The Surprising Magic of Cross-Generational Friendship

Picture this: You’re mid-hot flash in a Zoom meeting, trying to look like you’re not melting, when your 26-year-old coworker messages you a meme about hormones. You laugh, hard. Later, your 70-year-old neighbor tells you she used to put her head in the freezer during board meetings. That’s when it clicks—maybe what you need right now isn’t just hormone therapy. Maybe you need a friend who gets it… and one who’s still figuring it out.

Welcome to the joy (yes, joy) of intergenerational friendship in perimenopause.


What’s Actually Happening to Your Body?

Perimenopause is your body’s long, weird pre-party for menopause. Estrogen goes rogue. Periods become unpredictable guests. And your moods? Let’s just say they deserve their own reality show (North American Menopause Society, 2023).

But beyond the science, something else is happening: You’re rethinking everything—your career, your purpose, your people. That’s where friendships across generations become gold.


Why Women Older and Younger Than You Are the Secret Weapon

1. They’ll Say What Your Peers Won’t

  • Older friends? They’ve been through the night sweats, the “Who even am I anymore?” phase.
  • Younger friends? They ask questions that jolt you out of your funk. Like, “Why aren’t you charging more for your services?!”

2. They Make You Feel Seen and Sparked

  • Science shows social support reduces anxiety, depression, and even insomnia in midlife women (Avis et al., 2018). In fact, researchers found that women with stronger support systems experienced fewer mood swings and better sleep quality—because they weren’t shouldering the emotional upheaval alone. Simply put: when someone listens, your body relaxes.
  • Mixed-age friendships, in particular, act like a mental workout. According to Fingerman et al. (2019), regularly interacting with people from different age groups keeps your brain flexible and adaptive—similar to how yoga increases range of motion. Conversations that challenge your assumptions, expose you to new ideas, or invite you to reflect on your past are neurologically enriching.
  • Community = less cortisol = less stress. Your hormones literally respond to your social environment. Whisman et al. (2017) found that women who felt emotionally supported had more stable cortisol patterns, meaning fewer stress spikes and more resilience throughout the day. It’s not just comforting—it’s chemical.

3. They Flip the Script on Aging

These friendships aren’t just sweet. They’re radical. They challenge the idea that aging means shrinking into invisibility. They prove that every decade has a vibe—and you get to remix yours.


What Gets in the Way (and How to Leap Over It)

What Trips Us UpWhat to Try Instead
“She’s too young to understand”Ask her what she does understand—you might be surprised.
“She’s in a different life stage”That’s the magic. Different stages, same questions.
“We have nothing in common”Start with something small: a book, a recipe, a memory.
“I don’t have time”Friendships don’t need hours. Try 15 minutes and honesty.

Want to Make a Cross-Gen Friend? Try This:

1. Host a Story Swap

  • Invite women from different age groups to share a “big moment” in life. Laughter guaranteed.

2. Start a Buddy Check-In

  • One woman older, one younger. One text a week. One real question: “What’s bringing you joy—or driving you nuts?”

3. Join a Mixed-Age Group Online

  • Look for menopause support forums, storytelling circles, or hobby groups that span generations.

4. Be Bold—And Break the Ice

  • That woman you admire at yoga? Ask her to coffee. That colleague who’s fresh out of college? Ask her opinion. This is how it starts.

Try These This Week

  • Share a life hack with someone younger. You’ve got more wisdom than you think.
  • Ask an older woman what surprised her most in her 40s. Listen. Really listen.
  • Start a 3-woman group text: One older, one younger, one your age. Talk about food, fashion, failure—whatever flows.
  • Send this article to someone in a different decade and say, “This made me think of you.”

Wrapping It All Up

Here’s your permission slip to talk to strangers—especially the older ones with stories and the younger ones with questions. You are not too old to start something wild. You are not too young to mentor. You are exactly where someone else needs you.

And maybe—just maybe—perimenopause isn’t a breakdown. Maybe it’s the perfect time for a breakthrough. One shared story at a time.


References

Avis, N. E., Brambilla, D., McKinlay, S. A., & Gold, E. B. (2018). Longitudinal trajectories of menopausal symptom occurrence and intensity in a population of midlife women. Menopause, 25(12), 1328‑1336. https://doi.org/10.1097/GME.0000000000001176

Fingerman, K. L., Pillemer, K., Suitor, J. J., & Birditt, K. S. (2019). The Ties That Bind: Midlife Parents’ Daily Experiences With Grown Children. Annual Review of Gerontology and Geriatrics, 39(1), 191–209. https://doi.org/10.1891/0198-8794.39.191

Kaczynski, A. T., Wilhelm Stanis, S. A., & Hipp, J. A. (2020). Social integration and mental health among midlife women. Journal of Aging and Health, 32(7-8), 955–975. https://doi.org/10.1177/0898264319877071

Whisman, M. A., Johnson, D. P., & Rhee, S. H. (2017). Perceived Social Support and Cortisol Reactivity. Psychoneuroendocrinology, 78, 123–131. https://doi.org/10.1016/j.psyneuen.2017.01.020

North American Menopause Society. (2023). Menopause Practice: A Clinician’s Guide (9th ed.).

Menopause Friendly Kitchen: Best Foods to Embrace & Avoid for Anti‑Inflammatory, Phytoestrogen & Hydration Support

If you’re reading this, you might be navigating the wild ride of menopause (or perimenopause), noticing changes in your body, mood, energy, sleep, and more. I want you to know: these shifts are real—and how you eat can make a difference.

The kitchen becomes a powerful tool during this stage of life. The right foods help reduce inflammation, ease hot flashes, support bones, protect your heart, balance mood, and keep you hydrated. On the flip side, some foods can make symptoms worse.

In this post, I’ll walk you through:

  1. Why inflammation, declining estrogen, and hydration matter in menopause
  2. Which foods to embrace (especially anti‑inflammatory foods & phytoestrogens)
  3. Which foods to limit or avoid
  4. Practical tips to build your meals (and a shopping list printable to help)

Let’s get into it—your menopause‑friendly kitchen starts here.


Why Inflammation, Declining Estrogen, and Hydration Are Key in Menopause

Menopause isn’t just “no more periods”—it’s a major hormonal shift. Estrogen levels decline, progesterone declines, and with those changes come downstream effects: increased inflammation, metabolism changes, higher risk for bone loss, cardiovascular disease, mood changes, and more.

