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Article: Perimenopause Explained: What Is Happening to Your Body in Your 40s?

Healthy Ageing

Perimenopause Explained: What Is Happening to Your Body in Your 40s?

Quick Answer

Perimenopause is the transition leading up to menopause, when ovarian hormone production becomes more variable and menstrual cycles often begin to change. It commonly begins during the 40s, although it can start earlier or later.

For some women, the first noticeable sign is a change in periods. For others, it may be hot flushes, night sweats, disrupted sleep, mood changes, brain fog, headaches, vaginal dryness or changes in sexual wellbeing. The experience varies enormously.

Perimenopause is not a disease, but symptoms can sometimes have a substantial effect on quality of life. It is also an important stage for long-term health. Rather than seeing midlife only through the lens of symptoms, it can be a valuable opportunity to prioritise muscle, bone, cardiovascular health, nutrition, sleep and other habits that support healthy ageing.

And importantly, women do not simply have to “put up with” debilitating symptoms. Effective treatments and professional support are available.


What You’ll Learn

  • What perimenopause actually means.
  • When it usually begins.
  • What happens to oestrogen and progesterone.
  • Why hormone levels can fluctuate rather than simply decline steadily.
  • Common symptoms of perimenopause.
  • Why periods change.
  • What happens to sleep and mood.
  • Whether perimenopause causes brain fog.
  • How midlife can affect muscle and body composition.
  • What happens to skin.
  • Why bone and cardiovascular health deserve attention.
  • What nutrition and exercise can realistically do.
  • Where HRT fits into the conversation.
  • When symptoms should be discussed with a healthcare professional.
  • Why perimenopause can become a useful turning point for healthy ageing.

Introduction: Perimenopause Is More Than Hot Flushes

For generations, menopause was something women were expected to endure quietly. Perhaps there would be a few hot flushes. Periods would eventually stop. Then life carried on.

We now understand that the transition can be considerably more complex. A woman might suddenly find herself waking at 3 am every night. Her periods become unpredictable. Exercise feels different. Her skin feels drier. She struggles to find words during meetings. She feels anxious despite never previously considering herself an anxious person. Her body begins storing fat differently. Or she simply thinks: “I don’t quite feel like myself.”

Sometimes those changes are related to perimenopause. Sometimes they aren’t. And that distinction matters. Because perimenopause occurs at the same time of life when women may also be managing demanding careers, children, ageing parents, relationships, disrupted sleep and other health conditions.

Not every symptom after 40 is caused by hormones. But hormonal changes can influence many different systems. Understanding what is happening makes this transition considerably less mysterious.


First, What Is Perimenopause?

The words perimenopause and menopause are often used interchangeably. They aren’t quite the same thing.

Perimenopause means the period of transition leading towards menopause. Menopause is reached when a woman has not had a menstrual period for 12 consecutive months and there is no other medical explanation. In the UK, the average age of natural menopause is around 51, although there is considerable variation. Perimenopause often begins during the 40s and can last for several years. The entire process is sometimes called the menopause transition.


What Is Actually Happening to Your Hormones?

One of the biggest misconceptions about perimenopause is that oestrogen simply begins falling in a smooth downward line. The reality is messier.

As ovarian function changes, ovulation becomes less predictable. This influences production of hormones including oestrogen, progesterone, follicle-stimulating hormone (FSH) and luteinising hormone (LH). Hormone concentrations can fluctuate substantially during the transition. This is one reason symptoms can feel inconsistent. You may have a difficult month followed by several months when you feel completely normal.

Periods may shorten, then lengthen, become heavier, become lighter, disappear for several months, then return. Perimenopause is a transition, not an on/off switch.

It is important not to reduce every symptom to being “oestrogen dominant” or having a particular hormone “imbalance”. These phrases are widely used online but can oversimplify a complex physiological transition.


Why Does Progesterone Change?

