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Key Nutrients for Menopause

diverse group of women around the age of 50

Menopause is a single point in time, 12 months after a woman’s last period. The average age of menopause is 511, but it widely varies from woman to woman. This is a normal and natural part of the aging process. While symptoms, body composition changes, and increased disease risk may accompany this life stage, there are specific nutrients that can make this a strong and healthy experience for women. Note: These nutrients can be found in food, but many women find it difficult to meet their daily targets through diet alone, so supplements can help bridge this gap. 

Author: DJ Blatner, RDN

Perimenopause

The time leading up to menopause is called perimenopause. An irregular menstrual cycle is usually the first sign of being in perimenopause. This transition can last 7 years2, but it varies from woman to woman.

Perimenopause Considerations:
The shifts in estrogen levels during perimenopause may cause women to experience symptoms3 such as hot flashes, sleep problems, mood changes, mental exhaustion, and joint/muscle discomfort. Additionally, changes to body composition4 may occur with shifts in fat and muscle mass.

Postmenopause

The time after menopause is called postmenopause. Women spend about a third of their lives in this stage.

Postmenopause Considerations:
The decrease in estrogen can make postmenopausal women more vulnerable5 to heart disease, osteoporosis, and metabolic concerns such as modifications in blood pressure and blood sugar levels, and abnormal cholesterol and triglyceride levels.

group of foods that represent protein, such as meats, fish, eggs, nuts, seeds, and beans.

Protein

What: Changes in body composition can occur during perimenopause, so adequate protein supports the maintenance of healthy muscle mass6.*

Amount: 1.2 g/kg body weight/day; and higher for active women

Foods: poultry, fish, eggs, dairy, beef, beans, nuts/seeds, soy foods

group of foods high in fiber including fruits, vegetables, beans, lentils, whole grains, nuts, seeds

Fiber

What: Supports7 gut health, heart health, blood sugar balance, and contributes to a healthy weight.* A high-fiber diet has also been associated with fewer hot flashes.

Amount: 28 g/day (on average)

Foods: fruits, vegetables, beans, lentils, whole grains, nuts, seeds

group of foods that represent Omega-3 including salmon, tuna, sardines, flaxseed oil, walnuts, seeds

Omega-3

What: Supports heart health & joints.* Research suggests8 that it also may support a healthy mood and cognition during perimenopause.*

Amount: 1.1 g/day

Foods: salmon, tuna, sardines, flaxseed oil, walnuts, seeds

group on foods representing Magnesium including pumpkin seeds, chia seeds, almonds, spinach, brown rice

Magnesium

What: Supports9 healthy bone, muscle, and heart function.* It also may support already normal blood pressure, mood, sleep, and potentially reduce hot flashes.*

Amount: 320 mg/day

Foods: pumpkin seeds, chia seeds, almonds, spinach, brown rice

group of foods that represent Vitamin C including red bell pepper, orange, kiwi, broccoli, strawberries

Vitamin C

What: Supports10 bone health, heart health, and possibly, normal cognition.* Also supports collagen production for healthy joints and skin.*

Amount: 75 mg/day

Foods: red bell pepper, orange, kiwi, broccoli, strawberries

Ashwagandha root, powder and supplements

EXTRA CONSIDERATION

Ashwagandha

Why: Research suggests it may help to support the body’s adaptation to stress and increase quality of life.*

soy beans in pod

EXTRA CONSIDERATION

Isoflavones

Why: Research suggests they may reduce hot flashes and benefit bone density, normal blood pressure, and blood sugar already within the normal range.*

Probiotic foods including; pickles, sauerkraut, kefir, and more

EXTRA CONSIDERATION

Probiotics

Why: Emerging research suggests a healthy balance of gut bacteria may play a role in healthy aging, normal immune system function, and the maintenance of optimal vaginal health.*

Perimenopausal Products

foods representing Calcium: yogurt, cheese, milk, fortified orange juice and soymilk, kale, canned salmon  	Vitamin D: fatty fish, some types of mushrooms, fortified dairy and plant milk

Calcium + Vitamin D

What: Supports bone health* (pair with vitamin K2)

Amount: Calcium: 1200 mg/day Vitamin D: 800 IU/day

Foods:  Calcium: yogurt, cheese, milk, fortified orange juice and soymilk, kale, canned salmon
Vitamin D: fatty fish, some types of mushrooms, fortified dairy and plant milk

group of foods that are high in calcium and vitamin D including Calcium: yogurt, cheese, milk, fortified orange juice and soymilk, kale, canned salmon  	Vitamin D: fatty fish, some types of mushrooms, fortified dairy and plant milk

Vitamin K2

What: Supports11 heart health, blood vessel flexibility, and plays a role in bone health.*

Amount: 180 mcg/day (total vitamin K, not specific for K2)

Foods: fermented foods like sauerkraut, yogurt, and kefir, hard cheeses, egg yolks

Foods representing B Vitamins including seafood, poultry, eggs, dairy products, legumes, leafy greens, avocado

B Vitamins

What: Research suggests12 B vitamins (especially B6, B12, and folate) support heart health, mood, cognitive function, and bone health.* And folate may also decrease hot flashes.*

Amount: B6: 1.5 mcg/day B-12: 2.4 mcg/day Folate: 400 mcg/day

Foods: seafood, poultry, eggs, dairy products, legumes, leafy greens, avocado

foods representing Vitamin E including wheat germ, sunflower seeds, almonds, peanut butter, spinach

Vitamin E

What: Supports heart health, healthy blood vessels13, and may help manage menopause symptoms like hot flashes.*

Amount: 22 IU/day

Foods: wheat germ, sunflower seeds, almonds, peanut butter, spinach

foods representing Inositol such as beans, cantaloupe, grapefruit, whole grain bread, nuts

Inositol

What: May support metabolic health14 such as already normal blood pressure, cholesterol, and triglycerides, as well as normal insulin responses.* Additionally, it may help support normal visceral fat.*

Amount: no current guideline

Foods: beans, cantaloupe, grapefruit, whole grain bread, nuts

woman hand adding Creatine to glass

EXTRA CONSIDERATION

Creatine

Why: Research suggests that creatine may help promote muscle and bone health, as well as support cognitive function and mood.*

Postmenopausal Products

References

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.