Also, lower estrogen impacts fluid regulation. Women during and after menopause often lose more moisture via hot flashes and night sweats, can experience dry skin and mucous membranes, and sometimes less efficient thirst signals. All of this makes hydration a more active concern than many realize.

Combining good nutrition (especially anti‑inflammatory and phytoestrogen‑rich foods) with excellent hydration can help mitigate many of the uncomfortable symptoms, improve wellbeing, and reduce long‑term health risks.


Foods to Embrace

Here are the foods that work with your changing body—foods that ease inflammation, supply gentle phytoestrogens, support bones, and help pace hydration.

Anti‑Inflammatory Superstar Foods

These are foods that help reduce chronic, low‑grade inflammation—exactly the kind that tends to rise during and after menopause.

Food TypeWhat It DoesSpecific Foods to Include
Fatty fish / omega‑3 rich sourcesEPA & DHA (from fish), and ALA (from plant sources) help reduce inflammatory markers (e.g. CRP, IL‑6, TNF‑α). Studies show modest benefit for vasomotor symptoms and mood (though results are mixed). (MDPI)Salmon, mackerel, sardines, anchovies; flaxseeds, chia seeds, walnuts
Leafy greens & colorful vegetablesAntioxidants and phytonutrients protect cells, reduce oxidative stress; fiber supports gut health (which ties into inflammation). (HotPause Health)Spinach, kale, Swiss chard, collards, broccoli, Brussels sprouts, carrots, beets
Berries & other antioxidant fruitsRich in flavonoids & polyphenols which help quench free radicals. Also help maintain better metabolic health. (Healthline)Blueberries, strawberries, raspberries, cherries, pomegranates
Whole grains & high‑fiber foodsFiber helps modulate blood sugar, reduce insulin spikes, and support a healthy gut microbiome—all parts of the inflammation puzzle. (HotPause Health)Oats, quinoa, barley, brown rice, millet, whole‑wheat items (if tolerated)
Nuts, seeds & healthy fatsMonounsaturated and omega‑3 fats reduce inflammatory pathways; seeds offer fiber and sometimes phytoestrogens too. (Healthline)Walnuts, almonds, flax, chia, hemp seeds; extra virgin olive oil; small amounts of avocado

Phytoestrogens: Gentle “Plant Estrogen” Support

Phytoestrogens are plant compounds (e.g. isoflavones, lignans, coumestans) that can mimic or modulate estrogen in your body. They’re not a replacement for hormone therapy but can help ease symptoms, support bone health, vaginal health, etc.

Key points from high‑quality research:

  • A meta‑analysis of randomized controlled trials found that phytoestrogen supplementation (soy, red clover, etc.) is associated with modest reductions in daily hot flashes and vaginal dryness. (JAMA Network)
  • Phytoestrogens may also have positive effects on bone mineral density during and after menopause. (ResearchGate)

Here are phytoestrogen‑rich foods you might want to eat more of:

FoodSource of PhytoestrogensPractical Tips
Soy & soy productsIsoflavones (like genistein, daidzein)Tofu, tempeh, edamame, soy milk; aim for whole or minimally processed soy rather than isolated supplements (unless advised by your provider)
FlaxseedVery high in lignansGround flaxseed added to oats, smoothies, or mixed into baking; whole flax in yogurt or salads (ground works better for absorption)
Legumes & pulsesBeans, lentils, chickpeas have phytoestrogen content plus fiberTry chickpea curry, bean‑based soups, hummus, lentil stews
Seeds, nuts & some grainsSesame seeds, sunflower seeds, oats, wheat germ etc.Use as toppings, snack choices; sprinkle seeds in salads, use tahini (sesame seed paste), or seed blends on yogurt
Cruciferous vegetablesContain compounds that help with estrogen metabolism and may have mild phytoestrogen activityBroccoli, cauliflower, cabbage, Brussels sprouts; again, eat raw or lightly steamed to preserve nutrients

Hydration & Fluids

Hydration is more than just drinking water—it’s about maintaining fluid balance in a body that is shifting hormone levels, experiencing sweat, possibly medications, etc.

Here are hydration strategies that help:

  • Drink enough water daily: The NHS Eat Well guidelines suggest 6‑8 glasses; menopausal symptoms like hot flashes, night sweats, dry skin increase the need. (The Menopause Charity)
  • Include hydrating foods: Fruits and vegetables with high water content help (e.g. cucumbers, watermelon, citrus fruits, leafy greens) so you’re “eating some of your fluids.” (Menopause Mastery)
  • Mind electrolytes: When sweating out fluids (hot flashes, exercise), you lose minerals (sodium, potassium, magnesium). Including foods rich in these helps maintain balance. (Alison Bladh)
  • Limit dehydrating beverages: Alcohol, caffeine, high‑sugar drinks—they may worsen hot flashes & contribute to dehydration. Moderation is key. (femininehealth.org)

Foods & Ingredients to Limit or Avoid

What you don’t eat matters as much as what you do. Certain foods tend to exacerbate inflammation, disrupt hormones, or interfere with hydration. Below are common culprits, with suggestions for moderation.

Food / CategoryWhy It Can Make Menopause Symptoms WorseTips to Cut Back / Alternatives
Highly processed foods / refined carbsThey tend to spike blood sugar, increase insulin, promote inflammation, worsen mood swings and possibly worsen heat sensitivity.Swap white bread / sweets for whole grains; replace packaged snacks with whole‑food alternatives; cook from scratch when possible
Excessive saturated and trans fatsThese promote inflammation & negatively affect cardiovascular health; after menopause, the risk for heart disease increases.Choose lean cuts, skinless poultry, fish, plant‑based fats; avoid trans fats (fried, processed baked goods)
High sugar / sugary beveragesSugar can worsen inflammation, contribute to weight gain, exacerbate mood swings, affect sleep; also influence insulin resistance.Use fresh fruit for sweetness; if using sweeteners, choose lower‑glycemic options; limit soda, sweetened teas, juices
AlcoholMay trigger hot flashes, interfere with sleep; adds to dehydration risk.If you drink, limit alcohol, avoid drinking close to bedtime; prefer wine or lighter drinks; always accompany with water
CaffeineFor some women, caffeine aggravates hot flashes, disrupts sleep; also mildly diuretic.Notice how your body reacts; consider switching to lower‑caffeine or herbal teas in afternoons/evenings
Spicy, very hot, or temperature‑extreme foodsCan trigger vasomotor symptoms for many women (hot flashes etc.).Identify your triggers; maybe avoid overly spicy dishes or very hot liquids when symptoms are severe
Processed meats / overly salted foodsHigh in sodium contributes to bloating, may affect blood pressure; processed meats may carry inflammatory compounds.Use herbs and spices to flavor; choose fresh, lean meats; reduce salt or use sea salt; read labels carefully

How to Build Menopause‑Friendly Meals

Here are some practical tips so you can build meals that lean in towards easing symptoms, supporting hormone health, and keeping you hydrated.

