Say Goodbye to Perimenopause Symptoms: The Surprising Whole-Body Solution You Haven’t Tried Yet

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Perimenopause, the transitional phase of 4–8 years leading up to menopause, is a complex journey marked by hormonal fluctuations that impact not only the body but also various aspects of health and well-being.

Unfortunately, the lack of FDA-approved treatments for perimenopausal symptoms often leaves women feeling unsupported by the conventional medical system.

These insights into hormonal changes, gut health, weight management, and innovative tools that can be used to navigate the often distressing symptoms, provide a deeper understanding of perimenopause and illuminate how adopting a holistic approach can positively impact women’s lives during this transformative phase.

Understanding the Hormonal Changes that Lead to the Symptoms of Perimenopause

Perimenopause typically commences in a woman’s 40s and can bring about a range of symptoms, including night sweats, hot flashes, irregular menstrual cycles, mood swings, weight gain, decreased libido, memory and concentration issues, reduced energy levels, sleep disturbances, muscle and joint pain, vaginal dryness, and skin and hair changes. These symptoms are rooted in fluctuating estrogen and declining progesterone levels.

Estrogen plays a pivotal role in regulating the menstrual cycle and reproductive system. Beyond its reproductive functions, it contributes to the well-being of bones and skin, aids in mood regulation, and supports heart health. Operating in tandem with estrogen, progesterone collaborates in the intricate regulation of a woman’s physiological processes. As both hormones decline during perimenopause, bodily systems are impacted, manifesting in diverse symptoms.

Estrogen contributes significantly to our metabolism regulation, shaping how the body utilizes and stores energy. Consequently, as estrogen levels decline, metabolic changes are not far behind.

Decreased estrogen levels during perimenopause set off a cascade of events with profound implications for the body, including weight gain. Decreased estrogen can cause insulin resistance, leading to increased insulin levels, leading to increased visceral fat and fatty deposits and inflammation. Aside from weight gain alone, this can lead to chronic disease, such as diabetes, heart disease, and cancer.

Diminishing estrogen levels also influence body composition, tipping the balance towards increased fat mass and reduced lean muscle mass, thus underscoring the complex relationship between hormonal changes, insulin resistance, body composition shifts, and their potential implications for metabolism during perimenopause.

Recognizing the significance of these changes, it becomes imperative for women to proactively maintain a healthy lifestyle during perimenopause. Effectively navigating these metabolic shifts necessitates heightened mindfulness, monitoring, and tracking to align lifestyle choices with evolving hormone levels.

Strategies for Managing Weight and Inflammation During Perimenopause

Along the same lines, it’s important to dispel the notion that the symptoms that arise during perimenopause are impossible to control. Instead, they present an opportunity for proactive measures that can enhance the aging experience.

The gradual decline in estrogen levels during perimenopause sets the stage for weight gain through intricate hormonal mechanisms. Reduced insulin sensitivity, coupled with increased cortisol, the body’s stress hormone, contributes to this phenomenon.

Estrogen, which promotes insulin sensitivity, becomes less available, leading to insulin resistance. Consequently, elevated blood sugar levels and increased insulin production foster fat storage, paving the way for weight gain. At the same time, heightened cortisol production induced by decreased estrogen levels triggers cravings for unhealthy foods and promotes fat accumulation, especially in the abdominal region, posing risks to heart health.

Perimenopause’s hormonal fluctuations can also lead to inflammation. Fat accumulation is associated with elevated cortisol levels and contributes to rising inflammation. This is further exacerbated by sleep disturbances, which 40 to 60 percent of perimenopausal women experience. Adequate rest is crucial for the body’s anti-inflammatory processes, making sleep disturbances a potential contributor to chronic inflammation. Chronic inflammation can cause various health conditions, including diabetes, arthritis, and heart disease.

Recognizing the onset of perimenopause is crucial, as hormonal changes can significantly impact weight. Once identified, adopting simple dietary and lifestyle changes can effectively prevent weight gain and chronic inflammation.

Embracing a whole-food, plant-based diet with low-calorie density and high protein and fiber content supports hormonal balance and fullness. An anti-inflammatory diet rich in fruits, vegetables, nuts, whole grains, and seeds combats inflammation.

Regular physical activity, encompassing both cardio and strength training, not only boosts metabolism but also maintains hormonal balance and counters muscle and bone density decline. Prioritizing good sleep hygiene becomes essential for hormonal balance, inflammation reduction, metabolism maintenance, stress management, and healthy decision-making.

Understanding the nuances of perimenopause empowers women to navigate this transformative phase with informed choices. By recognizing the intricacies of hormonal changes and adopting tailored strategies, women can promote overall well-being and confidently embrace the journey into the next stage of life.

Gut Health and its Connection to Managing Perimenopause

Perimenopause ushers changes to the intricate realm of the gut microbiome. Recognizing the vital role of the gut in overall well-being, the perimenopausal years demand a proactive approach to maintain balance and mitigate the often undesirable shifts in both physical and mental states.

The gut microbiome, a complex ecosystem of bacteria, fungi, and viruses, orchestrates functions far beyond digestion. Operating through the gut-brain axis, the microbiome influences metabolism, immune function, and emotional regulation. Neurotransmitters like serotonin, GABA, and dopamine, crucial for mood and stress management, are linked to the gut’s microbial composition. The vagus nerve acts as a crucial communicator between the gut and the brain.

As perimenopause unfolds, remember that estrogen levels undergo erratic fluctuations and gradual decline. This impacts the delicate balance of the gut microbiome. Estrogen, a key player in maintaining gut health, regulates microbial composition, influences metabolism, and supports gut barrier integrity.