Progesterone is produced primarily after ovulation. As ovulation becomes less regular during perimenopause, progesterone exposure can also become more variable. At the same time, oestrogen can fluctuate considerably. The relationship between these hormones becomes less predictable. This helps explain why menstrual patterns can change so dramatically during the menopause transition.


What Are the First Signs of Perimenopause?

There isn’t one universal first symptom. Changes in menstrual cycles are common, but women can experience perimenopause differently.

Symptoms recognised by NHS and NICE guidance include: changes in menstrual cycles, hot flushes, night sweats, sleep disturbance, mood changes, anxiety, low mood, problems with memory or concentration, muscle and joint symptoms, headaches or migraines, reduced sexual desire, vaginal dryness, pain or discomfort during sex, urinary symptoms, and palpitations.

Some women experience very few symptoms. Others experience symptoms that substantially interfere with everyday life. Both experiences are normal.


Why Do Periods Become Irregular?

During reproductive years, the menstrual cycle depends on coordinated communication between the brain, pituitary gland and ovaries. As ovarian follicles decline and ovarian responsiveness changes, ovulation becomes less predictable. That can change cycle length, bleeding duration, flow and frequency.

Some women experience shorter cycles initially. Later, longer gaps between periods may become more common.

But there is an important safety point here. Do not automatically assume unusual bleeding is “just perimenopause”. Very heavy bleeding, bleeding between periods, bleeding after sex or bleeding after menopause should be medically assessed.


Hot Flushes and Night Sweats

Hot flushes are among the best-known symptoms of menopause. They belong to a group known as vasomotor symptoms. A hot flush can feel like a sudden wave of warmth spreading across the chest, neck and face, sometimes accompanied by sweating, flushing, palpitations and chills afterwards. When they happen at night, they can interfere with sleep.

Researchers believe changing ovarian hormones affect the brain’s thermoregulatory systems, effectively narrowing the range of temperature variation the body comfortably tolerates. That is why something as small as a warm room can suddenly trigger an intense feeling of heat.


Perimenopause and Sleep

Sleep deserves far more attention than it usually receives. Some women wake because night sweats disturb them. But sleep difficulties can occur even without obvious vasomotor symptoms. Problems may include difficulty falling asleep, waking frequently, waking very early, and feeling unrefreshed despite spending enough time in bed.

And then a cycle can begin. Poor sleep affects mood. Mood affects sleep. Fatigue reduces physical activity. Reduced activity can influence wellbeing and body composition. Poor sleep can make appetite regulation more difficult. So although sleep may sound like just one symptom on a long menopause checklist, it can influence many other areas of health.


Is Brain Fog Real?

Many women describe changes in memory and concentration during the menopause transition. You may walk into a room and forget why, lose your train of thought, struggle to retrieve a familiar word, find multitasking more difficult, or feel mentally slower when tired.

Research supports the idea that some aspects of cognitive performance can change during the menopause transition, although the effects are generally subtle and influenced by factors including sleep, mood and vasomotor symptoms. This does not mean perimenopause causes dementia. Nor should significant or progressive cognitive changes automatically be attributed to menopause. But the experience commonly described as “brain fog” is not something women are simply imagining.


Perimenopause and Mood

Mood changes can be particularly confusing when they appear unexpectedly. Some women report irritability, anxiety, low mood, reduced resilience to stress and emotional volatility. Hormonal changes may contribute, but again the picture is rarely purely hormonal.

Imagine experiencing night sweats for several months while working full-time, caring for family and sleeping five hours a night. That alone can affect emotional wellbeing. Women with a history of depression or other mood disorders may require particular support during this transition. Persistent low mood, severe anxiety or symptoms affecting everyday life deserve proper medical attention.


Does Perimenopause Cause Weight Gain?