  • Balance your plate: Aim for a combination of protein + fiber + healthy fats in each meal. Protein helps maintain muscle (which tends to decline with age + lower estrogen), fiber slows digestion, healthy fats help reduce inflammation.
  • Plant‑forward eating: Even if you’re not vegan or vegetarian, try to make plants the base of several meals per week (e.g. legumes, whole grains, vegetables) rather than meat.
  • Include phytoestrogen sources regularly: For example, a stir‑fry with tofu one day, beans the next, flax in your breakfast. Variety helps.
  • Hydrate strategically throughout the day: Start with a glass of water or herbal tea in the morning, sip water during meals, carry a water bottle, choose hydrating snacks.
  • Mind timing & triggers: If you know some foods trigger heat or other symptoms for you, plan to avoid them around times you expect trouble (e.g. evening meals, bedtime).

Research Highlights & What We Know from Clinical Studies

To give you confidence, here are some of the stronger studies findings:

  • A systematic review of n‑3 polyunsaturated fatty acids (omega‑3s) showed that among postmenopausal women, some studies saw improvements in hot flashes and night sweats, though overall evidence is mixed and benefit modest. (MDPI)
  • The meta‑analysis “Use of Plant‑Based Therapies and Menopausal Symptoms” (Franco et al., 2016) reviewed 62 RCTs and found that phytoestrogens (especially soy isoflavones, red clover, etc.) were associated with small but statistically significant reductions in daily hot flashes and improvements in vaginal dryness. (JAMA Network)
  • Effects of phytoestrogens on bone mineral density: A systematic review found that various RCTs showed benefit (slowing of bone loss) in post‑ and peri‑menopausal women who included phytoestrogen containing foods or supplements. (ResearchGate)

What this tells us: food alone isn’t magic, but it can shift the odds in your favor—lessening severity of symptoms, protecting long‑term health.


Sample Meal Plan Ideas

Here are sample menus (breakfast, lunch, dinner + snacks) that incorporate what we’ve discussed. Use these as templates; adapt to your tastes, dietary restrictions, culture.

DayBreakfastLunchSnackDinner
Day 1Oatmeal with ground flaxseed, berries, chopped nuts + a side of soy milkMixed greens salad with chickpeas, roasted veggies, avocado, olive oil dressingSliced cucumber + hummus + a handful of walnutsBaked salmon with steamed broccoli & quinoa + side of sautéed kale
Day 2Tofu scramble (herbs, spinach, mushrooms) + whole grain toastLentil soup with carrots & celery + side of whole‑grain rollMixed berries + a small handful of almondsStir‑fried tempeh & mixed vegetables (bell peppers, broccoli, zucchini) over brown rice
Day 3Smoothie: water or unsweetened soy milk + spinach + frozen berries + chia seedsBean & vegetable chili (beans, tomatoes, peppers) + side saladApple slices + tahini or almond butterGrilled mackerel or sardines, roasted sweet potatoes, roasted Brussels sprouts

Include water/herbal tea throughout. Add fruit or water‑rich vegetables between meals for additional hydration.


Tips for Transitioning Your Pantry & Shopping Habits

Changing what’s in your kitchen makes it easier to eat well without feeling deprived.

  • Do a pantry sweep: Remove or reduce ultra‑processed snack foods, sugary mixes, high‑salt items. Replace with whole foods.
  • Keep good staples on hand: things like beans (canned or dried), plain oats, nuts, seeds, frozen berries or vegetables, whole grains.
  • Buy fresh produce in season (better price & flavor), and freeze when possible.
  • Plan meals ahead: create a weekly menu or partial plan so you don’t default to convenience foods.
  • Use the printable shopping list below to guide your grocery runs so your cart supports your symptoms, not aggravates them.

When to Seek Individualized Advice & Possible Limits

I want to be clear: while diet helps, it’s not a cure‑all. Everyone’s menopause journey is different. Some symptoms may require medical treatments (e.g. hormone replacement therapy, medications for mood or sleep disorders).

Also, phytoestrogens may not be appropriate for everyone (e.g. certain estrogen receptor positive cancers, thyroid issues, allergies). Always check with your healthcare provider, especially if you’re considering supplements.

Quality of evidence varies: many studies are short term, small sample sizes. The effect sizes tend to be modest. But because changing diet and hydration is low risk, even small improvements are meaningful.


Putting It All Together: Your Week of Kitchen Choices

Here’s a sample schedule to help ease into the menopause‑friendly kitchen:

  1. Start small: pick one anti‑inflammatory staple and one phytoestrogen food you enjoy. Maybe use soy milk for breakfast, or have a portion of fatty fish twice a week.
  2. Hydration habit building: carry a water bottle; make it a ritual—morning, before lunch, mid‑afternoon, and in evening.
  3. Experiment & observe: notice what foods trigger heat, bloating, mood swings. Everyone is individual. Keep a food & symptom journal for a week or two.
  4. Adjust gradually: reduce processed foods, sugar, caffeine in small steps so you don’t feel overwhelmed.
  5. Enjoy the process: try new recipes, fresh produce, spices—food isn’t just fuel; it’s joy, memories, cultural connection.

Takeaway

  • Menopause brings hormonal changes that increase inflammation, affect bones, heart, mood, sleep, and fluid balance.
  • Embracing anti‑inflammatory foods, phytoestrogen sources, and staying well hydrated can ease many symptoms and protect long‑term health.
  • Limiting processed foods, sugars, alcohol, heavy caffeine, and known triggers can prevent worsening of symptoms.
  • Small, sustainable changes (meal building, pantry adjustments, hydration ritual) often lead to the best outcomes.

You deserve to feel more in control, less disrupted, and more vibrant. The kitchen is one place where you do have control. Use it as your ally.


