Perimenopause and Menopause Symptoms

Perimenopause rarely arrives as one clear symptom. It’s brain fog at work, sleep that won’t hold, joints that ache for no obvious reason, mood swings that feel out of character, and weight that’s changed even though nothing else has. Often each symptom has been treated separately — something for sleep, something for mood, maybe MHT for the hot flushes — without anyone joining the dots between them.

Some women find MHT helps with some symptoms but not others, and are told their hormone levels are “balanced” with no clear next step. Others have been told it’s “just hormones” or “just stress,” and have started to wonder if they’re imagining how disruptive this actually is. You’re not imagining it, and you’re not losing your mind.

Perimenopause is a whole-system transition — it touches hormones, inflammation, thyroid function, bone density, blood glucose and gut health, often all at once. I assess the full picture rather than treating each symptom as a separate, unrelated complaint.

  • A free 20-minute discovery call to talk through your symptoms and what you’ve already tried.
  • A full initial consult covering medical history, symptoms, medications, diet, lifestyle, sleep and stress.
  • A review of findings consult explaining what’s likely driving each symptom, with a personalised dietary and supplement plan.
  • Ongoing check-in consults, scheduled at a pace that suits you over the course of the transition.
  • Blood test referrals where relevant (vitamin D, iron, thyroid markers) to build the plan around your actual results.

I work alongside your GP and any MHT or medication you’re already using — nutrition isn’t a replacement for that, it’s a complement to it.

  • More stable energy and sleep.
  • Support for mood and cognitive symptoms like brain fog.
  • A personalised approach to the weight and metabolic changes common in this life stage.
  • A plan that accounts for bone health and inflammation alongside hormonal symptoms.

I also bring personal experience with Hashimoto’s thyroiditis, an autoimmune condition that frequently emerges or worsens during perimenopause and shares overlapping symptoms — fatigue, weight changes, brain fog and mood changes. If that overlap sounds familiar, it’s worth mentioning on your discovery call.

You don’t need to have it all figured out before you reach out. Book a free 20-minute discovery call and we’ll talk through what you’re experiencing and whether a nutrition-led approach can help.