At Symphony Natural Health, we believe that perimenopause is the trajectory into the declining function of the endocrine system based on a woman’s age, genetics, diet, lifestyle, environment, emotional state, and many other factors. For that reason, we break down our protocol into three parts: foundational functional systems (part I and II), which are key for all women, and symptom relief (part III), which is used on a patient-by-patient basis. All of these are combined with physical, mental, emotional, and other whole-health support.

Part I – Foundational endocrine support

FemmenessencePRO PERI (Symphony Natural Health)

Dosing: Take 1 capsule twice daily, away from meals. Take the first dose in the morning before breakfast, and the second dose early in the afternoon or before afternoon energy low. Do not take it beyond late afternoon, as it may interfere with sleep.

Maintenance dose: After 4–8 months of use, if the body has been rebalanced, reduce the dose used to half the original dose.

Higher dosing: If a patient does not get the desired response in the first 30 days or needs additional support, there could be a case for increasing the dose to 2 capsules, twice daily.

FemmenessencePRO PERI contains MacaLife® a concentrated, highly bioavailable, proprietary formulation of Lepidium peruvianum (maca) phenotypes specifically formulated for women to support the hypothalamic-pituitary-thyroid-adrenal-ovarian (HPTAO) axis and perimenopausal symptoms.*

 

Part II – Foundational nutrition and hydration support

Personalized nutrition support

In addition to the foundational nutrition products listed here, there may be other nutrients required for an individual based on personalized characteristics, such as their gene variants, dietary pattern, physical activity level, environment, and toxin load, to name a few.

 

Nutrition support

Wellness Essentials Women (Metagenics)

Dosing: Take 1 packet daily.

Wellness Essentials Women supports heart health, bone health, and overall wellness. Wellness Essentials Women is formulated to target unique nutritional needs to help a woman stay active and vital and maintain overall health with PhytoMulti® with Iron, Cal Apatite Bone Builder® Extra Strength, and OmegaGenics® EPA-DHA 500.* 

 

Hydration support

Original Himalayan Crystal Salt: Stones (Symphony Natural Health)

Dosing: Add one teaspoon of Sole to 8–12 ounces of purified water. Drink each morning on an empty stomach and wait 30 minutes before eating.

The solution contains 84 ionic trace minerals inside the salt crystal matrix structure in a form that can be easily absorbed and metabolized by the body. It supports hydration, electrolytes, cellular communication, and pH balance. Sole Therapy may help support overall cellular health and mineral status. It’s free of chemicals, pollution, and microplastics.

 

Part III – Additional functional and individual symptomatic support

Additional phyto exogenous hormones support

Additional botanical support if needed:

Black Cohosh (Vitanica)

Dosing: 1 capsule, once or twice daily; with or without food.

Black Cohosh is formulated using an extract containing triterpene glycosides that may support a broad range of menopausal symptoms.*

Red Clover (Vitanica)

Dosing: Take 1 capsule daily.

Red Clover features the standardized extract of red clover at the most common effective scientifically researched dose with added traditional red clover leaf/flower.

Estrovera® Menopause (Metagenics)

Dosing: Take 1 tablet with food and a glass of water once daily at the same time of day.

Estrovera® Menopause features ERr 731®, a plant-based and hormone-free ingredient that may help relieve menopause symptoms.*

 

Breast health

Breastblend (Vitanica)

Dosing: Take 2 capsules, twice per day.

Breast Cycle Blend is designed to support the normal physiological responses of the breast to cyclic hormonal changes.*

 

Detoxification support

pH QuintessencePRO (Symphony Natural Health)

Dosing: Take 1 capsule in the morning and 2 capsules in the evening.

pH QuintessencePRO is a 40:1 concentrated alfalfa (Medicago sativa) preparation that is rich in vitamins, minerals, essential amino acids, fatty acids, antioxidants, carotenoids, and chlorophyll. It’s designed to support detoxification and the gut microbiome and helps maintain the body’s natural alkalinity and pH levels.*

 

Vaginal health

V-Probiotics™ (Vitanica)

Dosing: Insert 1 capsule suppository into the vagina daily for up to one month. Use with a panty liner.

V-Probiotics™ is a vaginal probiotic blend of 2 billion CFU per capsule containing Lactobacillus crispatus (LCr-86), Lactobacillus gasseri (LG-08), Lactobacillus jensenii (LJe-52), Lactobacillus reuteri (LR-08), and Lactobacillus rhamnosus (LRa-05).

Disclaimer

The Fullscript Integrative Medical Advisory team has developed or collected these protocols from practitioners and supplier partners to help health care practitioners make decisions when building treatment plans. By adding this protocol to your Fullscript template library, you understand and accept that the recommendations in the protocol are for initial guidance and may not be appropriate for every patient.

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