09/04/2026
Small physiological shifts that can have a noticeable impact
During perimenopause and menopause, the body’s response to everyday lifestyle factors can change in subtle but meaningful ways.
Some areas worth paying attention to:
• Resistance training
Muscle mass naturally declines with age, and this process can accelerate during midlife hormonal changes. Incorporating resistance-based exercise (rather than relying on cardio alone) is associated with supporting strength, metabolic health, and functional capacity.
• Protein intake
Protein needs may increase with age to help maintain muscle mass and recovery. Distributing protein evenly across meals can be more beneficial than consuming it in one sitting.
• Alcohol sensitivity
Some women notice changes in how alcohol affects sleep, mood, and hot flushes. Even small amounts may have a more pronounced effect than before.
• Caffeine and symptom triggers
Caffeine can influence sleep quality and, in some cases, exacerbate symptoms such as palpitations or hot flushes, particularly later in the day.
These are not rules, but observations seen across research and clinical practice. Small, considered adjustments can sometimes make a meaningful difference to how you feel day to day.
This information is general in nature and is not a substitute for individual medical advice. Individual responses can vary.
Dr Dalia Ubied
(MBCHB, FRACGP, FACCSM(MED), DCH, FPAA)