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  • Nutrition Guide

    Download our expert-led nutrition guide with practical advice on balanced eating, hormone health and sustainable wellbeing. Balanced Guide to Health & Nutrition Request a Nutrition Guide Please take a moment to fill out the form. First Name Last Name Email I agree to join the mailing list Submit Click here to download Nutrition Guide

  • Menopause Awareness for Leaders | Bristol Menopause & Wellwoman Clinic

    Workplace menopause training for leaders covering legal responsibilities, HR policy, reasonable adjustments and how to support employees experiencing perimenopause and menopause. Menopause Training for Leaders Menopause can have a profound impact on employee wellbeing, confidence, and performance, yet many leaders receive little or no training on how to support staff experiencing menopausal symptoms. This specialised training equips managers, HR teams, and senior leaders with the knowledge and practical tools needed to foster a more inclusive, supportive workplace culture. This programme goes beyond awareness. Leaders will learn how menopause can influence retention, engagement, and team dynamics, as well as how to implement meaningful support systems that make a measurable difference to employees’ day-to-day experience at work. By addressing menopause openly and appropriately, organisations strengthen their commitment to diversity, equity, wellbeing, and psychological safety, ultimately enhancing performance, loyalty, and overall organisational resilience. What Your Leadership Team Will Learn Understanding Menopause, Recognising Symptoms, Stages & Challenges, Workplace Impact, Support & Adjustments, Lifestyle & Treatment Options, Building a Menopause-Inclusive Workplace. Site visits £2500 | Online £1600 Duration: 4 hours Understanding Menopause & Its Stages A detailed explanation of menopause, perimenopause, and postmenopause, including the wide range of physical and emotional symptoms that may affect employees differently. Recognising Symptoms & Key Challenges Insight into how symptoms can influence concentration, confidence, sleep, mental health, and productivity—helping leaders understand the real-life impact on work. Workplace Impact & Performance Considerations A deep dive into how menopause can affect: Attendance and absenteeism Engagement and communication Stress levels and workplace relationships Overall team performance This helps leaders identify early signs of struggle and intervene supportively. Support Strategies & Reasonable Adjustments Practical, evidence-based actions leaders can take to support menopausal employees, including: Environmental adjustments Flexible working considerations Workload and scheduling support Signposting to internal and external resources CONTACT US Key Training Modules 1. Menopause Awareness & Education Build foundational knowledge, reduce stigma, and empower leaders to have informed, constructive conversations about menopause in the workplace. 2. Legal Responsibilities & Risk Management Guidance on an employer’s legal duties under: The Equality Act Health & Safety legislation Employment law considerations Leaders will learn how to conduct risk assessments and ensure compliance while protecting employee rights and wellbeing. 3. Creating & Implementing Workplace Policies Support to develop or refine a robust, practical menopause policy that includes: Clear support pathways Confidentiality guidelines Guidance for managers Review and update cycles 4. Communication & Leadership Skills Practical training, including role-play where suitable, to help leaders: Hold sensitive, empathetic 1:1 conversations Respond confidently and appropriately Foster an open, supportive culture 5. Supporting Adjustments & Signposting Review of reasonable adjustments and internal support routes, plus signposting to: Occupational health Employee Assistance Programmes (EAPs) External specialist services CONTACT US Reviews & Feedback Deb Davis, HR Director "The Menopause Leadership Training Course with Hazel was insightful and practical, equipping me with the skills to confidently support colleagues through menopause. A must for any manager committed to building an inclusive, supportive workplace." Neil James, Operations Manager " Such a great course, really opened my eyes to how menopause can affect people at work. I feel much more confident having supportive conversations now. Highly recommend it for any manager!"

