The Expert's Guide to Perimenopause Nutrition

True Protein Blog Avatar Fallback reviewed by our Nutrition Team 17 September 2025

Our expert guide empowers you to navigate perimenopause with confidence, revealing how strategic nutrition—from prioritising protein to supporting your body with collagen—can help you manage symptoms and build a stronger, more vibrant you.

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The Expert's Guide to Perimenopause Nutrition

Perimenopause can feel like your body is rewriting its own rulebook. This natural transition, the stage leading up to menopause, brings a cascade of hormonal shifts that can affect everything from your energy levels and mood to your body composition and bone health. While it’s a journey every woman experiences differently, there's a powerful and empowering tool at your disposal: nutrition. 

Making strategic, science-backed adjustments to how you eat can do more than just manage symptoms; it can help you feel strong, vibrant, and in control. This guide will cut through the noise, providing clear, actionable advice to help you nourish your body and thrive through perimenopause and beyond. 

 

Key Takeaways 

  • Protein is Paramount: Prioritising protein is crucial for maintaining lean muscle mass, supporting metabolic health, and increasing satiety to manage weight changes. Aim for 25-30 grams of high-quality protein with every meal. 

  • Bone Health is Non-Negotiable: Declining estrogen accelerates bone density loss. A focus on calcium-rich foods and Vitamin D is essential to protect your skeletal structure. 

  • Embrace Phytoestrogens: Certain plant-based foods contain compounds that can gently help balance hormonal fluctuations, potentially easing symptoms like hot flushes. 

  • Collagen is Your Ally: Support skin elasticity, joint health, and hair strength by incorporating hydrolysed collagen, as your body's natural production declines during this phase. 

  • Focus on Whole Foods: A diet rich in fibre, healthy fats, and colourful vegetables supports gut health, reduces inflammation, and stabilises energy and mood. 

 

What Exactly is Perimenopause? 

Perimenopause, which means "around menopause," is the transitional period before menopause begins. It can start for some women in their late 30s but more commonly occurs in their 40s. During this time, the ovaries gradually begin to produce less estrogen. This fluctuation in estrogen and other hormones, like progesterone, is the primary driver behind the symptoms many women experience, including: 

  • Irregular periods 

  • Hot flushes and night sweats 

  • Sleep disturbances 

  • Mood swings or increased anxiety 

  • Weight gain, particularly around the abdomen 

  • Vaginal dryness 

  • Changes in skin and hair 

Think of it not as an illness, but as a new physiological chapter. Your body has new requirements, and the key is to adapt your lifestyle to meet them.

 

Your Perimenopause Nutrition Blueprint: Key Focus Areas 

Nutrition is one of the most effective levers you can pull to manage this transition gracefully. Here are the key pillars to build your diet around. 

 

  1. Prioritise Protein for Muscle, Metabolism, and Satiety 

As estrogen levels decline, our bodies become less efficient at building and maintaining lean muscle—a process known as sarcopenia. Less muscle means a slower metabolism, which can contribute to weight gain. 

Protein is your single most important tool to combat this. It provides the essential amino acids your body needs to preserve muscle, fires up your metabolism, and is incredibly effective at keeping you feeling full and satisfied, which helps manage cravings. 

The Science: Research suggests that women in perimenopause and beyond benefit from higher protein intake. Aim for 1.2 to 1.6 grams of protein per kilogram of body weight daily, spread evenly across your meals. 

How to Achieve It: 

  • Include a source of lean protein in every meal: chicken, fish, eggs, tofu, lentils, and legumes. 

  • For a convenient and highly effective boost, a high-quality protein powder is invaluable. Our True WPI 90 (Whey Protein Isolate) and WPC 80 (Whey Protein Concentrate) are incredibly bioavailable, meaning your body can absorb and use the protein with maximum efficiency. A single scoop provides a powerful dose of essential amino acids to support muscle repair and satiety. 

  • For our plant-based community, True Plant Protein offers a complete amino acid profile from sustainably sourced yellow pea, pumpkin seed, and faba bean proteins. 

 

2. Fortify Your Bones with Calcium and Vitamin D 

Estrogen plays a crucial role in protecting bone density. As levels drop, your bones can become more vulnerable to thinning, increasing the risk of osteoporosis later in life. 

The Science: The Jean Hailes for Women's Health foundation recommends Australian women over 50 aim for 1,300mg of calcium per day. 

How to Achieve It: 

  • Calcium: Integrate dairy products (yoghurt, milk, cheese), calcium-fortified plant milks, tofu, sardines, and dark leafy greens like kale and bok choy. 

  • Vitamin D: This vitamin is essential for your body to absorb calcium. The best source is sensible sun exposure. However, fatty fish (salmon, mackerel) and eggs also provide small amounts. 