This question deserves a careful answer. Midlife weight gain and menopause are related, but not in the simplistic way often presented online. Ageing itself can influence energy expenditure, physical activity, muscle mass, appetite and sleep. Menopause appears particularly associated with changes in body fat distribution, with a tendency towards greater central or abdominal fat accumulation.

That means two things can happen simultaneously: ageing may contribute to overall weight gain, and menopause may influence where body fat is stored. This distinction matters. And it is another reason why healthy ageing should focus on more than the scales.


The Number on the Scales Is Only Part of the Story

Imagine two women who both weigh 65 kg. One has more muscle and less visceral fat. The other has less muscle and more visceral fat. The scales see identical bodies. Physiologically, they are not identical.

That is why body composition becomes such a useful concept during midlife. Instead of asking only “how do I weigh less?”, we should also ask: how do I preserve muscle? How do I stay strong? How do I support metabolic health? This is a much more useful healthy-ageing conversation.


Muscle During Perimenopause

Muscle supports strength, movement, glucose metabolism, balance, physical independence and metabolic health. Age-related changes in muscle begin well before old age. The menopause transition may add another layer through changing hormones, sleep, activity and body composition.

But menopause does not mean muscle loss is inevitable. Muscle remains responsive to resistance training. This is why your 40s can be one of the most valuable times to start thinking seriously about strength. Not because you’re old. Because you’re investing early.


Why Strength Training Matters

Many women spent their twenties and thirties believing exercise meant running, cardio classes, burning calories and trying to weigh less. Those activities can absolutely support health. But healthy ageing asks us to add another objective: maintain strength.

UK physical activity guidelines recommend muscle-strengthening activity involving the major muscle groups on at least two days each week. Resistance can come from free weights, weight machines, resistance bands, body-weight movements, Pilates and certain yoga practices, or heavy gardening and other sufficiently challenging activities. You do not need to become a gym person. You simply need to give your muscles regular reasons to remain useful.


Protein Becomes Part of the Conversation Too

Our previous Nibu Journal article explored protein for women over 40 in detail. Protein provides amino acids used throughout the body, including for maintaining and repairing muscle tissue. But protein works best alongside resistance exercise. Strength training sends the message. Protein provides building materials. Neither should be viewed as a miracle solution. Together, they form part of a sensible strategy for maintaining muscle through midlife.


What Happens to Bone During Menopause?

Bone deserves particular attention around menopause. Oestrogen plays an important role in regulating bone remodelling. As oestrogen levels decline around menopause, bone loss can accelerate. This is one reason women’s risk of osteoporosis increases after menopause.

Bone health is influenced by many factors including genetics, age, hormones, physical activity, calcium intake, vitamin D status, smoking, alcohol, body weight, and certain medications and medical conditions. Resistance and weight-bearing exercise are particularly valuable because bone responds to mechanical loading. Again, healthy ageing is not about one nutrient or supplement. It is about the system.


What Happens to Cardiovascular Health?

Before menopause, women generally have a lower risk of cardiovascular disease than similarly aged men. That advantage narrows with age. The menopause transition is associated with changes in several cardiovascular risk factors, including cholesterol profiles, blood pressure, body fat distribution and insulin sensitivity.

This does not mean menopause suddenly causes heart disease. Ageing and many other risk factors are involved. But it does mean midlife is a sensible time to know your numbers: blood pressure, cholesterol, blood glucose where appropriate, waist circumference, family history, smoking status and physical activity. Cardiovascular disease remains a major cause of illness and death in women. Healthy ageing needs to include the heart.


What Happens to Your Skin During Perimenopause?

Skin contains oestrogen receptors, which helps explain why hormonal changes can influence its structure and function. Around menopause, women may notice increased dryness, changes in elasticity, reduced firmness, changes in skin thickness, greater sensitivity and more visible lines. Collagen also changes with age and menopause.