  • Menopause & Weight Gain — What’s Normal and What You Can Change | Bristol Menopause

    < Back Menopause & Weight Gain — What’s Normal and What You Can Change Midlife weight gain is common but manageable. Discover the real reasons it happens and practical steps to support healthy, sustainable weight control. Menopause & Weight Gain, What’s Normal and What You Can Change If you’re eating the same, exercising the same, but gaining weight it’s not your imagination. Hormonal changes slow metabolism, alter insulin sensitivity, and encourage fat to settle around the middle. The good news? Weight gain is not inevitable and it is absolutely possible to feel strong, healthy and confident again. What’s Really Happening in Midlife Metabolism slows by around 200 calories per day Insulin resistance can increase, especially with poor sleep Muscle mass gradually drops Stress hormones encourage fat storage Practical Strategies That Actually Work 1. Strength train 2–3 times per week This is the single best thing you can do for your metabolism. 2. Increase protein Aim for 1–1.2 g/kg/day to retain muscle. 3. Cut back on alcohol It disrupts sleep and slows fat burning. 4. Consider a medical weight-loss review If lifestyle changes aren’t shifting weight, specialist support can. Want personalised guidance? Book a menopause and weight review at Bristol Menopause Clinic today. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

  • Gold | Bristol Menopause

    Gold Wellwoman Check, a comprehensive private health assessment including advanced blood tests, hormone review and personalised lifestyle guidance. Gold Wellwoman Check Package Overview | £600 The Gold Wellwoman Health check is a two-appointment package designed to assess key areas of your health, including a blood test, health assessment, nutrition advice, and menopause support. While the blood test is not as comprehensive as the Platinum package, it still provides valuable insights into your health. Package Includes Appointment 1: Health Assessment: Review of your medical history, lifestyle, and current health concerns. Blood Test: Tests to assess cholesterol, blood sugar, liver function, and thyroid markers. Vital Sign Measurements: Weight, height, and blood pressure check. Appointment 2: Nutrition Advice: Tailored guidance based on your health assessment and blood test. Menopause Support: Expert advice for managing menopause symptoms. Detailed Health Report: Summary of results, recommendations, and next steps for your health. Book here Benefits of the Appointment: Comprehensive Health Review: A thorough evaluation over two appointments to assess your overall health, including key areas like nutrition, blood markers, and lifestyle factors. Early Detection: The blood test provides important insights into your health, helping identify potential issues such as cholesterol imbalances, blood sugar concerns, liver function, and thyroid health, all at an early stage. Personalised Advice: Receive tailored nutrition advice and actionable recommendations based on your health assessment and blood test results. This helps you make informed decisions for a healthier lifestyle. Menopause Support: If you’re experiencing menopause or perimenopause, you’ll receive expert guidance on managing symptoms such as hot flashes, sleep disturbances, and mood changes, allowing you to improve your quality of life. Clear Actionable Health Report: After your final appointment, you'll receive a comprehensive report with clear recommendations for your next steps, ensuring you're equipped to take charge of your health. Book your Gold Wellwoman Health Check today! This package provides essential health assessments, personalised care, and expert support to help you optimise your well-being. Secure your appointment today! £600 Book here

