Perimenopause often kicks off in your late 30s or early 40s — and it can feel like your body has changed without warning. These changes are normal, but that doesn’t mean they’re easy to live with.

You might notice: 

• Disrupted sleep patterns
• Mood swings or anxiety
• Hot flushes and night sweats
• Weight changes
• Brain fog and trouble concentrating

Modern life makes all of this tougher. Stress, disrupted sleep routines, poor sleep and alcohol all amplify the symptoms and drain your energy.

The good news is that small, realistic changes can shift things in the right direction.

Things that help:

• Getting better quality sleep
• Reducing Alcohol
• Moving your body regularly
• Eating more whole, nutrient-dense foods
• Managing stress in simple, practical ways.

These strategies can work on their own or alongside menopausal hormone therapy (MHT) to ease symptoms and support your overall health.

Weight changes can happen for many reasons — biology, appetite changes, stress, sleep, medications, and the way your metabolism adapts over time. It’s never just about willpower.

My role is to help you understand what’s actually happening in your body, rule out anything medical, and guide you through safe, realistic strategies that support long-term health.

Together, we focus on:

• Understanding your weight story and what’s driving the changes

• Practical lifestyle shifts that fit your life, not a strict program

• Working alongside nutrition and movement professionals for lasting results

• Considering medications when they’re medically appropriate and aligned with your goals

• Building confidence and clarity so you know exactly what to focus on next

This isn’t about chasing a number. It’s about improving your energy, supporting your metabolic health, and helping you feel more in control of your body — with medical support every step of the way.