But again, hormones are only part of the story. Lifetime UV exposure remains one of the most significant contributors to visible skin ageing. Smoking, nutrition, sleep and environmental exposures matter too. Healthy skin during midlife is not about fighting menopause. It is about supporting the skin barrier, protecting against UV exposure and oxidative stress, maintaining good nutrition and choosing skincare that suits your changing skin.


Why Nibu Thinks About Skin From the Inside and Outside

Nibu began with astaxanthin skincare before developing into a wider healthy-ageing brand. That history influences how we think about skin. Skin isn’t separate from the rest of your body. It responds to hormones, nutrition, sleep, stress, UV exposure, environment, ageing and skincare.

Topical skincare can support the skin barrier and appearance. Nutrition supports the body from within. Lifestyle influences both. No serum can compensate for smoking or chronic UV exposure. And no supplement can replace an appropriate skincare routine. Healthy skin is an inside-and-out conversation.


What About Vaginal and Urinary Changes?

This part of menopause is still discussed far too quietly. Declining oestrogen can affect tissues of the vulva, vagina, bladder and urethra. Symptoms can include vaginal dryness, burning or irritation, pain during sex, urinary urgency, recurrent urinary tract infections and changes in sexual comfort. These changes are sometimes grouped under the term genitourinary syndrome of menopause, or GSM.

Unlike some menopausal symptoms, which may eventually improve, GSM can persist or worsen without treatment. Effective treatments are available, including vaginal moisturisers, lubricants and, when appropriate, local vaginal oestrogen. Women should not feel embarrassed discussing these symptoms with a healthcare professional.


What About Libido?

Sexual wellbeing is complicated. Hormones may play a role, but libido can also be influenced by sleep, stress, relationship factors, vaginal discomfort, medication, mood, body confidence and overall health. So there is rarely one simple hormonal explanation. Pain during sex should not be ignored or accepted as an unavoidable part of getting older.


Can You Test for Perimenopause?

For otherwise healthy women aged 45 or over with typical menopausal symptoms, NICE guidance generally recommends identifying perimenopause or menopause without routine laboratory tests. Why? Because hormone levels fluctuate during perimenopause. A single FSH or oestrogen measurement can therefore provide a misleading snapshot.

There are circumstances where blood testing may be appropriate, particularly in younger women or when the diagnosis is unclear. But routine commercial “menopause hormone panels” are not necessarily the answer many women expect them to be. Your symptoms, age and menstrual history often tell clinicians far more.


What Is Early Menopause?

Natural menopause typically occurs between 45 and 55. Menopause occurring between the ages of 40 and 44 is generally described as early menopause. Menopause before age 40 is considered premature ovarian insufficiency, or POI. These situations deserve medical assessment because earlier loss of ovarian function can have implications for bone and cardiovascular health. If your periods stop unexpectedly before 45, do not simply assume it is ordinary menopause. Speak with your GP.


Does Every Woman Need HRT?

No. But neither should HRT be treated as something women automatically need to fear. Hormone replacement therapy, more commonly called menopausal hormone therapy internationally, can be an effective treatment for menopausal symptoms. NICE recommends offering HRT for vasomotor symptoms associated with menopause after discussing benefits and risks. The appropriate formulation depends on individual circumstances, including whether a woman has a uterus and her medical history.

For many women, the benefits can outweigh the risks. For others, HRT may not be appropriate or may not be wanted. This is a personalised healthcare decision, not something a wellness brand should make on a woman’s behalf. Nibu’s role is education. Your clinician’s role is personalised medical care.


Lifestyle Still Matters, Whether or Not You Use HRT

HRT and healthy lifestyle habits are not competitors. A woman using HRT still benefits from resistance training, cardiovascular exercise, adequate protein, a varied diet, fibre, healthy fats, not smoking, moderate alcohol intake, good sleep habits, maintaining social connection and looking after cardiovascular health.

Equally, lifestyle does not mean women should refuse effective medical treatment and simply “try harder”. Both can have a place.


What Should Women Eat During Perimenopause?

