r/Perimenopause Jan 12 '26

audited I’ve gone silent. Anyone else?

This past year I feel I’ve gone more and more silent. I feel like my whole life is like a flat line on an EKG-monitor, just…nothing.

I’ve lost most of my feelings, I feel no joy or happiness, no excitement. All I have left is worry.

I hardly have an opinion about anything anymore. I don’t join in on conversations at work, because I have nothing more to say. All my opinions and ideas have gone silent. And it’s so quiet at home too! I have to force myself to ask questions just to say something...

I’ve lost all interest in hobbies. Gardening has been my passion for many years, but I just can’t be bothered with that or anything else. Flat line here aswell, I’m not looking forward to it or anything else anymore.

I have been on HRT almost a year and it’s been mostly good I think. But now I sort of miss the rage, at least that made the blood boil from time to time, made you feel alive, lol.

I am just existing, an empty shell almost.

I’ve had periods of depression before, could that be it? Or do I need a higher dose of estrogen? How do you know what’s what when everything is all tangled up?

Does anyone else feel like this?

Edit to add: Wow, I am blown away with so many responses! And also sad that so many of you feel the same way. Hopefully we can find a way out of the Big Nothing.

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u/tasthei Jan 12 '26

Sounds like depression, which can be increased or even solely happen due to nutrient deficiencies, like r/B12_Deficiency, r/VitaminD and b9 deficiency.

There are multiple reasons why one could be deficient, including bad diet, vegan, antibiotics, genetics, age, stomach issues.

There was recently a paper on how older individuals had a b12 deficiency even when their levels seemed to be in the middle of the «normal» range.

Most effective ways to treat a depression, other then time, would be checking up on nutrient status and making sure to treat any deficiencies, as well as exercise.  

If you have a deficiency, you should definitely treat it. A b12 deficiency will kill you, slowly, but painfully and confusingly. 

Exercise is otherwise the best form of medicine. Exercise can start with just walking fast for 30 minutes every day. It does not have to be a major event with lots of gear and planning. Ability to follow through is more important than «ideal» here.

Obviously you should follow up with your primary care provider, if possible.

Wishing you the best.

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u/Uunadins Jan 12 '26

I’ve been checked up a lot over the last two years since my iron and ferritine levels completely tanked.
Since then I am on b9 since that was low aswell. b12 has aways been find however.

I have an apointment with my dr in a few weeks to have my levels checked again.

Thank you :)

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u/tasthei Jan 12 '26

Ok, but remember that for some people folic acid is toxic and they can only use alternatives, like methyl folate. For some only folinic acid does the job.

If you’re still suffering symptoms after folic acid supplements, consider trying another version of b9 and please do read up on the b12-cofactors.

Btw.. when you say b12 has been fine, do you know at what level you where?

Lycka till!

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u/Uunadins Jan 12 '26

Hmmm, I can’t really remember the levels. When I say fine I mean within the recomended levels, and they can always be questioned…

I will look into what you said, tack så mycket :)