References

  • Franco, O. H., Chowdhury, R., Troup, J., et al. (2016). Use of Plant‑Based Therapies and Menopausal Symptoms: A Systematic Review and Meta‑analysis. JAMA, 315(23), 2554–2563. https://doi.org/10.1001/jama.2016.8012 (JAMA Network)
  • Iqbal, A. Z., Wu, S.‑K., Zailani, H., Chiu, W.‑C., Liu, W.‑C., & Su, K.‑P., et al. (2023). Effects of Omega‑3 Polyunsaturated Fatty Acids Intake on Vasomotor Symptoms, Sleep Quality and Depression in Postmenopausal Women: A Systematic Review. Nutrients, 15(19), 4231. https://doi.org/10.3390/nu15194231 (MDPI)
  • Mohammady, M., Rokhgireh, S., Zanjani, M., et al. (2018). Effect of omega‑3 supplements on vasomotor symptoms in menopausal women: a systematic review and meta‑analysis. Journal of Obstetrics and Gynaecology Research, 228, 295‑302. (ScienceDirect)
  • Abdia, F., Alimoradi, Z., Haqi, P., & Mahdizadeh, F. (2018). Effects of phytoestrogens on bone mineral density during the menopause transition: A systematic review of randomized controlled trials. Maturitas. (ResearchGate)
  • Menopause Charity. (n.d.). Hydration ‑ What Can Help. The Menopause Charity. (The Menopause Charity)
  • Healthline. (n.d.). 10 Foods Rich in Phytoestrogens (Dietary Estrogen). Healthline. (Healthline)
  • National Institutes of Health, NHLBI. (2023, January). Good hydration linked to healthy aging. NIH News Release. (NHLBI, NIH)

Please remember: This information is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider before making any changes to your health routine, especially if you have existing health conditions or are taking medications. What works for one person may not work for another, and your individual health needs are unique to you.

The Midlife Reboot: How to Turn Menopause Into Your Healthiest Decade Yet

Why this “biological pause” is the ultimate opportunity to reshape your future health, energy, and family well-being

You’ve been feeling it. That quiet sense that something’s off.

You’re not sick, exactly. But your energy’s not the same. Sleep feels fragile. Your moods shift in ways that surprise you. And the scale—well, let’s not talk about the scale.

You wonder if it’s stress. Or age. Or hormones.

Here’s the thing: it’s all of it. And none of it means you’re broken.

Menopause doesn’t arrive with sirens blaring. It comes like a change in season—you wake up one day and realize you’re not in summer anymore. And no one gave you a map for fall.

But this new season? It holds power, if you know how to claim it. This guide is your map—designed to show you how to turn this transition into a foundation for healthy aging. You don’t need to fight time. You need to understand it. And work with it.


Why Menopause is Your Body’s Wake-Up Call

Here’s what we need to talk about: menopause is not the finish line. It’s not a phase to suffer through and forget. It’s a biological recalibration that influences every part of your future health—cardiovascular, skeletal, metabolic, emotional, and cognitive.

Estrogen doesn’t just regulate reproduction. It protects your heart, strengthens your bones, supports brain health, and plays a role in your mood and memory. When those hormone levels drop, systems shift. And if you ignore those shifts, you risk:

  • Cardiovascular disease
  • Osteoporosis
  • Type 2 diabetes
  • Cognitive decline
  • Depression and anxiety
  • Muscle loss and metabolic slowdown

But here’s the upside: this is also the moment when prevention becomes most powerful. When your body is asking you to take the wheel.


What Really Happens in Your Body During Menopause

Let’s get specific. Menopause typically occurs between ages 45–55, but the transition—called perimenopause—can start much earlier. During this time, hormone levels fluctuate unpredictably. The decline in estrogen, in particular, affects:

  • Cardiovascular Health: Blood vessels become less flexible, cholesterol may rise, and the risk of heart disease increases.
  • Bone Density: Estrogen helps maintain bone mass. Its decline accelerates bone loss, increasing osteoporosis risk.
  • Metabolism: Body fat redistributes (hello, belly weight), muscle mass declines, and insulin resistance can rise.
  • Cognitive Function: Many women report brain fog, memory issues, and difficulty concentrating.
  • Mood and Mental Health: Mood swings, anxiety, and depression can worsen, often exacerbated by poor sleep and life stress.
  • Sleep Patterns: Hot flashes, night sweats, and changes in circadian rhythms disrupt quality sleep.

According to the Study of Women’s Health Across the Nation (SWAN), these shifts aren’t just about aging—they’re menopause-specific. (NIA, 2022)

And here’s what researchers in Australia found: even women who entered menopause early had dramatically lower cardiovascular risk if they practiced healthy lifestyle habits. (Heart, 2024)


Prevention is Power: Turning Menopause Into a Health Checkpoint

Think of menopause as your second annual checkup—only this one spans years and affects every system in your body.

Key assessments to request:

  • Bone density scan (DEXA)
  • Full lipid panel (cholesterol)
  • Blood glucose and insulin sensitivity tests
  • Thyroid function
  • Vitamin D, iron, and B12 levels
  • Sleep quality evaluation
  • Menopause-specific symptom inventory

Know your menopause age: Women who enter menopause before 45 are at significantly higher long-term risk for cardiovascular disease, cognitive issues, and osteoporosis. Early identification means earlier intervention.


The Core Four: Lifestyle Habits That Rewire Your Aging Trajectory

You can’t control your age. But you can control your inputs. And they matter more now than ever.

1. Move With Intention: Exercise as Medicine

  • Strength Training: Builds muscle, protects bones, balances blood sugar, and boosts mood. Aim for 2–3 sessions per week.
  • Cardiovascular Work: Walking, swimming, cycling—anything that gets your heart rate up. At least 150 minutes/week.
  • Flexibility and Balance: Yoga, tai chi, or Pilates to reduce fall risk and increase body confidence.

A 2024 MDPI review showed that exercise significantly reduces risk of cognitive decline, depression, and dementia in menopausal women. (MDPI, 2024)

2. Eat to Rebuild, Not Restrict

Menopause is not the time for crash diets. It’s the time for nutrient density.

  • Protein: Support muscle maintenance. Include high-quality protein with every meal.
  • Calcium and Vitamin D: Crucial for bones. Incorporate leafy greens, fortified dairy, and safe sun exposure.
  • Healthy Fats: Omega-3s from fatty fish, nuts, flaxseeds support brain and heart health.
  • Whole Foods: Prioritize fiber, complex carbs, and limit ultra-processed foods.