There is no special perimenopause diet. You do not need to remove gluten, dairy, carbohydrates or entire food groups unless there is a genuine individual reason. A sensible healthy-ageing pattern prioritises vegetables, fruit, legumes, whole grains, adequate protein, fish, nuts, seeds, olive oil and other unsaturated fats, calcium-rich foods and fibre.

Think dietary pattern rather than miracle ingredient. The goal isn’t perfection. It is building a way of eating that supports the next several decades.


What About Omega-3?

Marine omega-3 fatty acids EPA and DHA have established physiological roles, including contributions to normal cardiovascular function at appropriate intakes. Fish also brings protein and several important micronutrients. That makes oily fish a valuable component of a balanced dietary pattern. Women who do not regularly eat fish sometimes consider an omega-3 supplement. Nibu Wild Salmon+ can sit within that wider nutritional approach, but it should never be framed as a treatment for perimenopause. Nutrition supports health. It does not replace menopause care.


And What About Creatine?

Creatine is receiving considerable attention in women’s health. Its strongest evidence remains around muscle, strength and high-intensity exercise performance, particularly when combined with resistance training. That can make it relevant during midlife when maintaining muscle becomes increasingly important. But creatine does not treat menopause or correct hormone fluctuations. We explore this distinction fully in Creatine for Women Over 40: Benefits, Safety and What the Science Actually Says and Creatine During Menopause: Benefits, Safety and How to Take It.


Supplements Should Support the Foundations

Perimenopause can make women particularly vulnerable to supplement marketing. “Balance your hormones.” “Reset your metabolism.” “Reverse menopause weight gain.” “Detox excess oestrogen.” These promises sound appealing precisely because women want answers. But complicated biology rarely has a one-capsule solution.

Before worrying about a long supplement list, think about: strength, protein, diet quality, sleep, movement, cardiovascular health, bone health and appropriate medical treatment. Then consider supplements according to genuine individual needs. That is the Nibu approach.


Your Perimenopause Healthy Ageing Checklist

Area What to prioritise
Muscle Resistance training at least twice weekly
Protein Include a meaningful protein source at main meals
Heart Regular aerobic movement and know key cardiovascular risk factors
Bone Resistance and weight-bearing exercise, adequate calcium and vitamin D
Sleep Address persistent sleep disruption rather than simply accepting it
Nutrition Vegetables, fruit, whole grains, pulses, protein and healthy fats
Skin Daily sun protection, barrier-supportive skincare and sensible lifestyle habits
Brain Exercise, sleep, social connection and cardiovascular health
Pelvic health Seek help for vaginal or urinary symptoms
Symptoms Speak to a healthcare professional when they affect quality of life
Supplements Use selectively to support, rather than replace, the foundations

Myth vs Fact

Myth: Perimenopause starts at 50.
Fact: It commonly begins during the 40s and can start earlier.

Myth: Oestrogen simply declines steadily.
Fact: Hormone levels can fluctuate considerably during the menopause transition.

Myth: Perimenopause only affects your periods.
Fact: Symptoms can involve temperature regulation, sleep, mood, cognition, joints, sexual wellbeing and the genitourinary system.

Myth: Weight gain after 40 is entirely caused by menopause.
Fact: Ageing, activity, sleep, nutrition and other factors contribute. Menopause appears particularly relevant to changes in body fat distribution.

Myth: Women inevitably lose their strength after menopause.
Fact: Muscle remains highly responsive to resistance exercise.

Myth: You need a blood test to know whether you’re perimenopausal.
Fact: In women aged 45 or over with typical symptoms, NICE generally recommends diagnosis based on symptoms and menstrual history rather than routine hormone testing.

Myth: HRT is dangerous for everyone.
Fact: Benefits and risks vary according to the individual, type of HRT, age, timing and medical history. For many symptomatic women, HRT can be an appropriate treatment following an individual discussion with a healthcare professional.