 

3. Support Your Body with Collagen 

Collagen is the most abundant protein in the body, providing structure to your skin, hair, nails, and joints. Estrogen decline is directly linked to a significant drop in collagen production, which can lead to drier skin, fine lines, and achy joints. 

The Science: Studies published in journals like Nutrients have shown that supplementing with hydrolysed collagen peptides can improve skin hydration, elasticity, and reduce joint discomfort. 

How to Achieve It: 

  • Supplementing with a clean, high-quality collagen is the most direct way to support your body's needs. True Collagen is made from pure hydrolysed bovine collagen peptides. It easily dissolves in your morning coffee, tea, or smoothie, making it a seamless addition to your daily routine to support skin and joint integrity from within. 

 

4. Embrace Phytoestrogens for Hormonal Balance 

Phytoestrogens are natural compounds found in plants that have a chemical structure similar to our own estrogen. They can bind to estrogen receptors in the body, exerting a weak estrogenic effect. 

The Science: For some women, a diet rich in phytoestrogens may help buffer the effects of hormonal fluctuations, potentially easing symptoms like hot flushes. 

How to Achieve It: 

  • Flaxseeds: Add ground flaxseeds to smoothies, yoghurt, or oats. 

  • Soy: Choose minimally processed soy like edamame, tofu, and tempeh. 

  • Legumes: Chickpeas, lentils, and beans are excellent sources. 

 

5. Fuel with Fibre and Healthy Fats 

A healthy gut microbiome is linked to better mood, digestion, and immune function. Healthy fats, particularly Omega-3s, are crucial for brain health and fighting inflammation. 

How to Achieve It: 

  • Fibre: Aim for a wide variety of vegetables, fruits, whole grains, nuts, and seeds to support digestion and stable blood sugar levels. 

  • Healthy Fats: Incorporate sources like avocado, nuts, seeds (chia, hemp), and olive oil. Oily fish like salmon is a fantastic source of anti-inflammatory Omega-3 fatty acids. 

 

A Sample Perimenopause-Friendly Day 

  • Breakfast: Greek yoghurt with a serve of True Collagen, topped with berries and two tablespoons of ground flaxseeds. 

  • Lunch: Large salad with mixed greens, grilled chicken or chickpeas, avocado, and a lemon-tahini dressing. 

  • Afternoon Snack: A smoothie made with one scoop of True WPI 90, WPC 80 or True Plant Protein, a handful of spinach, half a banana, and unsweetened almond milk. 

  • Dinner: Baked salmon fillet with roasted broccoli and a side of quinoa. 

 

Targeted Supplements for Common Challenges 

Once your nutrition foundations are solid, these supplements can offer focused support where you need it most. 

Creatine is scientifically proven to support cognitive function and preserve the lean muscle and bone density that are vulnerable during perimenopause. It works by fuelling your brain and muscles' energy systems. A daily 3-5g of pure True Creatine Monohydrate is a simple, science-backed strategy to stay sharp and strong. 

  • For Sleep & Mood: ZMA

To combat sleep disruption and anxiety, ZMA is an effective tool. Its blend of magnesium, zinc, and vitamin B6 works together to calm the nervous system and support the production of sleep-regulating hormones. Taking True ZMA 30-60 minutes before bed can promote a deeper, more restorative night's sleep. 

  • For Energy & Vitality: Greens

Think of a quality greens powder as your daily nutritional insurance policy. It helps fill any gaps in your diet with a concentrated dose of vitamins, minerals, and antioxidants. A scoop of True Greens is an easy way to support your overall energy and wellness from the inside out. 

 

Conclusion: Taking Control of Your Journey 

Perimenopause is not something to be endured, but a phase to be managed with confidence. By shifting your nutritional focus towards supporting your body’s changing needs—prioritising protein and collagen, fortifying your bones, and embracing whole foods—you can powerfully influence how you feel. You have the tools to not just navigate this transition, but to emerge from it feeling stronger and healthier than ever before. 

 

References: 

  1. Jean Hailes for Women's Health. (2021). Bone health at midlife and beyond. Retrieved from jeanhailes.org.au 

  1. Leitão, A., et al. (2021). The Effect of Marine Collagen on Skin Properties: A Systematic Review and Meta-Analysis. Nutrients, 13(12), 4329. 

  1. Messina, M. (2016). Soy and Health Update: Evaluation of the Clinical and Epidemiologic Literature. Nutrients, 8(12), 754. 

  1. Stachowiak, G., et al. (2023). Nutritional Strategies to Combat Sarcopenia. Medicina, 59(6), 1146. 

 

IMPORTANT INFORMATION: all content provided here is of a general nature only and is not a substitute for individualised professional medical advice, diagnosis or treatment and reliance should not be placed on it. For personalised medical or nutrition advice, please make an appointment with your doctor, dietitian or qualified health careprofessional.