01/05/2026
Last night I had the loveliest evening attending the Perimenopause Masterclass alongside my fellow Naturopath Lucy , and my brain is still full of good things to share.
Perimenopause is something I see constantly in clinic, and a few things from last night really landed for me.
✨ One in two women aged 45-65 who haven't yet reached menopause report bothersome symptoms. ONE IN TWO. And yet so many of them have no idea that what they're experiencing is actually perimenopause, because they've been told their blood tests are normal. Here's the thing, perimenopause is a clinical diagnosis. Symptoms first, bloodwork as a supporting tool, not the other way around.
✨ The brain is one of the first places women notice the shift, and that makes total sense when you understand that the brain has both alpha and beta oestrogen receptors, making it incredibly sensitive to fluctuating oestrogen levels. Mood changes, brain fog, anxiety, disrupted sleep, difficulty concentrating. These aren't just stress or burnout. For a lot of women, this IS the beginning of perimenopause.
✨ The gut piece is something I find really fascinating too. Declining oestrogen actually compromises gut barrier integrity, which can increase intestinal permeability. When the gut lining becomes more permeable, it contributes to low-grade systemic inflammation, and that has flow-on effects for everything from mood to metabolic health.
✨ Which brings me to the weight conversation, because this came up and it is SO relevant right now. The metabolic changes happening during perimenopause (shifting body composition, insulin sensitivity changes, centralised fat distribution) are real, and for women who are also navigating GLP-1 support, understanding the perimenopause piece alongside it is genuinely important. This is an area I am really passionate about supporting.
✨ And the soy isoflavone evidence base? Super exciting! More on that soon 🧡
If any of this sounds familiar and you've been wondering whether perimenopause might be part of your picture, this is something I'd love to chat through with you.