08/09/2026
Nutrition is only one leg of the stool, and in perimenopause and menopause, that matters more than ever 🪑
I talk a lot about food, movement, sleep, and stress as the four legs holding up your health. But here’s what I don’t always explain, why a wobbly leg becomes so much more noticeable once oestrogen starts to decline.
Oestrogen isn’t just a reproductive hormone, it plays a real regulatory role in blood sugar control and cortisol output. It supports insulin sensitivity, so as oestrogen drops through perimenopause, many women find their blood sugar becomes harder to keep steady even if their diet hasn’t changed. Oestrogen also helps modulate the HPA axis, your stress response system, so its decline can mean cortisol runs higher and takes longer to come back down after a stressful moment.
That’s why the same stool can feel so much wobblier in your 40s and 50s than it did in your 20s. The buffering effect that oestrogen used to provide isn’t there in the same way, so weak legs, poor sleep, chronic stress, blood sugar rollercoasters, show up faster and hit harder.
It also explains why nutrition alone often stops being “enough” in perimenopause, even when it’s genuinely good nutrition. The other legs need just as much attention, sometimes more, to keep the whole stool standing.
Today’s reflection: if you’re in perimenopause or menopause, has movement, sleep or stress felt like it affects you more than it used to? Tell me below, I’d love to know I’m not the only one noticing this. Plus let me know how you’re getting on with move more September.