  • Testosterone Package - 10% saving | Bristol Menopause

    < Back Testosterone Package - 10% saving £540 Take Control of Your Hormonal Health with Our Testosterone Support Package – £540 10% saving when you book the full Testosterone Support Package. Our comprehensive package is designed for new patients, providing expert care, accurate hormone assessment, and ongoing support. What’s Included in the Testosterone Support Package: Initial 45-Minute Consultation In-depth consultation with a specialist Doctor: discuss your symptoms, concerns, and health history. Personalised health plan: tailored lifestyle, nutrition, and treatment options to optimise testosterone levels. Hormone Blood Test Panel (included with your first appointment only): full assessment of testosterone oestradiol and SHBG. Private prescribing (if needed): appropriate treatment options provided by your specialist. Letter to your GP: summary of consultation, results, and treatment plan for continuity of care. Review Appointment (3months post commencing testosterone) Progress review: assess results, symptoms, and wellbeing with your specialist. Hormone Blood Test Panel (included with your first appointment only): full assessment of testosterone oestradiol and SHBG. Treatment adjustments (if required): ensure your plan evolves with your needs. Ongoing support and advice: guidance on managing new symptoms or concerns. Private prescribing (if required): further prescriptions can be issued. Letter to your GP: update on progress and any treatment changes. Benefits of Booking the Testosterone Support Package: Expert care every step of the way – from your first consultation to your review. Tailored, ongoing support – treatment plan evolves with your needs. Cost-effective package – £540 includes consultation, two hormone panels, and review appointment. Personalised approach – designed around your unique hormonal health and goals. Confidence in your journey – with expert guidance to help you feel your best. Book Your Testosterone Support Package Today Take charge of your hormonal health and feel supported every step of the way. Book Here Please note: In line with our policy, you are unable to book with a doctor who is your registered GP or a GP at the practice where you are currently registered. This includes Dr Jo Burgin (Bridgeview Medical Practice) and Dr Danielle Calandrini (Newbridge Surgery). Thank you for your understanding. Previous Next

  • Testosterone Consultation & Follow Up | Bristol Menopause

    Women’s testosterone therapy follow-up including blood test review, symptom assessment, side effect monitoring and personalised treatment adjustments from experienced menopause specialists. Testosterone Package Initial Blood Test, Consultation, Follow Up Package Overview | £475 Comprehensive Testosterone Package for New Patients, Just £475. Take control of your menopause journey with our comprehensive support package, designed for new patients. For just £475, you’ll receive both a hormone profile blood test, initial consultation and a follow-up review appointment to ensure you have the expert care and guidance you need throughout this important life stage. Our experienced menopause doctor will provide personalised advice, treatment options, and continuous support to help you manage your symptoms and feel confident every step of the way. What's Included in the Comprehensive Menopause Support Package: Initial 45-Minute Consultation Basic hormone profile blood test In-depth Consultation with an Experienced Menopause Doctor: Discuss your symptoms, concerns, and health history to receive tailored advice. Personalised Health Plan: Get a customised approach to managing your menopause, covering lifestyle adjustments, nutrition, and possible treatments. Private Prescribing (if needed): If appropriate, our doctor will prescribe hormone replacement therapy (HRT) or other treatments. Letter to Your GP: A comprehensive letter to your GP, ensuring they are fully informed about your treatment and care plan. Review Appointment Progress Review: Check in with your doctor to review how you're feeling and assess the effectiveness of your treatment plan. Treatment Adjustments (if needed): Based on your progress, we'll adjust your plan to ensure the best care moving forward. Ongoing Support and Advice: Receive expert guidance on any new symptoms or concerns, helping you continue managing your menopause with confidence. Private Prescribing (if required): If further prescriptions are necessary, they will be provided during the review consultation. Letter to Your GP: A follow-up letter summarising your progress and any treatment changes will be sent to your GP for continued care. Book here Benefits of Booking this package: Expert Care Every Step of the Way: Receive specialised care from an experienced menopause doctor throughout your entire journey, from your initial consultation to your follow-up review. Tailored, Ongoing Support: We’ll ensure your treatment plan evolves with you, addressing any changes in symptoms or health, so you’re always receiving the best possible care. Cost-Effective Comprehensive Package: For just £475, you receive both your initial consultation and a follow-up review appointment, giving you complete support without the need for additional bookings or costs. Personalised Approach: Your treatment plan is designed around your specific needs, addressing your symptoms, health history, and goals for menopause management. Confidence in Managing Menopause: With ongoing guidance, adjustments, and support, you’ll feel empowered to manage your menopause symptoms effectively. Book Your Comprehensive Testosterone Support Package Today For just £475, you’ll receive a complete testosterone consultation, hormone profile blood test and follow-up plan tailored to your needs. Follow link below to book now. £475 * A blood test is required to assess your testosterone levels and confirm that treatment is appropriate. This must be carried out via a venous blood draw; finger-prick tests are not accepted. Finger-prick tests are not sufficiently accurate for clinical decision-making in menopause care. The blood test costs £110 in addition to the consultation.* Please note: In line with our policy, you are unable to book with a doctor who is your registered GP or a GP at the practice where you are currently registered. This includes Dr Jo Burgin (Bridgeview Medical Practice) and Dr Danielle Calandrini (Newbridge Surgery). Thank you for your understanding. Book here

