
Ep.13 - What's Actually Happening to Your Body in Perimenopause - Functional Medicine Guide
Nourish, Heal & Rise with Dr Andrea RobertsonShow Notes
Ep.13 - What's Actually Happening to Your Body in Perimenopause - Functional Medicine Guide
Dr. Andrea Robertson explains perimenopause as a 2-10+ year transition before menopause (12 months without a period), emphasizing that estrogen fluctuates rather than steadily declines and progesterone often drops first, contributing to anxiety, irritability, and sleep disruption even with regular cycles; she notes hormone blood tests can be unreliable and diagnosis is often clinical. She outlines a broad symptom range and warns against "menowashing" as menopause becomes profitable. Using a functional medicine lens, she covers five affected systems - hormones, blood sugar/insulin, gut microbiome/estrobolome, inflammation, histamine load, and nervous system/cortisol - plus long-term stakes for bone, cardiovascular, and cognitive health.
Practical strategies include protein-first meals, post-meal walking, resistance training, plant and fiber diversity with cruciferous vegetables, anti-inflammatory nutrition and omega-3s, managing high-histamine foods and leftovers, magnesium glycinate, circadian light hygiene, rest, and moderating caffeine/alcohol; she reviews evidence for select supplements and encourages symptom tracking and appropriate medical support.
Show Sponsors & Links This episode is proudly supported by: π§ Mineralyte - sugar-free electrolyte drops containing 22 electrolytes, minerals and trace elements, proudly made in Australia. Mix into any drink to support rapid hydration every day. www.mineralyte.com.au
Connect with Dr Andrea Robertson: π www.andrearobertson.health π² Instagram: @andrearobertson.health & @nourishhealrisepodcast Ready to go deeper? Learn more about the 3 Week Inflammation Detox and the 12 Week Whole Health Solution at www.andrearobertson.health Dr Andrea Robertson is an Osteopath, Naturopath, and Nutritionist. The information shared in this podcast is for educational purposes only and does not constitute medical advice. Always consult your healthcare provider before making changes to your health regimen.
00:00 Perimenopause Wake Up
00:37 Sponsor Mineralite
01:33 What Is Perimenopause
02:38 Podcast Disclaimer
03:12 Episode Roadmap
06:24 Symptoms Beyond Hot Flushes
08:52 Hormone Rollercoaster
11:12 Progesterone First Drop
15:33 Testing And Stages
18:52 Five Systems Overview
19:15 Blood Sugar And Weight
22:50 Gut Estrobolome Link
25:18 Inflammation Effects
27:30 Histamine Explained
29:38 Histamine Personal Story
32:09 Nervous System Cortisol
33:24 Long Term Health Stakes
35:38 Sponsor Mineralite Return
36:20 Heart Brain Future Risk
37:50 Three Common Myths
40:11 Action Steps Blood Sugar
42:06 Action Steps Gut
43:56 Action Steps Inflammation
46:01 Action Steps Histamine
48:29 Action Steps Cortisol
51:57 Herbs And Supplements Evidence
54:54 Track Symptoms Advocate
56:21 Five Systems Recap
57:32 Supported Transition Vision
58:18 Renee Results Example
59:08 Medical Options And Program
01:00:09 Next Week And Wrap
More from Nourish, Heal & Rise with Dr Andrea Robertson
Ep 18 - What Every Manual Therapist Needs to Know About Treating Women in Perimenopause and Menopause Dr. Andrea Robertson shares her recent Osteopathy Australia Conference talk on how perimenopause & menopause can change tissue recovery and drive common midlife complaints like stubborn shoulder, hip, tendon and joint pain. She explains clinical definitions of perimenopause, menopause and post-menopause, why symptoms can fluctuate with erratic estrogen and falling progesterone, and introduces the "midlife inflammatory load model" with six drivers: estrogen fluctuation/decline, visceral fat and metabolic dysfunction, insulin resistance, poor sleep, chronic stress, and inactivity with muscle loss. Andrea links hormonal and metabolic factors to tendons and joints, outlines what practitioners should ask, do and when to refer, and emphasizes treating the painful tissue while assessing the broader environment through education, movement, lifestyle support and appropriate GP referral. Show Sponsors & Links This episode is proudly supported by: π§ Mineralyte - sugar-free electrolyte drops containing 22 electrolytes, minerals and trace elements, proudly made in Australia. Mix into any drink to support rapid hydration every day. www.mineralyte.com.au
Ep. 17 - Self-Love: How to Move Through Hard Times, Build Resilience, and Come Back to Yourself with Kim Morrison Dr. Andrea Robertson (Osteopath, Naturopath & Nutritionist) interviews Kim Morrison who is an ultramarathon world record holder, aromatherapist, founder of 28 Essentials, author of The Art of Self-Love, and host of The Self-Love Podcast which is about building resilience through life's polarities and using tough times as learnings. Kim shares how she accidentally entered ultras under mentor Cliff Young, the mindset tools and aromatherapy anchors that helped her persist, and how she developed a six-step "circle of self-love" (self-awareness, self-care, self-discipline, self-control, self-respect, self-acceptance) after family crisis and her son's mental health struggle. They discuss why more people openly admit hardship, how self-compassion links to physical health, and how self-love supports women through perimenopause/menopause via listening to the body, rest, movement, and daily rituals.
Ep. 16 - Osteoporosis: Building Strong Bones, How to get Calcium Without Dairy, and the #1 Exercise Lever Dr. Andrea Robertson (Osteopath, Naturopath, Nutritionist) explains that osteoporosis is symptomless until fracture, defines osteopenia/osteoporosis and DEXA T-scores, and highlights hip fracture risks and outcomes. She describes bone remodeling (osteoclasts vs osteoblasts), distinguishes bone density from bone quality, and notes a study that shows fluoride increased density but worsened fractures.
Ep. 15 - Nathalie Sebbag's MS Diagnosis: Building a Care Team, AIP Nutrition, and Living Well Without Being Defined by a Label Dr. Andrea Robertson hosts friend and fellow Osteopath Nathalie Sebbag, who shares her journey from early tingling symptoms and anxiety about worst-case diagnoses to MRI findings of a disc bulge and brain/spinal lesions indicating MS, and multiple specialist opinions focused on medication.
Ep.14 - The 15-Minute Meal Planning Habit That Makes Healthy Eating Stick (Plus How I Use AI) Dr. Andrea Robertson explains why healthy eating most often collapses at busy weeknight dinnertimes when there's no plan, leading to repetitive meals and reduced variety in plant foods, fibers, polyphenols, and amino acids. She argues meal plans aren't rigid diets but decisions made in advance that reduce mental load, account for who's home and who cooks, and intentionally build in leftovers and flexibility. Andrea reviews research linking meal planning with higher diet quality and food variety, and a controlled study showing ultra-processed foods lead to higher calorie intake. Andrea details her long-time paper system - calendar first, allocate cooking, plan dinners then lunches, batch-cook components, and shop from the plan - then shows how custom AI GPTs built on her recipes and principles can create a realistic weekly plan from fridge contents and constraints in minutes, while noting AI limits for clinical needs.