Protocolsnutrition
nutritionModerate

Menopause Transition Protocol

A protocol for the menopause transition using diet, lifestyle, targeted supplements, and hormone therapy when a clinician and you decide it fits.

Evidence Score

64/100

Developer

Christiane Northrup, Sara Gottfried, functional medicine

Duration

Perimenopause often lasts 4 to 10 years, with ongoing adjustments after menopause

Steps

12 phases

Used for

5 conditions

Protocol Overview

A protocol for the menopause transition using diet, lifestyle, targeted supplements, and hormone therapy when a clinician and you decide it fits.

Used For

Perimenopausemenopause symptomshot flashesmood changessleep disruption

Key Resources

The Wisdom of Menopause by Christiane Northrup, "The Hormone Cure" by Sara Gottfried, The Menopause Society (formerly NAMS)

Safety Profile

Contraindications & Risks
Hormone therapy: history of breast or uterine cancer, blood clots, stroke, heart disease or active liver disease needs an individual decision with a clinician. Black cohosh: stop and see a clinician if you notice dark urine, yellow skin or abdominal pain. Ginkgo, vitamin E, omega-3 and K2 can interact with blood thinners. SAMe should not be combined with antidepressants without your prescriber
Important Notes

Menopause is natural, and many symptoms can be eased. The Women's Health Initiative raised fears about hormone therapy, but later analyses show a more favorable balance for women who start within 10 years of menopause or before 60. Transdermal estradiol carries a lower clot risk than oral estrogen. Black cohosh has mixed evidence for hot flashes. Bone and muscle loss speed up after menopause, so protein, resistance training and vitamin D matter. Low-dose vaginal estrogen is well studied for dryness and urinary symptoms. Quality of life matters: you don't have to tough it out. See a clinician for any bleeding after menopause.

Find a Practitioner

Gabriel can find and book a practitioner who works with this approach.

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EvidenceModerate
Evidence Score64/100
Categorynutrition
DurationPerimenopause often lasts 4 to 10 years, with ongoing adjustments after menopause

About Evidence Score

The Evidence Score (0 to 100) rates the strength of evidence from studies in people for the uses listed: higher means stronger, more consistent research. It does not measure safety. It is not medical advice.

For education, not medical advice. Talk with a licensed clinician before you start, and never stop or change a prescribed medication without your prescriber.