3. Sleep as Strategy

Hormonal shifts wreak havoc on sleep. Reclaiming it may require:

  • Cooling the room and body (layered bedding, cool pajamas)
  • CBT-I (Cognitive Behavioral Therapy for Insomnia)
  • Magnesium, melatonin, or herbal supports (under medical guidance)
  • Winding down: reduce screens, caffeine, stress

4. Mental and Emotional Mastery

You’re not just physically changing. This is a psychological metamorphosis.

  • Therapy or coaching can help you process identity shifts.
  • Journaling, mindfulness, and connection guard against mood disorders.
  • Curiosity matters. Taking up a new hobby or learning helps maintain neuroplasticity.

Hormone Therapy: The Debate, Decoded

Still confused about HRT? You’re not alone. Here’s the nuance:

  • HRT can dramatically reduce hot flashes, sleep issues, and bone loss.
  • Starting within 10 years of menopause onset yields the most benefit.
  • Transdermal (patch) estrogen with micronized progesterone may carry fewer risks.
  • Not all women need it, but for many, it’s life-changing.

Consult a menopause-literate provider. Get your individual risks assessed.


The Family Ripple Effect: Why Your Health Choices Matter Beyond You

Menopause doesn’t happen in a vacuum. It affects your:

  • Marriage or partnership: Hormonal changes affect intimacy, energy, and communication.
  • Children: You model health behaviors they will carry for life.
  • Aging parents: You may be caregiving while going through your own changes.
  • Workplace: Menopause symptoms affect performance, and women are often too ashamed to speak up.

What to do:

  • Talk openly with your family. Normalize the conversation.
  • Include them in wellness goals—family walks, cooking, stress relief.
  • Share what you’re learning. Your midlife health journey is a legacy.

Your Midlife Health Action Plan

Let’s make this concrete. Here’s a practical timeline to transform your menopausal years into your strongest yet.

Month 1–3: Baseline & Foundation

  • Medical evaluations (labs, scans)
  • Eliminate diet culture; focus on nourishment
  • Begin walking + strength training 1–2x per week
  • Sleep hygiene check: set bedtime, reduce blue light

Month 4–6: Build & Integrate

  • Increase protein + plant diversity
  • Add structured exercise: resistance + balance work
  • Introduce mindfulness or therapy
  • Trial supplements: magnesium, vitamin D, adaptogens (with supervision)

Month 6–12: Expand & Monitor

  • Reassess labs
  • Maintain or tweak exercise
  • Join a community (online or local) for support
  • Check in on family support strategies

What the Research Says: Quick-Glance Table

StudyFindingsTakeaway
SWAN StudyMenopause-specific hormonal shifts tied to increased heart disease and cognitive riskIt’s not just age. Menopause needs its own health plan.
45 and Up Study (Australia)Early menopause increases CVD risk; lifestyle change cuts that risk by up to 52%Your behavior can override your biology.
MDPI Review 2024Exercise in menopause delays cognitive decline, prevents depressionMovement is medicine for your brain, not just your body.
NIH/NIAHormone therapy timing affects risk/benefit ratioEarly HRT = more help, fewer risks. Don’t wait.

Create a Health Legacy, Not Just a Routine

Midlife isn’t the beginning of the end. It’s the beginning of awareness. And menopause isn’t a punishment—it’s your body handing you the instruction manual for what it needs next.

You have the power to:

  • Prevent disease before it starts
  • Model resilience for your family
  • Redefine aging for yourself and your community
  • Create a lifestyle that sustains vitality for decades

If no one told you that before, let this be the moment you believe it.



References

Pant, A., Gibson, A. A., Marschner, S., Liao, L. P., Laranjo, L., Chow, C. K., & Zaman, S. (2024). Age of menopause, healthy lifestyle and cardiovascular disease in women: a prospective cohort study. Heart, 111(6), 262. https://doi.org/10.1136/heartjnl-2024-324602
Guerrero-González, C., Cueto-Ureña, C., Cantón-Habas, V., Ramírez-Expósito, M. J., & Martínez-Martos, J. M. (2024). Healthy Aging in Menopause: Prevention of Cognitive Decline, Depression and Dementia through Physical Exercise. Physiologia, 4(1), 115–138. https://www.mdpi.com/2673-9488/4/1/7
NIH/NIA. (2022). Research explores impact of menopause on women’s health and aging. National Institute on Aging. https://www.nia.nih.gov/news/research-explores-impact-menopause-womens-health-and-aging
Simpson, E. E. A., Doherty, J., & Timlin, D. (2023). Menopause as a window of opportunity: the benefits of designing more effective theory-driven behaviour change interventions to promote healthier lifestyle choices at midlife. Proceedings of the Nutrition Society, 83(2). https://doi.org/10.1017/S0029665123000018


How to Tell Your Partner: “It’s Not You, It’s My Estrogen”

My friend Liza called me one evening, voice shaky, guilt-laced. She said, “Sarah… I feel like a stranger in my own skin. One minute, I’m anxious and weepy, the next, I’m shutting down. Tom (her husband), says I’m snapping at him—like, over nothing—and I feel so disconnected. I don’t even know who I am anymore… He’s getting mad. And I can’t blame him… and I don’t know what to say.”

She hadn’t even considered that estrogen might be her invisible saboteur. All she knew was that she wasn’t herself—and so, she was turning into someone who felt impossible to live with.

Liza’s not alone. Her story is shared by countless women navigating the whirlwind of perimenopause—that period in life when estrogen begins its uneven descent. Emotions flood, sleep tank, libido feels muted, concentration scatters, and energy dives. If you don’t connect the dots, your partner may feel like they’re navigating an emotional minefield… and you may be apologizing for yourself before you even realize what’s at the root of it all.


Perimenopause + Relationship Struggle = Common Storyline

Here’s the truth: perimenopause symptoms can get in the way of emotional availability and connection. And not recognizing them means you’re fishing for faulty conclusions. Mood swings? Not just “stress.” Brain fog? Not just “aging.” Low libido or feeling emotionally detached? Could be changing estrogen—and that’s not your fault.

