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Other Herbal Support: I have found that these herbs (and often a combination of herbs) are most successful in addressing perimenopausal symptoms: Maca; black cohosh; dong quai; a blend of Angelica gigas (root); phlomis umbrosa (root); and Cyanacum wilfordii (root); rhapontic rhubarb.Liver Supportive Herbs: Milk thistle, burdock, dandelion root, DIM or I3C (the latter two support estrogen metabolization and decrease estrogen dominance which can occur during the early perimenopausal transition).Heart Support: COQ10, Magnesium Bone Support: Calcium, Magnesium, Vitamin D Brain Health: fish oil, NAC, Vinpocetine, B Vitamins Vaginal Dryness: Vitamin E oil can be helpful.Thyroid: zinc, selenium, B Vitamins Sleep Support: Melatonin, Chamomile, Hops, Glycine, Phenibut, and, if cortisol is elevated at night time (which can happen with stress and low estrogen), hosphatidylserine Hair: biotin, silica, copper, zinc, manganese If a woman is still ovulating, hormones may not be necessary.But I find that many women associate weight gain, fatigue, insomnia, forgetfulness, and even “abnormal labs” (like increased cholesterol, insulin, and blood sugar levels) with the normal aging process.Or, women experience depression and anxiety for the first time and do not know why but find that their quality of life has diminished and just believe it is going to be that way.Most women start to report symptomatic changes of perimenopause during their ’40s.

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Women need to see their physician to see if hormones are an appropriate treatment option.

The first line of defense is nutrition and lifestyle habits, followed by herbal and nutritional therapies.

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