The front of a paperback book by Ann Louise Gittleman, Before the Change, which is about taking charge of your perimenopause.
The front of a paperback book by Ann Louise Gittleman, Before the Change, which is about taking charge of your perimenopause.

"This is the best book I have read on perimenopause and I have read or tried to read many! It helped me tremendously. I would recommend this to any woman going through perimenopause. This book is so well written and easy to understand!"
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Before The Change

your complete perimenopause guide

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The front of a paperback book by Ann Louise Gittleman, Before the Change, which is about taking charge of your perimenopause.
The front of a paperback book by Ann Louise Gittleman, Before the Change, which is about taking charge of your perimenopause.

Before The Change is the definitive guide to navigating perimenopause naturally. New York Times bestselling author Ann Louise Gittleman offers a clear, do-it-yourself program to manage mood swings, weight gain, and other symptoms using nutrition, lifestyle adjustments, and natural remedies.

This updated edition includes the latest research on hormone replacement therapy, hypothyroidism, soy, and more—helping women feel vibrant and in control during this pivotal stage of life.

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Product Facts

Format: Paperback Print Book

Number of Pages: 300

Language: English

Author: Ann Louise Gittleman

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Take Charge of Perimenopause Naturally

Perimenopause can be confusing, frustrating, and physically challenging—but Before The Change provides a safe, practical roadmap to regain control. Ann Louise Gittleman, PhD, CNS, presents a step-by-step program designed for women 35 and older to understand and manage the body’s changes before menopause.

Inside, you’ll discover:
• Symptoms and Self-Diagnosis: Clear explanations of perimenopause signs and a simple self-assessment quiz
• Natural Alternatives to HRT: Vitamins, minerals, herbs, and natural hormones to ease symptoms safely
• Nutrition and Lifestyle Guidance: Foods and habits that prevent and alleviate perimenopausal issues
• Expanded Insights: Updated research on soy, hypothyroidism, and safe approaches for women with risk factors like hysterectomy, breast cancer history, osteoporosis, or heart disease

This revised edition also includes advice for safely weaning off synthetic hormones, strategies for mood and weight management, and practical tools to support women through a decade of change.

With Before The Change, you can say goodbye to hormone havoc and take charge of your health—simply, safely, and naturally.

“Loaded with exactly the kind of information women need to support their bodies during perimenopause.” –– Christiane Northrup M.D.

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