Beyond Hormones: The Real Drivers of Perimenopause Symptoms

Hot flushes. Brain fog. Anxiety. Insomnia.

We have been told these are signs of hormone deficiency - but the evidence tells a more complex story.

In this Live Stream session, we unpack why many perimenopause symptoms are often driven by nervous system dysregulation, sleep disruption, and neuroinflammation - not just oestrogen levels.

You will learn a practical, evo-biopsychosocial framework to assess what is actually driving symptoms and how to match targeted herbal and nutritional interventions to those mechanisms with confidence.

Walk away with a clearer clinical lens, more effective treatment strategies, and a renewed sense that this is not second-best medicine to hormone replacement - it is first-principles care.

Key Learning Objectives for Practitioners:
• Apply an evo-biopsychosocial assessment framework to perimenopausal patients — evaluating autonomic tone, sleep, stress, and psychosocial context before defaulting to a hormonal lens.
• Explain the thermoneutral zone mechanism driving hot flushes and prescribe autonomic-targeting interventions as first-line vasomotor management.
• Identify the non-hormonal drivers of perimenopausal brain fog and mood disturbance and match targeted protocols (to the presenting mechanism).
• Design a foundational sleep-restoration protocol using GABAergic-based interventions to improve downstream cognition, mood, and metabolic function.
• Implement a long-game protective strategy for the cardiometabolic, bone, and cardiovascular risks that accelerate during the perimenopause window.

This Live Stream is accredited for 2 CPD points