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Finding Balance in Perimenopause: A Whole-Body Approach

  • Writer: Dr. Megha Mohey
    Dr. Megha Mohey
  • Jun 27, 2025
  • 2 min read

Updated: Dec 6, 2025

Perimenopause is a natural transition, but for many women, it doesn’t feel that way. Hot

flashes, disrupted sleep, mood shifts, brain fog, weight gain, irregular cycles - it can feel like

your body is suddenly speaking a new language. And if you’re also managing prediabetes,

insulin resistance, or inflammatory conditions, the symptoms may be even more intense.


But this phase of life doesn’t have to be one of struggle. With the right tools and a whole-

person approach - you can feel more balanced, resilient, and in control.



Supporting the Body Through Hormonal Changes


At Way Integrative & Functional, we approach perimenopause with the understanding that

hormones don’t shift in isolation - they’re influenced by inflammation, stress, sleep, gut health, and metabolism. That’s why our plans are personalized and rooted in science-backed, lifestyle-first strategies.


🥦 Anti-Inflammatory Nutrition


Inflammation and blood sugar imbalances can worsen perimenopausal symptoms and

increase the risk of chronic disease. A nutrient-dense, whole-foods diet rich in fiber, greens,

healthy fats, and antioxidants can support estrogen metabolism, reduce hot flashes, and

stabilize energy. We also focus on addressing insulin resistance, which often begins or worsens during this phase.


🏃 Movement for Metabolism and Mood


Regular physical activity improves insulin sensitivity, supports lean muscle, balances cortisol,

and boosts mood. A mix of resistance training, walking, and gentle movement like yoga is

ideal. We tailor recommendations based on your symptoms, labs, and lifestyle.


🌿 Acupuncture for Symptom Relief


Acupuncture is a powerful ally in managing perimenopausal symptoms. It can help reduce hot flashes, improve sleep quality, ease anxiety, and support hormonal regulation by modulating the nervous and endocrine systems. Many women find it to be a calming, centering therapy with benefits that extend beyond hormones.


😴 Sleep & Stress Restoration


Hormonal shifts can disrupt sleep and make stress harder to manage—yet both are key to

metabolic and hormonal balance. We work with you on calming rituals, nervous system

support, and natural therapies that help restore restful sleep and lower inflammation.


🧬 Natural Supplements When Needed


Supplements like magnesium, omega-3s, vitamin D, B vitamins, or targeted herbs (e.g.,

chasteberry, black cohosh, ashwagandha) may help regulate cycles, improve mood, and

reduce symptoms. We carefully select and personalize based on your labs, symptoms, and

goals.



Perimenopause, Prediabetes & Inflammation: The Overlap Is Real


During perimenopause, your body’s response to insulin often becomes less efficient. That

means weight gain (especially around the belly), sugar cravings, and elevated blood sugar

levels may creep in - even if your habits haven’t changed. This can increase the risk of:


• Prediabetes and type 2 diabetes

• Obesity and metabolic syndrome

• Inflammatory conditions like joint pain, fatigue, or autoimmune flares


But with the right interventions, these trends can be reversed. Functional

medicine allows us to explore and address the root causes behind these shifts, often without

relying solely on medications.



You Are Not Alone—And There Is a Path Forward


Perimenopause is not just a hormonal event - it’s a whole-body experience. And it’s one that

deserves compassionate, evidence-based support. Whether you’re struggling with symptoms, concerned about chronic disease risk, or simply want to feel more like yourself again, we’re here to help.

 
 
 

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Way Integrative and Functional Health is a DBA of Megha Mohey, MD, P.C. providing care across Michigan

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