02/13/2026
This phase of life isn’t the time for “kitchen-sink” supplements. Hormones are already shifting. The goal is clean foundations that stabilize your body: with or without HRT.
Here’s where I start 👇
✨ B-Complex:
B-vitamins support energy, mood, stress response, liver detox, and hormone processing.
☀️ Vitamin D3 + K2:
Bone, immune, mood, insulin sensitivity, and hormone receptor support. K helps direct calcium where it belongs.
🧠 Magnesium (L-threonate or glycinate):
Sleep, anxiety, muscle tension, headaches, and brain health. Perimenopause burns through magnesium fast.
🐟 Fish Oil (EPA/DHA):
Inflammation control, brain health, joints, lipids, and cleaner hormone signaling.
I don’t like algae oil as a vegan option because to get adequate amount of EPA and DHA you would need to take a lot of capsules.
💪 Creatine:
Preserves muscle, supports cognition, mood, and metabolic health: it’s critical as hormones decline.
🥦 Sulforaphane:
Supports liver detox, estrogen metabolism, mitochondrial and cellular health. Essential to improve estrogen dominance.
Why I usually avoid herbs that many supplements are filled with including ashwagandha, maca, and vitex: some women benefit from this, others don’t. I like to take supplements that don’t add to the chaos.
HRT replaces hormones. These supplements support the systems hormones act on and they work better together.
These are just the basics, and from here we built on top of that with more targeted interventions. Coming up next is part two.
My favorite brands: Thorne, Metagenics, Seeking Health, Jarrow, Vital Nutrients, Designs For Health. Not Costco supplements. I’m not affiliated with any of these companies, just sharing what I like and have used for years with my patients and with my own health.