16/08/2026
Fatigue at this level is not something to push through, and it’s not something to explain away as your age either.
Before anything else, if you are experiencing palpitations, an irregular heartbeat, chest pain or breathlessness, that belongs with your GP first. Those symptoms are common in perimenopause and they are also worth ruling out properly, and nutritional support works alongside that investigation rather than instead of it.
On the nutrition side, the things most worth looking at:
• Ferritin, your stored iron, which affects energy long before it shows up as anaemia on a standard blood count
• Full thyroid function, since fatigue is one of its earliest signs
• B12 and folate status
• Vitamin D
• Blood sugar regulation, because the pattern of energy across the day can tell a lot about what’s happening
• Sleep, including whether night sweats or early waking are fragmenting it
Fluctuating oestrogen and progesterone affect sleep architecture and energy directly, so the hormonal shift is real, and it’s rarely the only thing going on at once.
If you want someone to look at the full picture alongside your medical care, my free discovery calls are open, link in bio.
I’m so glad you’re here
I talk about the foundations of what supports your health long term, not the latest wellness gimmicks.