  • Testosterone | Bristol Menopause

    Test osterone Therapy for Women on HRT We offer testosterone therapy for women already on a stable Hormone Replacement Therapy (HRT) plan who want to further optimise their health during menopause. Testosterone can support energy, libido, mood, and mental clarity, especially when standard HRT doesn’t fully relieve symptoms. Our expert-led sessions help you understand how testosterone works in menopause and how it can safely complement your current treatment. We provide personalised, evidence-based care to help you feel more like yourself again. Book a consultation today to explore if testosterone therapy is right for you. Initial Testosterone Consultation Read More Testosterone Follow-up Consultation Read More Testosterone Package - 10% saving Read More

  • GSM Guide | Bristol Menopause

    Download our GSM guide for expert advice on Genitourinary Syndrome of Menopause, including symptoms, treatment options and vaginal health support. Understanding Genitourinary Syndrome of Menopause Request GSM Guide Please take a moment to fill out the form. First Name Last Name Email I agree to be added to mailing list Submit Click here to download GSM GUIDE

  • Life After the Menopause Transition – A New Beginning | Bristol Menopause

    < Back Life After the Menopause Transition – A New Beginning Menopause Advice, Post Menopause Why Menopause Can Be the Start of a Whole New You The menopause transition is often painted as a challenging time, and while it does come with its difficulties, it also marks the start of a new chapter in life. After the hormonal fluctuations of perimenopause settle, many women find clarity, confidence, and a renewed sense of purpose. This stage of life offers an opportunity to redefine your goals and focus on what truly matters. Menopause is more than just the end of menstrual cycles—it’s the beginning of a phase where you can reclaim your time and energy. With the right mindset and lifestyle adjustments, this can be a time of empowerment and growth. The Challenges of Perimenopause and Finding Your Way Perimenopause, the phase leading up to menopause, can feel like a rollercoaster. The fluctuations in oestrogen and progesterone levels can cause symptoms like hot flushes, mood swings, and disrupted sleep. It’s no wonder this phase is often viewed with dread. But understanding what’s happening in your body can make all the difference. Hormonal shifts affect everything from your brain to your bones. For example, oestrogen plays a role in serotonin production, which impacts mood. Meanwhile, progesterone has a calming effect, and its decline can lead to feelings of anxiety. Navigating this time requires a multi-faceted approach: Education : Learn about the changes happening in your body. Support : Join communities or seek professional guidance. Lifestyle : Prioritise exercise, a balanced diet, and stress management techniques. The Positive Effects of Oestrogen and Progesterone Oestrogen and progesterone are essential hormones that regulate various bodily functions. While their decline can cause uncomfortable symptoms, understanding their roles can help you adapt. Oestrogen : Supports bone density, reducing the risk of osteoporosis. Promotes skin elasticity and hydration. Enhances cognitive function. Progesterone : Encourages restorative sleep. Provides anti-inflammatory benefits. Helps regulate mood. Although these hormones decline during menopause, this is a chance to explore other ways to support your body. Hormone replacement therapy (HRT), supplements, and a nutrient-rich diet can help mitigate symptoms and improve quality of life. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

  • Understanding PMDD | Bristol Menopause

    Learn about PMDD symptoms, diagnosis and treatment. Expert guidance on managing severe premenstrual mood changes with personalised hormone and mental health support. Understanding PMDD Request a Guide to Understanding PMDD Please take a moment to fill out the form. First Name Last Name Email I agree to be added to the mailing list Submit Click here to download a Guide to Understanding PMDD

