WORK WITH US / PERIMENOPAUSE & MENOPAUSE
Perimenopause and Menopause Nutritionist in Sunnyvale
Hot flashes, 3am wake-ups, brain fog, uncontrolled weight and belly fat that showed up out of nowhere aren't something you just have to live with. I help women get a clearer picture of what's going on with their hormones, and build a plan to feel like themselves again.
Perimenopause symptoms women bring to me
Perimenopause is the transition before your periods stop for good. It can start in your early 40s and last for years. Menopause is the point 12 months after your last period. Symptoms can show up in either stage:
Weight gain around the middle (the menopause belly)
New bloating and digestive changes
Mood swings, anxiety or a shorter fuse
Irregular, heavier or lighter periods
Hot flashes and night sweats
Waking at 3am and not getting back to sleep
Brain fog and forgetting words
Fatigue that coffee doesn't touch
You might have been told your labs are "normal." Normal ranges are wide, and a single blood test misses a lot of what's going on.
How I help
Test, don't guess
A comprehensive blood test and the DUTCH hormone panel give us a snapshot of your hormone and cortisol patterns, plus GI-MAP when your gut is involved.
Feed your hormones
Protein, fiber, healthy fats and blood sugar balance, built around your symptoms and your life.
Support the systems around them
Your gut, liver, thyroid, adrenals and nervous system all affect how you feel in this transition.
Perimenopause weight gain, and where GLP-1s fit
The menopause belly is real, and it's not about willpower. Shifting hormones change how you store fat and how you respond to sugar and stress.
Some women add a GLP-1 weight loss medication like Ozempic or Wegovy at this stage. If that's you, the goal isn't just a lower number on the scale. It's keeping your muscle, your bones, your gut and your energy along the way. That's what we work on together.
Perimenopause and menopause questions
“Working with Ricky has been one of the best decisions I've made for my health. From the very first consultation, I felt seen, heard, and empowered. She took the time to dive deep into my symptoms, explained my lab results in a way that finally made sense, and created a personalized plan that actually worked, without overwhelming me with supplements or confusing protocols. She helped me get to the root of my hormonal imbalances and gave me the tools to support my body naturally.”
EFRAT S., LOS ALTOS