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Perimenopause blog by Dr Kamila Hortynska

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What You Can Actually Do About It

Menopause does not arrive on a fixed schedule. Your lifestyle, your diet, your sleep, your stress levels — all of it is actively shaping your hormonal timeline right now. Most women are never told this. And most women are therefore never given a real, practical answer to the question that matters most: what can I do about it?

That is exactly what this blog is for.

There are seven root causes that accelerate the onset of menopause — blood sugar instability, chronic stress and elevated cortisol, poor sleep, ongoing low-level inflammation, exposure to hormone-disrupting chemicals, compromised gut and liver function, and nutritional deficiencies. Each one is addressable. Each one has specific, practical actions behind it.

Below is the full action plan — one section for each root cause, covering what to do and why it works. You do not need to do everything at once. Start with what feels most relevant to where you are right now, and build from there. If you want the full explanation of why each of these root causes matters — the biology behind them, what they are doing inside your body — that is covered in Part 1 of this series.

🔗 LINK HERE — Part 1 of this series

1. Stabilise Your Blood Sugar

This is the single most impactful place to start. Blood sugar instability drives cortisol up, disrupts sleep, and directly impairs hormone production. Getting this right has a knock-on effect on almost everything else. The goal is simple: keep your blood sugar within a steady range throughout the day, with as few sharp rises and drops as possible.

A. Through Diet

  • Eat protein with every meal — it slows the absorption of carbohydrates and prevents sharp blood sugar spikes. This is non-negotiable.
  • Do not skip meals — going too long without eating causes blood sugar to drop, which the body reads as a stress signal and responds to with cortisol.
  • Choose low-GI carbohydrates — like oats, legumes, vegetables, whole grains over refined and processed options.
  • Avoid simple sugars and refined foods — white bread, pastries, sugary drinks, processed snacks.
  • Include omega-3 rich foods regularly — fatty fish such as salmon, sardines, mackerel, and herring. Research links diets high in fatty fish to a later natural onset of menopause. You may also add a good Omega 3 supplement. It would be really hard to overdose on Omega 3 even if you tried. 
  • Eat foods rich in zinc and vitamin B6 — eggs, pumpkin seeds, chickpeas, leafy greens. And/or add them as supplements. Studies associate these nutrients with later menopause onset. 
  • Add beans and legumes — consistently linked in research to later menopause onset. Include them regularly throughout the week.

B. Though exercise 

Resistance training — lifting weights or any exercise that builds muscle — indirectly lowers the sugar’s burden on the body. Muscle acts as a buffer for high blood sugar: the more muscle