  • World Heart Rhythm Week: Understanding Heart Rhythm Disorders, Palpitations and Menopause | Bristol Menopause

    < Back World Heart Rhythm Week: Understanding Heart Rhythm Disorders, Palpitations and Menopause Cardiovascular Advice Exploring the connection between menopause, heart palpitations and cardiovascular health during midlife and beyond. Why Heart Rhythm Matters When we think about heart health, conditions such as heart attacks, high cholesterol and high blood pressure often come to mind. However, the rhythm of the heart is equally important. During World Heart Rhythm Week , healthcare professionals and organisations worldwide work to raise awareness of heart rhythm disorders (arrhythmias) and encourage people to recognise symptoms that should not be ignored. Your heart beats approximately 100,000 times each day, pumping oxygen-rich blood around the body. Normally, these beats occur in a regular, coordinated pattern. While it is natural for the heart rate to increase during exercise and slow down during rest, sometimes the heart's electrical system can become disrupted, causing an abnormal heart rhythm, known as an arrhythmia . Some arrhythmias are harmless and temporary, while others may require medical assessment, monitoring or treatment. What Are the Symptoms of a Heart Rhythm Disorder? People experience heart rhythm disturbances in different ways. Common symptoms may include: A racing heartbeat (tachycardia) Fluttering or flickering sensations in the chest Feeling that the heart has skipped beats Sudden pounding or forceful heartbeats Dizziness or light-headedness Shortness of breath Fatigue or reduced exercise tolerance Chest discomfort Fainting or near-fainting episodes While occasional palpitations can be common, particularly during times of stress or hormonal change, persistent or worsening symptoms should always be assessed by a healthcare professional. Atrial Fibrillation: The Most Common Heart Rhythm Disorder One of the most common arrhythmias is atrial fibrillation (AF) . AF occurs when the upper chambers of the heart (the atria) beat irregularly and out of sync with the lower chambers (the ventricles). Atrial fibrillation becomes more common with age and affects millions of people worldwide. If left untreated, AF can increase the risk of stroke, heart failure and other cardiovascular complications. Symptoms of atrial fibrillation may include: Irregular or rapid heartbeat Palpitations Breathlessness Fatigue Dizziness Reduced ability to exercise Some people experience no symptoms at all, which is why regular health checks are important. Menopause and Heart Palpitations For many women, recognising heart rhythm symptoms can be particularly challenging because some symptoms overlap with those experienced during perimenopause and menopause . Heart palpitations during menopause are extremely common and are often linked to fluctuating hormone levels, particularly changes in oestrogen. Oestrogen has important effects on the cardiovascular system, and hormonal fluctuations can influence both heart rate and the perception of heartbeat sensations. Women frequently describe: A sudden awareness of their heartbeat Fluttering sensations in the chest Brief episodes of a rapid heartbeat Feeling that the heart has missed or skipped a beat Palpitations occurring alongside hot flushes or anxiety In many cases, menopausal palpitations are benign and improve over time. However, symptoms should not automatically be attributed to hormonal changes alone. Persistent, severe or new symptoms may warrant further investigation to exclude an underlying