This Is Perimenopause - a book by Dr Kirstey Holland

Conclusion

Dr Kirstey Holland Episode 21

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“Your blood work is normal.” If you’ve heard that while you’re struggling with fatigue, poor sleep, mood swings, weight changes, or a constant sense that something is off, this conversation is for you. I’m closing out with a grounded, hopeful message: you’re not broken, and perimenopause is not menopause. It’s a natural biochemical reset, and when we treat it like the distinct life phase it is, the path forward gets a lot clearer.

I walk through my hierarchy of healing, a step-by-step protocol that starts where real change usually begins: foundational health. We talk about why gut health and the microbiome come first, how repairing the gut lining makes other treatments work better, and why so many women stay stuck when they skip this stage. From there we move into hormone balance, including why progesterone is often the first hormone to go missing in perimenopause and how that can create an oestrogen-dominant pattern that drives symptoms.

Then we shift into reclaiming metabolic flexibility and day-to-day practices that restore vitality: eating to nourish your biochemistry, sleeping with circadian rhythms, moving in ways you love, and staying connected to relationships that support your wellbeing. I also underline the value of asking your GP or practitioner better questions and using the right functional blood panels, so you can identify root causes instead of being dismissed by “normal” ranges. Finally, I share a hypothesis about unresolved trauma and perimenopause, and why release of old stories and coping patterns can be the missing piece once your body is stable again.

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Closing Vision For Healing

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Conclusion. Although our journey together in these pages is nearing the end, my deepest wish is that your healing journey is just beginning. Through the three phases of the hierarchy of healing, you now have everything you need to navigate perimenopause with grace. You know the right questions to ask your GP or practitioner, especially when you're told your blood work is within normal range, when you know something isn't right in your body. You now have confidence and knowledge to ask for the right testing, the foundational blood panels that will reveal the full picture of the issues that may lie beneath the perimenopausal symptoms you're suffering. And, beautiful, you can now step fully into your power. You can reclaim your vibrancy, your energy, and feel truly amazing during this natural, powerful transition in your biochemistry. Take

Perimenopause Is A Biochemical Reset

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a look at a master summary of what we've covered to this point. It is possible to restore your vitality and feel better than you ever have, even in the throes of perimenopause's chaos. Your body can heal in the way that it needs to, and in a way that is sustainable, when you learn how to work with your biochemistry rather than against it. You're not broken and you've done nothing wrong. What you're experiencing is a shift in your biochemistry. Perimenopause is a natural occurrence, a biochemical reset happening in your body. Perimenopause is not yet menopause. Yes, it precedes menopause, but it is not, as many will have you believe, a mini menopause. Perimenopause and menopause are two separate life phases that a woman's body will naturally move through. Each life phase requires its own treatment protocol, or it can result in inadequate care and potentially exacerbate your symptoms. Every woman's biochemistry is uniquely her own, and it is why perimenopause feels so different for every woman. With the complexity of your unique biochemistry, your healing needs to begin by restoring your foundational health, repairing your gut, rebalancing your hormones, and reclaiming your metabolic flexibility. In that order and on your cellular timeline.

Why Progesterone Matters Most

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In perimenopause, progesterone matters more because your body is in an estrogen-dominant state. The first hormone to go missing is progesterone, leaving the unruly estrogen unmodulated, so her levels soar and crash. For many perimenopausal women, this cool and calm goddess, progesterone, is the first line of defense, working to help resolve the root causes beneath the presenting symptoms. Your

Repair The Gut First

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healing journey begins by repairing the gut first. Once your gut microbiome is working at an optimal level, further treatment protocols can be effective. Your symptoms will begin to dissipate, your energy can be off the charts, and your zest for life returns as you reclaim your vibrancy for good. The hierarchy of healing, repair, rebalance, and reclaim is your roadmap to heal. My protocol is centered on gut health, hormonal balance, and reclaiming metabolic vitality by taking back control of your biochemistry. Each of the three phases is designed to restore your cellular health step by step, because when your foundational health isn't strong, the body can't fully respond to healing. In repair, we walked through the steps of the heal, seal, and repair protocol, which returns your body to a neutral state and restores the integrity of your gut lining, bringing your gut microbiome back online. Without a healthy gut, no other treatment protocol will matter or be effective. And you also received a few delicious recipes to help you get there. See the resource section.

Rebalance Hormones With Clear Steps

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In Rebalance, we discussed the importance of bringing your hormones back into balance to help realign your biochemistry. You met six archetypical women and learned about their unique healing journeys as they worked to restore their foundational health and bring their hormones back into alignment.

Reclaim Metabolic Flexibility

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In Reclaim, we discussed that once you've repaired and rebalanced, your systems are back online. It's then that you can reclaim metabolic flexibility and rediscover the most vibrant version of yourself.

Release Trauma And Old Patterns

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Finally, in release, I presented my hypothesis about the connection between unresolved trauma and perimenopause and the impact it can have. That once you've repaired, rebalanced, and reclaimed your vibrancy, like most women, you are in a place to release and lay down what no longer serves you or your well-being. To release the past, the limiting beliefs, the old stories, thought patterns, and coping mechanisms that at one point worked to keep you safe. When you choose to lay it all down, you can truly heal and reclaim your vitality for the next 50 years of your life. I want every woman to finally be given the answers and treatment protocol she has been searching for, identify any diagnosis that may have been missed, and live the life of her dreams. I want you and every woman to feel better, to feel like yourself again. So

Become The Expert Of Your Body

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during the stormy season of perimenopause and as you move into the calm of menopause, make sure that for the rest of your life you are living as the best version of yourself. Completely autonomous in your health decisions. The expert of your own body and biochemistry. Confident and capable in managing perimenopause. Free from confusion about conflicting health advice. Connected to your body's wisdom in every moment. Implementing the three phases of my healing protocol, you'll never again feel disconnected from your body or confused about what it needs. You will become your own sovereign being, in complete control of your health destiny. You will know intuitively how to eat in a way that nourishes your body. Sleep according to your circadian rhythms so you feel restored. Move in ways you love and that energize you. Think clearly and understand the mind-body connection. Prescribe through building your own clinical grade therapeutic medicines that support your body. Connect through meaningful relationships that nourish your well-being.

Testing Tools And Final Invitation

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And test and monitor using the right functional blood panels to identify root causes that may lie beneath your symptoms. This level of unconscious competence means you will thrive rather than just survive or endure, because you will be working with your biochemistry rather than against it, and take back control of your health journey. And a final invitation.com. D-R K I R S T E Y H O L L A N D dot com. So grab your rose-tinted sunnies and let's begin your own transformation journey back to vibrancy. Warmly Dr. Kirsty Holland.