Happy Hormones Series: Perimenopause & Menopause

The Perimenopausal & Menopausal Years

Ovarian reserves start declining in the late 30s and 40s- this causes hormone output to be more chaotic. For women affected, this can lead to symptoms such as mood changes, hot flashes, brain fog, and disrupted sleep.

For these women, I focus on optimizing metabolic health and decreasing inflammation. Optimizing gut health and identifying food sensitivities can play a big role. This is especially true if inflammation is the primary driver.

As a Functional Medicine NP I recommend:
  • Focusing on getting enough protein

  • Stabilizing blood sugar levels

  • Optimizing the circadian rhythm


These can all be game changers.

Additionally, I generally recommend:
  • Getting 7-9 hours of sleep and

  • Getting 10 minutes of natural light on the eyes in the morning

  • Minimizing blue light exposure at night


These can make all make a huge difference.

Thyroid & Adrenals

Optimizing thyroid function and adrenal hormones is also important. Doing the steps mentioned above, while also emphasizing stress reduction can be extremely helpful.

I recommend working with a provider who will check a full blood panel.
This includes:

  • Full Thyroid Panel (can detect if you are hyperthyroid or hypothyroid)

  • Thyroid Antibodies (can detect autoimmune conditions of the thyroid)

  • Full Iron Panel

  • B12 and Folate

  • Homocysteine

  • Insulin

  • Hemoglobin A1c

  • Inflammatory Markers

  • Vitamin D

  • Lipid Panel

  • Zinc

  • Copper

  • Complete Blood Count

  • Complete Metabolic Panel

It’s during this time that we can start thinking about bringing on some nutraceutical support and/or Bioidentical Hormone Replacement if needed. Before starting Bioidentical Hormone Replacement Therapy (BHRT), I recommend always checking a full extended blood panel and hormone panel. It's best to work with a Functional Medicine provider who is familiar with interpreting these results.

Amber Rudd 3

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Amber Rudd MSN, FNP-BC

Amber Rudd is a Nurse Practitioner trained in Functional Medicine. She works with people who are motivated and ready to improve their health – for good.

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