AI-generatedFive capsules in the morning, powder in the evening and a product for “hormone balance”: the market for women in menopause is large. This does not mean every woman needs the same combination.
What should a supplement actually achieve?
A preparation may be useful when it addresses a specific nutritional gap or fits a clear treatment goal. “More energy” or “regulating hormones” is too vague. First establish which symptom is present and what may cause it.
Vitamin D, calcium and bones
Adequate supply is part of bone health. Diet, sun exposure, personal risks and, where appropriate, test results determine whether supplementation is useful. A high dose does not become suitable simply because someone is in perimenopause.
Iron for fatigue?
Iron deficiency can matter in menstruating women, particularly with heavier bleeding. However, fatigue alone does not prove it. If deficiency is established, its cause should also be investigated. This informs decisions about treatment and monitoring, rather than automatically leading to an infusion.
Magnesium and omega-3
Both have important functions in the body. This does not establish a general treatment benefit for perimenopausal sleep problems, anxiety or brain fog. Dietary intake, accompanying conditions, medicines and the specific goal must be considered.
What about creatine?
Creatine is particularly interesting in relation to muscle metabolism and training. However, possible benefits for specific training goals differ from a proven general effect on menopausal symptoms. A physiological explanation alone is insufficient to promise treatment of perimenopausal brain fog or a hormone disorder.
Personal experience can be a useful conversation starter. It does not replace a comparative study or provide a dosing plan for other women.
Why not simply measure everything?
Laboratory tests should answer a specific question. A large panel without a reason can produce findings with unclear significance. “Normal” and “optimal” are not arbitrarily interchangeable terms either. An investigation is useful when it supports a decision.
Our approach in nutritional medicine
We consider diet, symptoms and medical history together. If supplementation is an option, we discuss its goal, duration, possible interactions and any necessary monitoring. A blanket supplement package is not a requirement for taking menopausal symptoms seriously.
Bring the packaging or photographs of all preparations you already take. This makes duplication easier to identify.
Discuss your symptoms at your own pace
Would you like a medical assessment of your changes? At Praxis Jona in Berlin-Mitte, we discuss your questions and suitable next steps.
Enquire about menopause advice
Read more
- Weight in perimenopause: nutrition and strength training
- Testing for perimenopause: when are blood tests useful?
- Brain fog and fatigue in perimenopause