Many women reach for self-blame: “I’m just stressed, just tired, just… broken.” And their partner hears snapping, distancing, or unexplained irritability—without the who, what, or why. The result? A relationship under strain, with both parties feeling unheard, unseen, and unsure.

So how do we rewrite that script?


“It’s Not You, It’s My Estrogen”

1. Own your experience and sense the change

Start with your gut. Allow yourself to acknowledge that something isn’t you—or at least not the “you” you’ve known until now. Journaling your symptoms (emotional shifts, sleep, libido, brain fog, energy level) helps you connect the dots. The more clarity you have, the more power you bring into the conversation.

2. Pick a calm moment—when both of you aren’t already bruised by argument

Let your partner in when you’re both feeling safe. Say, “Hey, I want to share something important—because I value us, and you’re not the target of my frustration.”

3. Name it

Try something like:

“I’ve been feeling off. Moody, foggy, irritable. And I realize now it’s not because of you—it’s because my estrogen is dropping. I’m likely perimenopausal, and I didn’t even know what that meant until recently.”

Say it gently. You’re not blaming him. You’re revealing something vulnerable—and real.

4. Make it about what needs support—not just what’s going wrong

Examples:

  • Physical support: “I’d love your help with dinner or bedtime routine right now—I’m running on fumes.”
  • Emotional safety: “I need a lot more compassion when I’m foggy or snap at you. It’s not resentment—I’m just hormonally overwhelmed.”
  • Connection: “We haven’t had sex in a while—not because I don’t love you, but I just… feel shut down. Can we find some non-sex intimacy again?”

5. Invite curiosity and learning together

This is your heart inviting his heart into the healing. Say, “I’m going to talk to a hormone-savvy provider and explore what’s going on. Could you help me research? Could we talk about what helps—like how I need to rest or how love looks different in this season?”


Why This Can Be a Game-Changer for Your Relationship

  • It reframes conflict into partnership. You’re saying: “I need YOU more than ever,” not “I’m sick of YOU.”
  • It removes personal blame. Estrogen shifts are real biological phenomena—there’s nothing romantic, sinful, or shameful about them.
  • It paves the way for precision care. When your partner isn’t in the dark, you can create rituals that work for this stage—not the one before.
  • It deepens trust. Vulnerability builds closeness. If this doesn’t bring you closer, then what will?

If you’re reading this and your relationship feels strained by unexplained emotional shifts—you are not broken. You are in a season of hormones talking loud, and you’re learning to listen, bridge, and come back to yourself. That’s brave. That’s smart. And it will bring you closer—to yourself and to love.


Disclaimer: This information is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider before making any changes to your health routine, especially if you have existing health conditions or are taking medications. What works for one person may not work for another, and your individual health needs are unique to you.

This Is What Happens to Your Skin and Metabolism After 45—And How to Get Your Glow Back

You wake up and something feels different. Your jeans are tighter. Your skin looks a little dull. You’re eating the same, exercising the same—so what gives?

If you’re over 45 and noticing changes in your skin, weight, or energy levels, you’re not imagining it. These shifts are real. And more importantly: they’re not your fault.

This is your body moving through a powerful, natural transition—perimenopause and menopause—and the hormonal shifts underneath are rewriting how your skin looks, how your body stores fat, and how your metabolism functions.

But here’s the good news: when you understand the science behind these changes, you can take back control. You can glow again. You can feel strong, sexy, and clear-headed. This blog shows you how.

Your Hormones After 45: What’s Actually Going On

Starting in your 40s (sometimes even late 30s), your estrogen and progesterone levels begin to fluctuate. Eventually, they decline. Here’s what that means:

  • Estrogen helps your skin stay plump and hydrated, supports collagen production, boosts mood, and keeps fat distribution balanced.
  • Progesterone helps you sleep, calms your nervous system, and supports metabolic health.

When these drop, you may notice:

  • Weight gain, especially around your belly
  • Thinning, drier skin
  • Mood swings or brain fog
  • Sluggish metabolism

These aren’t signs of failure—they’re biochemical changes. Your body is responding to a new hormonal environment. But you’re not powerless.

Your Skin: Why It Feels Like It Aged Overnight

The Truth About Estrogen and Skin

Estrogen receptors are literally embedded in your skin. When estrogen dips:

  • Collagen drops by up to 30% in the first 5 years after menopause ([Source: JAMA Dermatology])
  • Skin becomes thinner and more fragile
  • Hydration and elasticity decline

You might see more wrinkles, sagging, and dullness—even if your skincare routine hasn’t changed.

What You Can Do About It

1. Upgrade your skincare routine:

  • Use a gentle, creamy cleanser.
  • Add a hydrating serum with hyaluronic acid.
  • Moisturize with ceramides and peptides.
  • Use SPF daily (non-negotiable).
  • Consider bakuchiol or retinol (if tolerated) to boost collagen.

2. Support your skin from within:

  • Eat foods rich in omega-3s (salmon, walnuts, flaxseed).
  • Prioritize protein and antioxidants.
  • Sleep 7–9 hours per night—this is when skin repairs.

3. Talk to your doctor:

  • Topical estrogen therapy may help rejuvenate skin (prescription only).

Why You Might Be Gaining Weight (Even if You’re Doing Everything “Right”)

The Estrogen-Metabolism Connection

Estrogen helps regulate:

  • Insulin sensitivity (how your body handles sugar)
  • Fat storage
  • Muscle mass

When it declines:

  • You become more insulin resistant
  • Fat shifts to your abdomen
  • Muscle mass declines (which slows metabolism even more)

What You Can Do

1. Strength train 2–3x/week:

  • Builds lean muscle
  • Boosts metabolism
  • Improves insulin sensitivity

2. Prioritize protein at every meal:

  • Aim for 20–30 grams per meal
  • Helps preserve muscle and keeps you full

3. Balance carbs and fats:

  • Focus on whole carbs (veggies, legumes, whole grains)
  • Add healthy fats (avocado, nuts, olive oil)

4. Reduce stress:

  • High cortisol = more fat storage and muscle breakdown
  • Use breathwork, walking, journaling, or nature to reset

5. Sleep is non-negotiable:

  • Less sleep = more cravings and worse insulin response

The Brain Fog, Mood Swings, and “Flatness”

Hormones don’t just affect your body—they shape your brain chemistry too.

