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The Role of Nutrition in Managing Perimenopause Symptoms

By Moshy
5 min read
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Key Takeaways

Supporting your body through perimenopause and beyond means giving your body targeted nutritional support. Moshy's Lead Dietitian confirms the foundation is a nutrient-rich diet focusing on seven vital areas: essential minerals (Magnesium, Calcium, Vitamin D) for bone health, Omega-3s for heart health and mood, lean protein for metabolism, and phytoestrogens to help manage hot flashes. By intentionally prioritising these nutrients, you can proactively manage your symptoms and boost your long-term wellbeing.

Navigating perimenopause can feel like a rollercoaster, with hormonal shifts often affecting everything from weight and mood to overall wellbeing. At Moshy, we know your health is about so much more than a number on the scale, it’s about feeling empowered, supported, and confident at every stage of life. That’s why we spoke to Kirby Sorensen, Moshy Lead Dietitian, about how to best support your body during this phase of life.

Understanding Why Certain Nutrients Are More Important During Perimenopause

As your body transitions through perimenopause and menopause, nutrition becomes more vital than ever. The hormonal shifts that define this period can affect bone density, heart health, metabolism and mood. The good news is that the foundational nutritional support needed for both perimenopause and menopause is the same.

By focusing on a diet rich in essential nutrients, you can proactively manage symptoms and promote long-term well-being.

This includes focusing on:

  • Calcium, magnesium, and vitamin D for bone health
  • Omega-3s for their anti-inflammatory properties which can assist with mood, joint pain, and there are studies showing that Omega-3's can help with symptoms such as hot flushes.
  • Healthy fats, which are important due to the increased risk of cardiovascular disease
  • Lean protein to support metabolism and preserve lean muscle mass

Managing perimenopause and menopause requires thoughtful nutrition to support your body's changing needs. 

Variety of high fibre foods

Your Nutritional Toolkit: A Guide to Easing Symptoms

1.  Magnesium, The Mighty Mineral for Strong Bones

Low magnesium has been shown to lead to lower bone mineral density and higher risk of fractures in perimenopause. Many menopausal women are unknowingly deficient in magnesium which increases their risk of osteoporosis.

Around 60% of your body's magnesium is stored in your bones. If you are deficient, your bone turnover and loss is likely to increase and you are unable to absorb vitamin D as efficiently. Ensure you're getting enough magnesium through sources like nuts, seeds, legumes, dark leafy greens and whole grains.

2. Stabilise Your Blood Sugar, Stabilise Your Mood

Hormonal fluctuations can make your moods feel unpredictable. When your blood sugar levels spike and crash, it can amplify feelings of irritability, anxiety, and fatigue. To help keep your mood steady, focus on balanced meals and snacks that combine protein, healthy fats, and fibre.

3. Combat Hot Flashes with Phytoestrogens

Phytoestrogens are natural plant compounds that have a chemical structure similar to estrogen. When you consume foods rich in them, such as chickpeas or flaxseeds, these compounds can mimic a weaker form of estrogen in your body.

Some evidence has shown that women find that foods rich in phytoestrogens, or plant-based compounds can help with hot flashes and night sweats. Incorporating foods like soybeans, chickpeas, lentils, flaxseeds, and certain fruits and vegetables can be a gentle way to support your body's hormonal balance.

4. Support Bone Health with Calcium and Vitamin D

As estrogen levels decline, so does bone density. This increases your risk for osteoporosis later in life. Now is the time to be proactive. Ensure you're getting enough calcium through sources like dairy, fortified plant-based milk, leafy greens, and sardines. Vitamin D is just as important, as it helps your body absorb calcium. Get it from sunlight exposure, fortified foods, and fatty fish like salmon.

5. Reduce Risk of Cardiovascular Disease with Omega 3s

Perimenopause is associated with an increased risk of cardiovascular health risks including high blood pressure, insulin resistance and high cholesterol levels due to the reduced estrogen levels. Omega 3's have also been shown to reduce frequency and severity of night sweats in perimenopausal women. The anti-inflammatory properties of Omega 3s also may help with mood swings and joint pain associated with menopause. Foods high in Omega-3 fatty acids can help combat this. Aim to include fatty fish (salmon, mackerel, sardines), walnuts, and chia seeds in your diet.

6. Prioritise Protein for Muscle and Metabolism

You may notice that maintaining muscle mass becomes more challenging during this time. Protein is crucial for muscle repair and growth. It also helps you feel full, which can be helpful if you're managing your weight. Include lean protein sources like chicken, fish, eggs, legumes, and tofu in every meal.

7. Stay Hydrated

Dehydration can worsen fatigue and make you feel sluggish. Drinking plenty of water is essential, but you can also increase your hydration by eating water-rich foods like cucumbers, watermelon, celery, and berries. This simple habit can help you feel more energised throughout the day.

Fruit platter with hydrating fruits

Know You Are Not Alone During This Transition

Perimenopause is a unique journey for every woman, and it's essential to remember that you don’t have to navigate it alone. Our goal at Moshy is to empower you to feel confident and supported at every stage of life.

Sometimes, expert guidance is essential to simplify complex health challenges, and that's precisely why our weight management program is designed to help you make informed choices and achieve your goals.


Experience a streamlined consultation process with Moshycomplete a brief questionnaire and quickly connect with your health practitioner, all without the stress of in-person clinic visits.

If you're ready to take the next step in your health journey, our team is here to help.

Note: If you are experiencing severe or persistent symptoms, we always recommend consulting with your Doctor for personalised medical advice.

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