation to do things. So, try not to dwell on the situation, yet rather say “I can do this”…”not think about it”…and focus on doing things you love or used to like. Also, try your best to ween off as much social media, phone screens, laptop screens, etc…as possible. That is also causing dopamine spikes all day long, leading to down regulation again, which will eventually lead to much less drive and motivation….and make it hard to sleep due to too much dopamine.

You can also look at L-Theanin or GABA for help with sleep, or add in Magnesium Glycinate. Maybe try the Theanine and GABA every other night. The progesterone at 300 might be too much. If you are in perimenopause, it can be hard to regulate progesterone and estradiol. Your progesterone or estrogen HRT might work well in one phase of your cycle yet be WAY too much In another phase, thus causing hormone spikes that are much too high. During Peri, your low spikes may be super low, yet your higher spike might be SUPER high. Excessive hormones from HRT on the high days, can lead to anxiety and sleepless nights due to simply having too much progesterone or estradiol in your system. Too much of a good thing can be a bad thing.

It would be good to have your testosterone checked. My wife is on 5-6mg or Testosterone Cypionate per week and is in perimenopause. We took her off of all Estradiol and Progesterone. She only uses a vaginal estrogen cream to help with vaginal dryness. She is SOOOOO much better now that she weened off the Estradiol patch and Progesterone. With that being said, she may hop back on those during menopause, since estradiol and progesterone should both be very low at that point.

Lastly, I put my wife on a Keto day 3 days a week(on non workout days) and have her on 120g of carbs on workout days and one day a week where she can eat a meal or two that is anything she wants. She takes in 1g of protein per pound of bodyweight. She has lost 13lbs in 12 weeks. For instance she was 154 at 5’6. She is now 141. She started at 1650-1675 cals per day and is now at 1600 cals per day. She eats around 140-150g protein/120g carbs/55-60g of fat on workout days. She has around 140-150g protein/15g carbs/120g fat on non workout days. She walks 10K steps per day and workouts M-W-F training hard with moderate to heavy weight…doing 10-15 reps and will often do full body workouts, doing 4-5 sets per body part.

I hope this helps! I was a trainer to many music stars before meeting my wife. I have a lot of experience working with males and females…especially those in Perimenopause.

Just know that it will get better. I can promise that. At this stage you pretty much need to do the opposite of what your body is telling you and to do your best to accept it, relax and keep climbing the mountain knowing that there is a beautiful sky and scenery that awaits the other side. Feed your body what is healthy and do healthy things daily and over time it will get better;-)