Myth: Supplements can balance your hormones.
Fact: Be cautious of broad hormone-balancing claims. Perimenopause is a physiological transition, not a nutritional deficiency that one supplement can simply correct.


Frequently Asked Questions

What age does perimenopause usually start?
Perimenopause often begins in the 40s, although timing varies considerably between women.

How do I know if I’m in perimenopause?
Changes in menstrual cycles combined with symptoms such as hot flushes, night sweats, sleep problems, mood changes or vaginal symptoms can suggest perimenopause. If you are unsure, speak with your GP or another appropriately qualified healthcare professional.

How long does perimenopause last?
The duration varies. The menopause transition can continue for several years before the final menstrual period.

Can you still get pregnant during perimenopause?
Yes. Ovulation becomes less predictable, but pregnancy remains possible until menopause has occurred. Contraception may therefore still be required.

Does perimenopause cause anxiety?
Anxiety can occur during the menopause transition, although hormones are not the only possible cause. Significant or persistent anxiety should be discussed with a healthcare professional.

Does perimenopause cause brain fog?
Many women report problems with concentration and memory during perimenopause. Sleep disruption, mood and vasomotor symptoms may also contribute.

Does perimenopause slow your metabolism?
Ageing and changes in muscle, activity and body composition can influence energy requirements. It is too simplistic to say that perimenopause simply “switches off” metabolism.

Why am I gaining belly fat in perimenopause?
Menopause is associated with changes in fat distribution, including greater central fat accumulation. Ageing, activity, sleep, genetics and overall energy balance also contribute.

Should women lift weights during perimenopause?
Resistance training is an excellent healthy-ageing habit because it supports muscle strength, physical function and bone health.

Should I take creatine during perimenopause?
Creatine may support strength and exercise performance, particularly alongside resistance training, but it does not treat perimenopause. Individual suitability should be considered.

Is dry skin a symptom of menopause?
Skin dryness and other structural changes can become more noticeable around menopause. Age, UV exposure and other environmental and lifestyle factors also contribute.

When should I see my GP?
Seek professional advice if symptoms are significantly affecting your life, if you have concerning bleeding, symptoms before age 45, unexplained symptoms, or simply want to discuss treatment options.


Key Takeaways

  • Perimenopause is the transition leading towards menopause.
  • It commonly begins during the 40s.
  • Hormones fluctuate rather than simply declining smoothly.
  • Symptoms extend far beyond hot flushes and can include changes in periods, sleep, mood, cognition, skin, joints and sexual or urinary health.
  • Not every symptom in your 40s is caused by menopause.
  • Changes in body composition during midlife reflect both ageing and the menopause transition.
  • Maintaining muscle and strength becomes increasingly important.
  • Bone and cardiovascular health deserve more attention, not less.
  • Routine hormone testing is generally unnecessary in otherwise healthy women over 45 with typical symptoms.
  • Effective treatments, including HRT where appropriate, are available.
  • Lifestyle matters enormously, but it should complement rather than replace necessary medical care.
  • Perimenopause can become the moment you begin investing seriously in your future health.

The Nibu Longevity Take

There is a version of the menopause conversation that we don’t particularly like. It tells women that everything is about to go wrong. Your hormones will disappear. Your metabolism will collapse. You’ll gain weight. Your skin will age. You’ll lose muscle. You’ll stop sleeping. And then somebody conveniently offers to sell you the solution.

That isn’t how we want women to experience midlife.

Perimenopause is a genuine physiological transition. It can be difficult. Symptoms deserve to be taken seriously. And women deserve access to proper medical treatment when they need it.

But your 40s are not the beginning of decline. They can be the beginning of something much more useful: intentional healthy ageing.

Perhaps you start lifting weights. Perhaps you finally prioritise sleep. You pay attention to protein. You know your blood pressure. You protect your bones. You stop smoking. You walk more. You take your symptoms seriously. You ask better questions about your health. And you begin thinking about what you want your body to still be capable of 20 or 30 years from now.