heart rhythm disorder or other medical condition. What Can Trigger Heart Palpitations? Several factors can contribute to palpitations and heart rhythm changes, including: Stress and anxiety Poor sleep quality Excess caffeine consumption Alcohol intake Smoking Thyroid disorders Anaemia High blood pressure Existing cardiovascular disease Certain medications Understanding and addressing these contributing factors can often help reduce symptoms. Supporting Heart Health During Midlife and Beyond Protecting cardiovascular health is important at every stage of life, particularly during and after menopause when cardiovascular risk naturally increases. Practical ways to support heart health include: Stay Physically Active Regular exercise supports cardiovascular fitness, helps maintain a healthy weight and can improve blood pressure and cholesterol levels. Follow a Heart-Healthy Diet A Mediterranean-style diet rich in vegetables, fruits, whole grains, legumes, oily fish, nuts and healthy fats has been shown to support long-term heart health. Prioritise Sleep Poor sleep can contribute to palpitations, increased stress levels and cardiovascular risk. Reduce Smoking and Excess Alcohol Both smoking and excessive alcohol consumption are associated with an increased risk of heart rhythm disorders and cardiovascular disease. Manage Stress Mindfulness, meditation, yoga, breathing exercises and regular physical activity may help reduce stress-related palpitations. Attend Regular Health Checks Routine monitoring of blood pressure, cholesterol, blood glucose levels and cardiovascular risk factors can help identify problems early. When Should You Seek Urgent Medical Attention? Seek immediate medical advice if you experience: Chest pain or pressure Severe shortness of breath Fainting or loss of consciousness Sudden prolonged episodes of rapid heartbeat Symptoms suggestive of a stroke, such as facial drooping, speech difficulties or weakness on one side of the body These symptoms may indicate a serious underlying condition requiring urgent assessment. The Importance of Listening to Your Heart World Heart Rhythm Week serves as an important reminder that heart health is about more than blood pressure and cholesterol levels. Understanding your body's signals, recognising symptoms early and seeking appropriate medical advice can help prevent complications and support long-term wellbeing. At Bristol Menopause Clinic, we understand that symptoms experienced during perimenopause and menopause can sometimes overlap with cardiovascular conditions. Taking a holistic approach ensures women receive appropriate assessment, reassurance and support for both hormonal health and overall wellbeing. Concerned about your heart health? Our comprehensive Wellwoman Health Checks are designed to assess key aspects of your cardiovascular and overall health, helping to identify potential risk factors before they become problems. If you'd like a clearer picture of your health during midlife and beyond, speak to our team about booking your assessment today. Book your Wellwoman Health Check and take control of your future health. Book here References Arrhythmia Alliance. Heart Rhythm Awareness Resources. British Heart Foundation. Understanding Arrhythmias and Atrial Fibrillation. NHS. Atrial Fibrillation and Heart Rhythm Disorders Guidance. National Institute for Health and Care Excellence (NICE). Atrial Fibrillation: Diagnosis and Management (NG196). British Menopause Society. Menopause and Cardiovascular Health Guidance. Wellwoman Checks Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

