Perimenopause vitamins: what to know

A varied diet usually supplies many nutrients, while a restricted diet, digestive condition, heavy bleeding or a medicine can change what you need. Vitamin D and calcium support bone health, but supplements cannot replace movement, protein and adequate food. Iron may be relevant when bleeding is heavy, yet taking it without confirming low iron can cause side effects and obscure another cause of tiredness. Vitamins do not reliably treat every flush, sleep change or mood symptom.

Start with meals containing vegetables, fruit, beans, whole grains, protein foods and calcium-rich choices. Bring every supplement, herbal product and medicine to a pharmacist or clinician, including products bought online. Ask whether a blood test or dietary review is appropriate before starting iron, high-dose vitamin D or a combined menopause product. Follow the label and avoid stacking several products with the same ingredient.

Arrange medical review for persistent exhaustion, breathlessness, palpitations, bone pain, unexplained weight change or heavy bleeding. Seek urgent help for chest pain, fainting, severe weakness or signs of an allergic reaction after a supplement. Stop a new product and seek advice if you develop repeated vomiting, severe abdominal pain, confusion or unusual bleeding.

Ask which nutrient, if any, is relevant to your diet and symptoms, whether testing is needed, what dose is suitable, and how a supplement may interact with your medicines.