Understanding Perimenopause: Symptoms and Management
Anna Harrelson • June 1, 2024
Red head meditating



Welcome to Wondercreek Health!

If you have found yourself here, then like myself a few years ago and almost all of my other patients, you need validation, explanation & treatment of some whacky and frustrating things happening in your body these days!

Navigating the choppy waters of perimenopause can feel a lot like trying to solve a puzzle without all the pieces. It’s a journey that’s both uniquely personal and frustratingly elusive. Today, I want to share not just the facts, but also the feelings and strategies from someone who’s right there in the trenches with you.

The What and Why of Perimenopause

Perimenopause marks the transition toward menopause, the point when your ovaries gradually begin to make less estrogen. It typically starts in your 40s but can kick off in your 30s or even earlier. Symptoms vary widely in both type and severity, ranging from irregular periods to more surprising signs like heart palpitations and, of course, the infamous hot flashes.

Symptoms to Watch For

Here are a few common perimenopause symptoms that many of us may wave off as just stress or aging:

  • Irregular Periods: This might be the first sign you notice. The length of time between periods may be longer or shorter, your flow may vary (IT CAN GET RIDICULOUS!), and you might even skip some periods.
  • Hot Flashes and Night Sweats: These are the calling cards of the menopause transition. Sudden waves of heat can disrupt your day and your sleep. It can be subtle or dramatic, but there is a link between these heat waves and cardiovascular disease. They are not something to just SUFFER THROUGH!
  • Sleep Problems: You might find it harder to fall asleep, or you might wake up long before your alarm and struggle to drift off again. This can really set the stage for all of the other symptoms to be amplified.
  • Mood Changes: Fluctuations in hormones can lead to increased irritability or feelings of sadness. You may realize that you just don't feel love or joy the same and that you aren't laughing much or enjoying the things that you once did.

Managing Symptoms

While there’s no one-size-fits-all solution, here are just a few of the many strategies that have helped me and might help you too:

  • Lifestyle Adjustments: Diet and exercise really are our best friends. Focus on heart-healthy foods and regular physical activity to help manage weight and stress.
  • Hormone Therapy: This can be a game-changer for many women. It’s not right for everyone, but it’s worth discussing with a healthcare provider who takes your concerns seriously. This is a place where I am happy to work with you to find out if you (most women are) a candidate for hormone therapy.
  • Mindfulness and Meditation: Both can be incredibly effective for managing stress and mood swings. I also love journaling. These practices help me stay centered and combat the mental fog that often comes with hormonal upheaval.

Seeking Support

You’re not alone in this. Connect with healthcare providers who listen—really listen—to what you’re experiencing. It’s crucial to feel supported and understood by your medical team.

I’m living this right now, right alongside you, and I believe in a proactive approach to perimenopause, one that embraces comprehensive care, empathy, and an abundance of caution. We're in this together, and I’m here to share every insight, setback, and victory along the way.

Let’s keep this conversation going. Have you started experiencing changes? How are you managing them? Share your story in the comments below—I’d love to hear from you. If you are looking for a partner to help you along this journey, I am thrilled to be on your team!

Warmly (like , all night where is the fan warmly,

Dr. Anna



WonderCreek Health Blog

By Anna Harrelson June 13, 2025
You’ve probably seen it popping up in wellness podcasts, health stores, or even your friend's supplement cabinet: bovine colostrum. Marketed for gut health, immune support, and recovery, this early-life nutrient source for calves is now showing up in adult wellness routines. But is it worth your time and money? As a lifestyle medicine physician focused on women’s midlife health and longevity, here’s what I want you to know before you jump on the colostrum bandwagon. Let’s Start With the Basics: What Is Colostrum? Colostrum is the first form of milk produced by mammals (including humans) in the first few days after giving birth. It’s loaded with antibodies, growth factors, and immune-modulating compounds designed to jumpstart a newborn’s immune system and line the gut. Bovine colostrum—from cows—is the form used in most supplements. It's freeze-dried and packaged into powders or capsules, and often promoted for: Gut barrier support ("leaky gut") Immune system priming Exercise recovery Anti-aging benefits But let’s be honest: just because something has growth factors doesn’t mean it belongs in your Amazon cart. Does the Science Support It? Evidence in humans is limited— but not nonexistent. Some small clinical studies have shown potential benefits: Gut health: In people with NSAID-induced intestinal permeability ("leaky gut"), bovine colostrum has been shown to reduce damage and symptoms. Immune function: Some data in athletes suggests reduced upper respiratory infections. Exercise recovery: A few studies report improvements in performance, gut comfort, or muscle soreness—especially in endurance athletes. But these benefits aren’t guaranteed. And the quality and dosage of colostrum varies widely, with no standardized formulation across brands. So Should You Take It? Here’s where my clinical voice kicks in: Before you reach for colostrum, ask yourself: Have you addressed the basics? Are you sleeping? Managing stress? Eating fiber and whole foods? Getting enough protein? Building muscle? Moving your body? Supporting your gut with real food (not just powders)? If the answer is no—then colostrum is not your next step. You’re throwing powdered fuel on an engine that’s missing spark plugs. Do you have dairy sensitivity? Colostrum is a dairy product. Even if it's low in lactose, it may not be tolerated by everyone. Are you already taking quality foundational supplements? Vitamin D, omega-3s, magnesium, creatine, iron (when needed), and probiotics have stronger bodies of evidence for many women in midlife. When Might It Be Worth Trying? Colostrum might be a reasonable add-on if you: Have mild gut symptoms (especially post-infectious or stress-related) Are recovering from illness or antibiotics Train hard and experience frequent upper respiratory issues Want to support your immune system during travel or stress Even then, I recommend: A 2–3 month trial only after dialing in basics Choosing a third-party tested brand Tracking symptoms and benefits Cost, Hype, and the Bigger Picture Many women I work with are overwhelmed by supplement costs. Colostrum can run $50–100/month —and that adds up. So here’s what I tell my patients: Just because something is trending doesn’t mean it’s essential. And just because it works for someone on TikTok doesn’t mean it’s the right tool for your body right now. Your body is an incredible machine. When you give it rest, movement, nourishment, and support—it can do amazing things. Colostrum is not magic. It’s just one tool in a very big toolbox. Bottom Line Colostrum may hality sources. You’re not broken. You might just need a reset—not another powder.
By Anna Harrelson June 12, 2025
The body content of your post goes here. To edit this text, click on it and delete this default text and start typing your own or paste your own from a different source.
More Posts