  • Less estrogen = less serotonin and dopamine
  • Cortisol rises, making anxiety and low mood worse

Strategies that help:

  • Omega-3s for brain health
  • Magnesium glycinate for calming
  • Rhodiola or ashwagandha (adaptogens)
  • Social connection (oxytocin boost!)
  • Mind-body practices: yoga, tai chi, meditation

Your Glow-Back Game Plan

Daily Routine for Radiance

Morning:

  • Wake and hydrate (water + lemon)
  • Gentle movement or walk
  • Protein-packed breakfast (e.g. eggs + greens + avocado)
  • Skincare: Cleanse + serum + moisturizer + SPF

Midday:

  • Strength workout or brisk walk
  • Protein-rich lunch + colorful veggies
  • Deep breathing break or gratitude journaling

Evening:

  • Light, early dinner with protein and healthy fat
  • Skincare wind-down (cleanse, nourish, hydrate)
  • Screen-free time + herbal tea
  • In bed by 10 p.m.

You’re Not Broken. You’re Evolving.

You are not the problem. Your hormones are changing—but now you have the power to support your body in a new way.

This isn’t about “anti-aging.”

This is about pro-vitality. Pro-energy. Pro-you.

Share this with your girlfriends. Let them know they’re not alone. Let’s change the conversation about menopause and help each other glow through the years ahead.


Please remember: This information is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider before making any changes to your health routine, especially if you have existing health conditions or are taking medications. What works for one person may not work for another, and your individual health needs are unique to you.

Prevention Starts Now: Healthy Aging in Perimenopause

The Quiet Moment That Changes Everything

It usually doesn’t start with a diagnosis.

It starts with a whisper. A flicker of fatigue that lingers too long. A forgotten word mid-sentence. A night drenched in sweat that feels more like panic than temperature. For many women, perimenopause doesn’t arrive with sirens—it tiptoes in, disguised as stress or aging or “just one of those weeks.”

Imagine her: 46 years old. A leader at work, the emotional anchor at home, someone who’s always had her routines down to a science. But lately, her body doesn’t respond the same. Her workouts feel harder. Her heart seems to race after a single flight of stairs. And her sleep—once solid—is now fragile, interrupted by flashes of heat and waves of inexplicable anxiety.

She tells herself it’s fine. Just hormones. Nothing she can’t handle.

What she doesn’t realize—what so many women aren’t told—is that this is the beginning of one of the most critical health transitions of her life.

Perimenopause is not just about symptoms—it’s a window of opportunity. A pivotal period where small, intentional choices can create a ripple effect across decades. It’s a time when bone density silently begins to decline, when cardiovascular risk edges upward, when cancer screenings become more urgent—not because she’s aging, but because her biology is shifting in powerful, invisible ways.

And the truth is: by the time most women are told to “start thinking about prevention,” they’ve already missed the most influential moment.

That moment is now.

This article is your roadmap to healthy aging in perimenopause—starting with the three pillars every woman deserves to understand and act on: bone health, heart disease prevention, and cancer screening. Backed by the latest research and rooted in what women actually experience, we’ll walk through not just the why, but the how. Because the goal isn’t just to survive perimenopause.

It’s to thrive into the decades beyond it—with strength, clarity, and the kind of fierce, preventive power that begins the moment you decide it’s time.

And it is time.


Bone Health – Strength Beneath the Surface

You don’t feel your bones getting weaker. There are no warning lights, no aches that signal a silent loss. And yet, in the three to five years surrounding menopause, women can lose up to 20% of their bone density. Let that sink in: one-fifth of the very structure holding you up can disappear—before you even reach your last period.

This isn’t fear-mongering. It’s biological fact.

Why Bone Health Matters More Than Ever

Your bones aren’t just architecture. They’re active, living tissue—and during perimenopause, the hormonal shifts (especially the decline in estrogen) speed up the natural process of bone breakdown. This leads to osteopenia and eventually osteoporosis, dramatically increasing your risk of fractures.

And a fracture in midlife isn’t just inconvenient. A hip fracture can take away your independence. In the year following a hip break, 20% of women die, and more than half never regain full mobility. (Cleveland Clinic, 2022)

The Critical Window for Prevention

Here’s the truth the standard guidelines rarely mention: bone loss begins before menopause ends. The SWAN (Study of Women’s Health Across the Nation) study found that spinal bone density can drop by 2.5% per year in late perimenopause.

And yet, most doctors don’t recommend a bone density scan (DEXA) until you’re 65.

That’s too late.

If you’re in your 40s or early 50s, and you have risk factors like low body weight, a history of fractures, smoking, or early menopause—you need to advocate for earlier screening. (Bonza Health, 2025)

What You Can Do Today

1. Push for a DEXA scan
If you’re in midlife with risk factors, ask your doctor. Be persistent. This scan is painless, fast, and incredibly revealing.

2. Move with purpose
Weight-bearing exercises like brisk walking, dancing, hiking, or strength training aren’t just good for your mood. They tell your bones, “Stay strong.”

3. Feed your frame
Make sure you’re getting enough calcium (1,000–1,200 mg/day) and vitamin D (600–800 IU/day), ideally through food but with supplements if needed.

4. Consider hormone therapy
Estrogen replacement can help slow bone loss—especially in women with early menopause or those at high risk of osteoporosis. It’s not for everyone, but it’s worth a nuanced conversation with your provider.

5. Know your numbers
Ask about FRAX—a tool that calculates your 10-year fracture risk. If your score is high, medications like bisphosphonates or anabolic agents may be necessary.

Bone loss isn’t inevitable. But if you wait until you feel it, it may already be too late. The time to build strength beneath the surface is now.


Cardiovascular Prevention – Your Heart, Reimagined

For decades, estrogen acted like an invisible bodyguard for your heart. It helped keep blood vessels flexible, supported healthy cholesterol levels, and offered protection against cardiovascular disease. But as estrogen begins to decline in perimenopause, that natural defense fades—and your heart notices.

Why Heart Health Deserves Center Stage

Heart disease is the number one killer of women. It doesn’t announce itself with drama. For many, it arrives subtly—with fatigue, indigestion, or shortness of breath that’s easy to dismiss. But underneath those signs, risk factors are quietly stacking up.

Blood pressure creeps higher. Cholesterol starts to shift. Metabolism slows. And when these changes go unchecked, they create the perfect storm for future heart attacks or strokes.