Menopause marks the end of reproductive years. It does not mark the end of vitality, strength, health or possibility. Your next chapter can still be extraordinarily strong.


Conclusion

Perimenopause can feel confusing because it rarely arrives with a clear announcement. Instead, small things begin changing: periods, sleep, temperature, mood, skin, body composition, energy. Sometimes those changes are subtle. Sometimes they affect almost every part of daily life.

Understanding the physiology doesn’t make every symptom disappear. But it does replace uncertainty with knowledge. And knowledge creates choices. You can seek treatment, adjust your training, improve your nutrition, protect your muscle and bones, look after cardiovascular health, change your skincare, prioritise sleep and ask for help.

Healthy ageing is not about pretending our bodies don’t change. It is about understanding those changes well enough to respond intelligently. Perimenopause is one transition. The decades that follow are still yours to shape.


References

  1. National Institute for Health and Care Excellence (NICE). Menopause: Identification and Management (NG23). Updated 2024.
  2. NHS. Menopause: Symptoms. NHS guidance.
  3. Harlow SD, Gass M, Hall JE, et al. Executive Summary of the Stages of Reproductive Aging Workshop +10. Menopause. 2012;19(4):387–395.
  4. The 2023 Practitioner’s Toolkit for Managing Menopause. Climacteric. 2023.
  5. Monteleone P, et al. Symptoms of Menopause: Global Prevalence, Physiology and Implications. Nature Reviews Endocrinology. 2018;14:199–215.
  6. Greendale GA, Derby CA, Maki PM. Perimenopause and Cognition. Obstetrics and Gynecology Clinics of North America. 2011;38(3):519–535.
  7. Maki PM, Jaff NG. Brain Fog in Menopause. Climacteric. 2022;25(6):570–578.
  8. El Khoudary SR, et al. Menopause Transition and Cardiovascular Disease Risk. Circulation. 2020;142:e506–e532.
  9. Greendale GA, et al. Bone Mineral Density Loss in Relation to the Final Menstrual Period. Journal of Bone and Mineral Research. 2012;27(1):111–118.
  10. Davis SR, et al. Understanding Weight Gain at Menopause. Climacteric. 2012;15(5):419–429.
  11. The North American Menopause Society. The 2020 Genitourinary Syndrome of Menopause Position Statement. Menopause. 2020;27(9):976–992.
  12. World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour. 2020.

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About The Nibu Journal

The Nibu Journal is the educational home of Nibu Naturals. Created to help women make informed decisions about healthy ageing, we explore longevity, women’s health, nutrition, supplements, movement and skin health through clear, evidence-led education.

Nibu believes ageing well isn’t about trying to stop time. It’s about understanding your body, supporting it intelligently and building habits that help you remain strong, healthy and confident throughout every stage of life.

Educate first. Support second. Sell naturally.


Medical Disclaimer

This article is for general educational purposes and is not intended to diagnose, treat, cure or prevent any medical condition.

Symptoms associated with perimenopause can overlap with other health conditions. Speak to your GP or another appropriately qualified healthcare professional if you are concerned about symptoms, if they significantly affect your quality of life, or if you would like to discuss HRT or other treatment options.

Seek medical advice for very heavy or unusual bleeding, bleeding between periods, bleeding after sex, or any bleeding after menopause. Menstrual changes or menopausal symptoms before age 45 should also be discussed with an appropriate healthcare professional.

Food supplements should not be used as a substitute for a varied, balanced diet and healthy lifestyle.

Chrissie Mpharm

Chrissie Mpharm

MPharm, Content Lead at Nibu Naturals

Chrissie is the content lead at Nibu Naturals. With an MPharm degree and a passion for healthy ageing, she writes about skincare, supplements, nutrition and women's wellness — translating complex science into warm, practical guidance for every stage of life

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