Perimenopause Treatment

Root-Cause Functional Medicine for Women 35–55

You Don’t Feel Like Yourself — And That Matters

If you’re exhausted, gaining weight, anxious, foggy, sleeping poorly, or feeling emotionally unlike yourself… and your labs are “normal”…
You are not imagining it.

Perimenopause can begin as early as your mid-30s and last up to 10 years. During this stage, hormones fluctuate unpredictably — often in ways standard testing doesn’t catch.

You deserve more than dismissal.
You deserve answers.

What Makes My Approach Different

Perimenopause is not a single hormone problem. It’s often influenced by:

• Progesterone decline
• Estrogen fluctuation
• Adrenal dysregulation
• Thyroid shifts

• Blood sugar instability
• Inflammation
• Nutrient depletion

Instead of suppressing symptoms, Dr. Jena investigates what’s driving them by taking a thorough history, including life and childhood health, medical background, diet history, stressors, traumatic experiences, medications and supplements, surgeries, family history, and current symptoms. Every piece of the puzzle matters.
There’s no single test for perimenopause, but several labs can help determine the order in which to rebuild health.

Labs I Recommend:

• CBC with differential
• Comprehensive Metabolic Panel
• Comprehensive Thyroid Panel: TSH, Total T4, Total T3, Free T4, Free T3, Reverse T3, Thyroglobulin Abs, Thyroid Peroxidase Abs
• NMR Lipoprotein Profile with Insulin Resistance markers
• Iron, Ferritin, TIBC
• C-Reactive Protein
• Hemoglobin A1c
• Vitamin D 1,25 Dihydroxycalciferol
• For deeper insight, saliva hormonal panels are invaluable.

Common Symptoms Addressed

• Fatigue & burnout
• Weight gain resistant to dieting
• Brain fog
• Anxiety or mood swings

• Low libido
• Irregular cycles
• Sleep disruption
• Night sweats/ Hot flashes

What Treatment May Include

• Advanced functional lab analysis
• Hormone support protocols
• Nervous system regulation strategies

• Nutrition & blood sugar stabilization
• Targeted supplementation
• Lifestyle recalibration

Every plan is personalized. No templates. No guessing.

Ready to Feel Steady Again?

You don’t have to navigate this alone.
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