The Midlife Shift

Perimenopause is a tipping point. It’s when doctors should begin regularly screening you for:

  • Blood pressure
  • Fasting blood glucose
  • Lipid panel (cholesterol)
  • Weight and waist circumference
  • 10-year cardiovascular risk (using tools like ASCVD Risk Estimator)

If these aren’t part of your regular care, it’s time to ask for them. Prevention isn’t just about tracking numbers—it’s about reclaiming your health narrative.

What You Can Do Today

1. Know your numbers
Get a baseline of your blood pressure, cholesterol, and glucose. Then check in yearly.

2. Redesign your plate
A Mediterranean-style diet rich in vegetables, healthy fats, whole grains, and lean protein supports both heart and hormonal health.

3. Make movement non-negotiable
Even 30 minutes a day of moderate exercise reduces heart disease risk, improves mood, and helps with weight maintenance.

4. Manage stress and sleep
Chronic stress and poor sleep can both raise cortisol levels and increase cardiovascular risk. Don’t treat rest like a luxury—it’s foundational.

5. Talk to your provider about HRT
While HRT is not universally recommended for cardiovascular prevention, starting it within 10 years of menopause or before age 60 may offer heart benefits for some women.

Your heart deserves as much attention as your hormones. And with the right steps, you can keep it strong for the long haul.


Cancer Screening – Early Eyes, Lifesaving Impact

Perimenopause isn’t just a time of shifting cycles—it’s also when cancer risk begins to change. While not every woman will face cancer, the likelihood increases with age. The good news? Early detection saves lives.

The Screenings That Matter Now

1. Breast Cancer

  • Start annual or biennial mammograms at age 40 if average risk.
  • If you have a family history of breast cancer or dense breast tissue, talk to your doctor about earlier or additional screening like 3D mammography or MRI.

2. Cervical Cancer

  • Continue Pap smears every 3 years, or every 5 years with HPV co-testing.
  • You can stop screening at 65 only if you’ve had adequate normal results previously.

3. Colorectal Cancer

  • Start screening at age 45, earlier if you have risk factors.
  • Options include colonoscopy (every 10 years), FIT test (yearly), or Cologuard (every 3 years).

4. Lung Cancer

  • If you’re a current or former smoker (20 pack-year history, age 50-80), ask about low-dose CT screening.

What You Can Do Today

1. Know your family history
Share this with your doctor—it can change your screening recommendations.

2. Schedule overdue appointments
Many women delay screenings. Don’t. Early detection leads to early action.

3. Ask about risk-based screening
Not all cancers are one-size-fits-all. Ask about personal risk assessments, especially for breast and ovarian cancers.

Cancer screening is a proactive act of self-respect. It doesn’t just protect your life—it honors it.


Your Healthy Aging Assessment Checklist

This checklist isn’t overwhelming—it’s empowering. Use it as a conversation starter with your healthcare provider or as a private wake-up call.

BONE HEALTH

  • DEXA scan (if risk factors)
  • Calcium + vitamin D intake
  • Weight-bearing and resistance exercise
  • HRT discussion (if applicable)
  • FRAX score calculation

CARDIOVASCULAR HEALTH

  • Blood pressure check
  • Cholesterol and glucose labs
  • Weight and waist circumference
  • Daily movement routine
  • Sleep and stress management
  • Mediterranean-style eating pattern
  • Cardiovascular risk calculation
  • HRT discussion for heart health (if appropriate)

CANCER SCREENING

  • Mammogram
  • Pap smear/HPV test
  • Colonoscopy/FIT/Cologuard
  • Lung CT (if smoker/former smoker)
  • Family history assessment
  • Personalized risk discussion (e.g., BRCA, Lynch syndrome)

LIFESTYLE + WELLBEING

  • Nutrition check-in (adequate protein, fiber, micronutrients)
  • Alcohol and smoking habits review
  • Mental health screening (mood, anxiety, social support)
  • Sleep quality assessment
  • Stress-reduction plan (yoga, therapy, mindfulness)

Prevention is Power

Perimenopause is not a pause—it’s a pivot. And what you do in this chapter determines how strong, vibrant, and empowered your next one will be.

This is your invitation to stop waiting for things to get worse.

This is your moment to get stronger, smarter, and more self-aware than ever.

Start now.

Because aging well isn’t luck.

It’s a choice.

And today, that choice is yours.


Disclaimer

This article is for informational and educational purposes only. It is not intended to serve as a substitute for professional medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any questions you may have about a medical condition or health goals. Never disregard professional medical advice or delay seeking care because of something you have read here.


References

American Academy of Family Physicians. (2025). Health maintenance in postmenopausal women. American Family Physician. https://www.aafp.org/pubs/afp/issues/2025/0500/health-maintenance-postmenopausal-women.html

American College of Obstetricians and Gynecologists. (2021). Osteoporosis prevention, screening, and diagnosis: ACOG clinical practice guideline number 1. https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2021/09/osteoporosis-prevention-screening-and-diagnosis

Bonza Health. (2025, June 17). DEXA scans in perimenopausal women: The case for earlier bone health screening. https://www.bonzahealth.com/blog/dexa-scans-in-perimenopausal-women-the-case-for-earlier-bone-health-screening

Cleveland Clinic. (2022, March 15). Osteoporosis and menopause: What you need to know. Cleveland Clinic Health Essentials. https://health.clevelandclinic.org/osteoporosis-and-menopause

Cleveland Clinic. (n.d.). DEXA (DXA) scan: Bone density test. https://my.clevelandclinic.org/health/diagnostics/10683-dexa-dxa-scan-bone-density-test

Hopkins Medicine. (2025). Navigating perimenopause: 5 tips from a women’s health provider. https://www.hopkinsmedicine.org/health/wellness-and-prevention/navigating-perimenopause-5-tips-from-a-womens-health-provider

Mahannah, K. (2023). How to prevent osteoporosis in perimenopause and menopause. Dr. Kathleen Mahannah. https://drkathleenmahannah.com/blog/osteoporosis-prevention

Nash, Z., Al-Wattar, B. H., & Davies, M. C. (2022). Bone and cardiovascular health in menopausal women. Best Practice & Research Clinical Obstetrics & Gynaecology, 81, 61–68. https://doi.org/10.1016/j.bpobgyn.2022.04.002

Women’s Health Initiative. (n.d.). Women’s Health Initiative (WHI). Wikipedia. https://en.wikipedia.org/wiki/Women%27s_Health_Initiative