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Perimenopause to Menopause: The Nutrition Blueprint Every Woman Needs

As women, our bodies shift, evolve, and respond to every decade of life in ways no one really prepares us for.

Maybe what worked in your 20s suddenly… doesn’t.

Maybe you hit your 40s and wonder, “Why is my body changing even though I’m doing the same things?”

Or maybe you’re trying to help your daughter grow up with a healthier relationship with food than you ever had.

Recently, I completed a continuing education course taught by Jessica Crandall Snyder, RDN, CDE, one of the leading voices in women’s nutrition. It was all about fueling women’s health through critical stages of life: adolescence, early adulthood, pregnancy, perimenopause, menopause, and beyond.

What I learned was incredibly eye-opening… not just scientifically, but in understanding the real-world challenges women face every single day.

Today, I’m sharing the biggest takeaways with you. Not as a dietitian. Not as a doctor. But as an Exercise Physiologist who coaches women every day through these exact transitions.

Let’s dive in.

Why Women Are So Confused About Nutrition (Spoiler: It’s Not Your Fault)

Women are not confused because we lack discipline or knowledge.

We’re confused because the world keeps shouting at us.

We juggle careers, families, aging parents, and endless responsibilities while also absorbing mixed messages from:

  • Social media

  • Friends at book club

  • Grocery store magazines

  • Influencers selling detox supplements

  • Diet culture pushing keto, intermittent fasting, “clean eating,” low carb, no carb…

On top of that?

Most women feel overweight or inadequate even when their BMI is normal.

This pressure leads to:

  • Restrictive dieting

  • Cutting entire food groups

  • Over-exercising to “cancel out” calories

  • Weight cycling

  • Shame and confusion

And it often backfires causing lower energy, harming metabolism, and even increasing long-term risks like osteoporosis and heart disease.

One of my biggest takeaways from the course was this:

Women don’t need more rules, they need clearer priorities.

The Four Pillars Women Should Return to at Every Age

This was one of my favorite frameworks from the course:

1. A Healthy Mindset

Understanding your body, not fighting against it.

2. Sustainable Activity

Movement that supports your life and longevity, not punishment.

3. Balanced Nutrition

Fueling, not restricting.

4. Longevity & Prevention

Thinking about your heart, bones, metabolism, and brain as much as the scale.

Most women abandon a new habit if it doesn’t “work” in two weeks.

This course was a reminder that real change is more like a marathon than a sprint.

What Women Actually Need NutritionallyProtein: The Muscle & Metabolism Protector

Most women severely under-eat protein, especially at breakfast.

A great, simple target from the course:

  • 20 - 30 grams of protein per meal

  • Evenly spaced across breakfast, lunch, and dinner

This supports:

  • Muscle mass

  • Metabolism

  • Satiety

  • Strength training results

This is especially important for women in perimenopause or menopause, when muscle naturally declines.

Carbohydrates: The Most Misunderstood Macronutrient

Carbs are not the enemy.

Restricting them too aggressively leads to:

  • Low energy

  • Poor recovery

  • Poor sleep

  • Mood changes

  • Intense cravings later in the day

Nutrient-rich carbs matter:

  • Fruit

  • Whole grains

  • Starchy vegetables

  • Dairy

Carbs also increase serotonin, which supports mood and sleep—two things most women desperately need more of.

Fats & Fiber: The Unsung Heroes

Healthy fats:

  • Support hormones

  • Aid satiety

  • Help absorb nutrients

Fiber is a game changer:

  • Women need 25 - 35 g/day

  • Most are eating 11 g/day

A simple goal:

  • 10 grams of fiber per meal

Fiber supports digestion, blood sugar regulation, and even reduces visceral abdominal fat.

Micronutrients That Matter for Women

Several nutrients play a major role in women’s long-term health:

Iron

  • Ages 19–50: 18 mg/day

  • 51+: 8 mg/day

  • Important for energy, performance, and preventing anemia

Calcium & Vitamin D

Critical for bone health.

  • Calcium: 1,000–1,200 mg/day

  • Vitamin D: 600 IU/day (half of women are deficient)

Omega-3 Fatty Acids

Anti-inflammatory and essential for brain & heart health.

Aim for at least two servings of fatty fish per week.

Phytoestrogens

These blew me away, especially their role in menopause.

Foods like soy, flaxseeds, and beans may help:

  • Reduce hot flashes

  • Support heart health

  • Support bone strength

  • Support hormone balance

A simple guideline from the course:

1-2 servings of soy foods per day if tolerated.

Choline

Essential for cell function, metabolism, and brain health.

Most women don’t get enough.

Weight, Aging & Why Your Body Changes

Women’s bodies are designed to change.

And each stage has different nutritional needs.

Teens & 20s:

Restricting calories too young can stunt growth, bone density, and hormonal development.

Age 25+:

Resting metabolism naturally declines.

Strength training and protein become essential.

Perimenopause (often 40s):

Estrogen begins to decrease—which means:

  • Weight shifts toward the belly

  • Mood changes

  • Sleep disruptions

  • Increased inflammation

All normal. All manageable.

Menopause:

Lower estrogen increases risk for:

  • Heart disease

  • Stroke

  • Diabetes

  • Osteoporosis

Women also require fewer calories and more protein, fiber, and strength training to protect muscle.

The key message?

Instead of fighting your changing body, learn how to fuel it.

Practical Strategies Women Can Start Today

Here are three tools you can implement right now:

1. The Plate Method

  • ½ plate veggies

  • ¼ plate lean protein + healthy fats

  • ¼ plate starchy carbs

Simple. Balanced. Sustainable.

2. Break Up Your Movement

Most women do have time, they just don’t realize movement can happen in intervals.

Try:

  • 10 minutes after breakfast

  • 10 after lunch

  • 10 after dinner

That’s your 30 minutes.

3. Meet Yourself Where You Are

You don’t need a full lifestyle overhaul.

Start with:

  • One balanced breakfast

  • One extra glass of water

  • One 10-minute walk

  • One protein-rich meal

Small wins create momentum.

The Heart of the Course: Health First, Not Weight First

This course was such a powerful reminder that women deserve:

  • Better than diet culture

  • Better than shame-based health advice

  • Better than chasing numbers on a scale

Health is:

  • Strength

  • Consistency

  • Balanced eating

  • Sleep

  • Stress management

  • Community

  • Joy

  • Feeling good in your body

Not perfection.

Final Thoughts

Women’s nutritional needs evolve with every decade.

Your body is not “broken” it’s changing.

And when you understand how to fuel those changes, you unlock more:

  • Strength

  • Energy

  • Confidence

  • Longevity

…no matter your age.

Your body is worth understanding, fueling, and supporting for the long term.