Perimenopause can begin as early as the mid-30s and may last several years before menstrual periods cease entirely. During this time, declining ovarian function leads to irregular estrogen and progesterone levels, triggering symptoms such as heavy periods, mood swings, dryness, and more. While these changes are a natural part of aging, they can profoundly affect quality of life. This comprehensive guide is designed to: Explain the biological underpinnings of perimenopause. Help women recognize and track common symptoms. Offer evidence-based dietary, lifestyle, and supplement recommendations, including multivitamins with live cultures and ginseng. Detail medical and complementary therapies from hormone replacement to acupuncture. Provide tools for building a personalized care plan and working effectively with healthcare providers. With clear, actionable information and real-life stories, this book empowers women to take control of their perimenopausal journey and transition confidently into their next life chapter.
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