A Field Guide for the Perimenopause Years

Perimenoposse

If you've been feeling like a stranger in your own body and wondering if you're losing it — you're not. You might just be in the Perimenoposse now. Wipe the unwanted sweat from your brow and pull up a chair.

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Three months ago I was convinced something was seriously wrong with me. I was exhausted in a way I had never experienced before. I called it "lung-energy death." I was apathetic about my work, my projects, my people. I was letting twenty-year friendships quietly dissolve because I didn't have the energy to care anymore. And then I got a UTI that lasted for two years and counting.

I finally went to the doctor, got the UTI treated (again), and asked the question I'd been dodging: is this perimenopause?

Yes. Obviously. In hindsight, obviously.

So I came home and went down a research hole. What I learned: my body had entered a new season with new nutritional needs, and I was still eating like I was thirty. Less estrogen means I need more phytoestrogens, more calcium, more magnesium, more omega-3s, more fiber, more fermented foods, more protein — and I need to time it differently.

I went on a grocery shopping spree. I started roasting things for myself in my toaster oven. I added supplements. Within days I felt sharper and steadier. At three weeks, my hot flashes stopped. I'm sleeping through the night. I'm answering texts again. I'm not dying. I was just starving.

Here's the full protocol, in case it's useful to you or someone you love.

The Protocol

Breakfast / anytime

  • Oatmeal + plain yogurt with chia seeds, ground flax, berries, apples
  • Eggs
  • Protein every 3 hours — and protein before coffee, not after

Roasted & savory

  • Roasted broccoli + sweet potatoes
  • Garbanzo beans with red onion pickled in red wine vinegar
  • Lentils / lentil soup
  • Sauerkraut
  • Kimchi
  • Seaweed
  • Olive oil on everything

Daily snacks — the mineral crew

  • Walnuts
  • Almonds
  • Brazil nuts — selenium; two a day is plenty
  • Pumpkin seeds
  • Goji berries

Tea & supplements

  • Traditional Medicinals Throat Coat — for the marshmallow root
  • Black cohosh — 80 mg, morning and night*
  • Glycine — Pure Encapsulations, 3 capsules / 1500 mg at bedtime*
  • Magnesium at bedtime*
  • D-mannose — added to my water just to keep the UTI away*

Rhythms that matter as much as the food

  • Eat dinner early
  • Stop eating and put devices away an hour and a half before bed
  • Get sunlight in your eyes when you get up
  • Sleep through the night — the glycine + magnesium combo did the trick for me

*I am not a doctor. Trust your instincts. Do your own research.

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