My daughters are nearing perimenopause. Here’s what I want them to know.

A new study explains something most people—doctors included—are missing: when estrogen declines, your gums become more vulnerable to inflammation, tissue loss, and disease. If you’re already seeing early signs—bleeding, bad breath, gum recession—it’s not just a dental issue. It’s a whole body one. As my own three adult daughters inch closer to perimenopause, I’m writing this newsletter with them in mind. There are so many things I wish my wife Roseann and I knew when she went through menopause in her 40s. We learned most of this the hard way. So in this newsletter, you’ll learn: h