  • Histamine Intolerance | Bristol Menopause

    < Back Histamine Intolerance Diet, HRT, Perimenopause, Wellbeing, Managing Symptoms, Alternative Therapies Understanding Histamine Intolerance in Perimenopause: A Guide for Women As a menopause specialist, I see many women struggling with symptoms that seem to intensify during perimenopause—headaches, anxiety, digestive issues, and skin reactions. While these symptoms are often attributed to hormonal changes, there's another factor at play that many women (and even some healthcare professionals) may overlook: histamine intolerance. In this post, we'll explore what histamine intolerance is, how it relates to the hormonal shifts of perimenopause, and what lifestyle changes and treatment options, including hormone replacement therapy (HRT), can help you manage these symptoms effectively. What is Histamine Intolerance? Histamine is a naturally occurring compound that plays a crucial role in your body’s immune response, digestion, and communication within the brain. However, when your body is unable to break down histamine effectively, it can accumulate and cause a range of symptoms that mimic allergic reactions. This condition is known as histamine intolerance. Common symptoms of histamine intolerance include: Migraines or headaches Nasal congestion or sinus issues Fatigue and brain fog Digestive problems like bloating and diarrhoea Skin issues such as hives or itching Heart palpitations or rapid heartbeat Anxiety and mood swings How Perimenopause Affects Histamine Levels Perimenopause is the transitional period leading up to menopause, marked by fluctuating hormone levels, particularly oestrogen and progesterone. These hormonal shifts can significantly impact histamine levels in your body. The Role of Oestrogen Oestrogen is known to stimulate the release of histamine from mast cells, which are immune cells responsible for allergic responses. It also inhibits the enzyme diamine oxidase (DAO), which is crucial for breaking down histamine in your gut. When oestrogen levels rise, as they often do in perimenopause due to irregular ovulation, histamine levels can increase, leading to more pronounced symptoms. The Role of Progesterone Progesterone, on the other hand, helps to stabilise mast cells, reducing the release of histamine. It also supports the activity of DAO, helping your body to break down and clear histamine more effectively. During perimenopause, as progesterone levels decline, the protective effect against histamine diminishes, exacerbating histamine intolerance. Lifestyle Guidance to Manage Histamine Intolerance Managing histamine intolerance, especially during perimenopause, requires a holistic approach that includes dietary changes, stress management, and lifestyle modifications. 1. Dietary Changes Certain foods are high in histamine or trigger the release of histamine in the body. Avoiding or limiting these foods can help manage your symptoms: High-Histamine Foods : Aged cheeses, smoked meats, fermented foods (e.g., sauerkraut, kimchi), alcohol, and certain fish (e.g., tuna, mackerel). Histamine-Releasing Foods : Tomatoes, spinach, aurbergine, avocados, strawberries, and citrus fruits. Additionally, fresh foods tend to have lower histamine levels, so focusing on a diet rich in fresh fruits, vegetables, and unprocessed foods can be beneficial. 2. Stress Management Stress can increase histamine release and worsen symptoms. Incorporate stress-reducing activities into your daily routine, such as: Mindfulness and Meditation : Practicing mindfulness or meditation can help reduce stress levels and improve overall well-being. Regular Exercise : Moderate physical activity, such as walking, yoga, or swimming, can help lower stress and improve mood. Adequate Sleep : Prioritize getting 7-8 hours of quality sleep each night, as poor sleep can exacerbate both stress and histamine-related symptoms. 3. Gut Health Supporting gut health is crucial in managing histamine intolerance. Consider the following: Probiotics : Certain strains of probiotics, such as Lactobacillus rhamnoses, may help break down histamine in the gut. However, some probiotics can produce histamine, so it's important to choose the right strains. Anti-Inflammatory Diet : An anti-inflammatory diet can help heal the gut and reduce symptoms. This includes foods rich in omega-3 fatty acids, like fatty fish, flaxseeds, and walnuts, as well as plenty of fruits and vegetables. Treatment Options: Hormone Replacement Therapy (HRT) For women experiencing significant symptoms of histamine intolerance during perimenopause, hormone replacement therapy (HRT) can be an effective treatment option. HRT helps to balance the fluctuating levels of oestrogen and progesterone, which can in turn help to manage histamine levels. How HRT Can Help Balancing Oestrogen : HRT provides a controlled amount of oestrogen, which can prevent the spikes in histamine release associated with fluctuating natural oestrogen levels. Supporting Progesterone : Including progesterone in your HRT regimen can counterbalance the effects of oestrogen, helping to stabilise mast cells and reduce histamine release. Types of HRT Oestrogen-Only HRT : Typically prescribed for women who have had a hysterectomy, this type of HRT provides oestrogen without progesterone. In women with histamine intolerance, it’s crucial to monitor symptoms closely, as unopposed oestrogen can increase histamine levels. Combined HRT : This type of HRT includes both oestrogen and progesterone, which is ideal for women with histamine intolerance as it helps to maintain a balance between these two hormones. Personalised Approach It’s important to work with a healthcare professional who understands the complexities of histamine intolerance and hormonal balance. A personalised approach to HRT, tailored to your specific symptoms and hormone levels, can provide relief while minimising potential side effects. Get in Touch If you would like a personal Wellwoman Check, or are suffering from any of the symptoms of the menopause and would like to learn more, please head to our contact page to book an appointment. You'll be so glad you did! Contact Us

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0117 452 5747 (office hours: Monday - Friday 9am to 5pm)  |  Low Barn, Sheepway, Portbury, Bristol, BS20 7TF  |   hello@bristolmenopause.com 

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