Everything for perimenopause, in one search

GLP-1 medications like semaglutide and tirzepatide are prescription-only and are not sold here. What you can buy are the companion products that make a GLP-1 easier to live with: protein to protect muscle while you lose weight, fiber and electrolytes for the digestive side effects, and small, nutrient-dense foods for days when your appetite disappears.

Hormone replacement therapy is prescribed by a clinician and cannot be bought over the counter. What surrounds it can be: patch covers that survive a shower, pill organisers that keep a daily dose on track, vaginal moisturisers for the symptoms HRT does not always fully resolve, and magnesium for sleep in the weeks before a dose settles.

Most perimenopause supplement marketing is noise. A small number of products have real evidence behind them for women in their 40s and 50s: magnesium glycinate for sleep, vitamin D and K2 for bone density, omega-3 for joint pain and mood, creatine monohydrate for strength and cognition, and protein when food alone is not getting you there.

Falling estrogen makes muscle harder to build and easier to lose, which is why protein targets go up rather than down in your 40s. Most women we work with are eating 50 to 60g a day and need closer to 90 to 110g. A powder is not magic, it is just the easiest way to close a 30g gap without cooking twice.

Sleep is usually the first thing perimenopause takes and the last thing to come back. Night sweats, 3am wakings and racing thoughts all have different fixes, and buying for the wrong one is why so many women have a drawer of things that did not help.

A hot flash lasts one to five minutes, but the recovery, the flush, the damp shirt, the meeting you have lost your thread in, lasts a lot longer. Cooling products do not prevent flushes, they shorten the recovery. That is a smaller promise, and a real one.

Night sweats, hot flushes and GLP-1 medications all pull fluid and sodium out of you faster than plain water replaces it. Persistent afternoon fatigue, headaches and dizziness on standing are often a hydration problem wearing a hormone costume.

Women can lose up to 20% of bone density in the five to seven years around menopause, and the aching joints that show up in your mid-40s are frequently estrogen-related rather than a sign of arthritis. Both respond better to early action than to waiting.

Resistance training is the single highest-return intervention in perimenopause: it protects bone, preserves muscle, improves insulin sensitivity and helps sleep. Two sessions a week is enough to change the trajectory, and you do not need a gym membership to start.

Bloating that arrives in your 40s and does not match anything you have changed is one of the most common and least discussed perimenopause symptoms. Shifting estrogen affects gut motility and the microbiome, and foods you have eaten for decades can suddenly stop agreeing with you.