The decline in estrogen can lead to imbalances in beneficial and harmful bacteria, reduced microbiome diversity, and compromised gut barrier function. These changes contribute to gastrointestinal issues, inflammation, and the passage of toxins into the bloodstream. This altered state of the gut microbiome can also affect mood, anxiety levels, and motivation through the gut-brain axis.

Facing the challenges posed by perimenopause doesn’t entail surrendering to its symptoms. Instead, women can regain control by implementing proactive strategies for gut health:

1. Embrace a nutrient-rich, diverse diet:

  • Embrace a plant-based diet rich in fruits, vegetables, legumes, whole grains, nuts, and seeds to support beneficial bacteria growth.
  • Include probiotic-rich fermented foods and prebiotic foods to diversify the gut microbiome.
  • Reduce intake of refined sugars and processed foods, which can negatively impact the gut microbiome.
  • Stay hydrated to support overall gastrointestinal function.

2. Use supplements to address decreased estrogen levels:

  • Consider probiotic supplements with diverse bacteria strains to compensate for potential deficiencies.

3. Practice stress reduction techniques:

  • Mindfulness meditation, yoga, deep-breathing exercises, and engaging hobbies can help promote relaxation.
  • Prioritize sufficient sleep and regular exercise to manage stress levels.

4. Employ judicious use of antibiotics:

  • Minimize antibiotic use when possible, recognizing their potential to disrupt the gut microbiome.
  • Discuss antibiotic prescriptions with healthcare providers, using them judiciously and only when necessary.

Grasping the nuanced connection between perimenopause and the gut microbiome provides women with the tools to actively confront inevitable changes to our bodies.

By adopting proactive measures, we can redefine the perimenopausal journey, turning it into a transformative phase characterized not solely by challenges but also by thoughtful choices and a revitalized sense of well-being. This approach enables us to sustain both our physical and mental health with resilience and vitality.

CGM and Lumen: Innovating Tools that Can Help Navigate Perimenopause

Perimenopause, an often bewildering and frustrating phase in a woman’s life, does not have to be nearly as bewildering or frustrating. Leveraging innovative health tools like Continuous Glucose Monitoring (CGM) and the Lumen metabolism tracker offers tangible solutions to help women regain control of life during a time when physical and mental changes are trying to wreak havoc.

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Continuous Glucose Monitoring (CGM) provides a real-time estimation of blood glucose levels. This tool can be enormously beneficial for perimenopausal women experiencing hormonal fluctuations, as they impact insulin sensitivity. By placing a small sensor under the skin, women can monitor glucose levels continuously, understanding the impact of diet, physical activity, and stress on blood sugar.

Balanced blood sugar is vital for a consistent energy supply, impacting mood and cognitive function. CGM enables tracking responses to food, activity, stress, and lifestyle, empowering informed decisions on diet, exercise, and overall health to maintain stable blood sugar levels. It can also address sleep disturbances by revealing correlations between nighttime glucose levels and sleep quality. Additionally, CGM contributes to managing cognitive symptoms like brain fog by identifying factors influencing cognitive function, such as blood sugar stability, nutritional choices, and physical activity.

Lumen is a hand-held device that analyzes your breath to track your metabolism. Its accuracy and precision can help you improve your metabolism with insights into how your body uses the fats and carbs you consume for energy.

With this information, you can make better dietary choices as you navigate perimenopause to enhance your energy levels, gain better control of your weight, and even sleep better.

And then there’s Lumen. Lumen is a hand-held metabolism tracker that analyzes your breath to track metabolism. Because of its accuracy and precision, using it can help improve your metabolism with insights into how your body uses the carbs and fats you consume for energy. Women going through menopause can use Lumen to make informed dietary choices, that will enhance energy levels, contribute to weight control, and improve sleep quality.

Lumen proves particularly valuable in the context of intermittent fasting, optimizing fasting periods and supporting metabolic flexibility — the body’s ability to efficiently switch between using fats and carbs for energy. This practice induces ketogenesis, promoting overall metabolic wellness with benefits like weight management, improved insulin sensitivity, and enhanced brain and heart health.

Both CGM and Lumen play integral roles in preventing chronic diseases during perimenopause. Hormonal fluctuations during this phase increase the risk of conditions like type-2 diabetes, cardiovascular disease, osteoporosis, autoimmune diseases, and metabolic syndrome. CGM offers real-time insights into blood sugar levels, crucial for maintaining stable glucose levels and mitigating the risk of chronic diseases. Meanwhile, Lumen provides personalized insights for better dietary and health choices, reducing the likelihood of chronic conditions arising from nutritional imbalances.

CGM and Lumen offer precise, personalized insights that contribute not only to symptom management but also to the prevention of chronic diseases.

In Conclusion

Embracing a holistic approach to perimenopause involves understanding the interconnectedness of hormonal changes, gut health, weight management, and leveraging innovative tools. Furthermore, there is still so much more to learn about perimenopause and the human body in general.

Let’s avoid getting stuck in unhelpful patterns and practices of the past by paying attention to expansions in related research and technology.

Let’s commit to acknowledging the unique experiences of each woman so we don’t overlook the importance of adopting personalized strategies.

This will allow women to more easily navigate perimenopause with resilience, informed choices, and renewed vitality, promoting overall well-being and long-term health in this transformative phase of life.

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Learn more about perimenopause and your hormonal health with our upcoming course, The Vitality Blueprint: A Physician’s Step-by-Step Guide to Conquering Perimenopause.

Join the waitlist today! Course will launch soon.

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Sarah Bonza MD, MPH, FAAFP, DipABLM
Sarah Bonza MD, MPH, FAAFP, DipABLM

Written by Sarah Bonza MD, MPH, FAAFP, DipABLM

Dr. Sarah Bonza, physician & founder of Bonza Health, specializes in perimenopause and menopause care for women, empowering them to reclaim vitality.

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