What Should I Eat During Perimenopause and Menopause?

Understanding Protein, Fiber, Carbohydrates, Healthy Fats, and Processed Foods

One of the most common questions we hear at The Menopause Wellness Center is:

“What should I be eating?”

The answer isn’t about following the latest diet trend or eliminating entire food groups.

Instead, it’s about choosing foods that nourish your body, preserve muscle, support your metabolism, protect your heart and bones, and help reduce your risk of chronic disease as you age.

Hormone therapy can help many women feel better and improve quality of life. But hormones are only one part of the equation.

Optimal health also depends on nutrition, regular exercise, strength training, quality sleep, stress management, and avoiding tobacco and limiting alcohol.

Every meal is an opportunity to nourish your body.

While no single food causes or cures disease, the choices we make consistently over months and years can significantly influence our risk of heart disease, diabetes, osteoporosis, cognitive decline, and many other chronic illnesses.

Let’s look at the building blocks of a healthy diet.

Protein: The Foundation of Healthy Aging

As estrogen declines during perimenopause and menopause, women naturally begin losing muscle mass.

This process contributes to:

• Slower metabolism

• Loss of strength

• Increased body fat

• Insulin resistance

• Osteoporosis

• Frailty later in life

Protein helps preserve muscle, supports metabolism, improves satiety, and plays an essential role in maintaining healthy bones and overall health.

Many women benefit from aiming for approximately 100 grams of protein daily, spread throughout the day. While individual needs vary based on body size, activity level, age, and medical conditions, eating 25–30 grams of protein at each meal is a practical goal for many women.

Excellent Sources of Protein

Animal Protein

✔ Chicken

✔ Turkey

✔ Fish

✔ Salmon

✔ Tuna

✔ Lean beef

✔ Pork tenderloin

✔ Eggs

✔ Greek yogurt

✔ Cottage cheese

Plant Protein

✔ Lentils

✔ Chickpeas

✔ Black beans

✔ Edamame

✔ Tofu

✔ Tempeh

✔ Quinoa

Healthy Protein Snacks

• Greek yogurt

• Cottage cheese

• Hard-boiled eggs

• Protein shakes

• Beef or turkey jerky

• Protein bars with minimal added sugar

Fiber: One of the Most Powerful Nutrients You’re Probably Not Getting Enough Of

Most Americans consume only about half of the fiber they need.

Fiber helps:

✓ Improve gut health

✓ Lower cholesterol

✓ Improve blood sugar control

✓ Reduce inflammation

✓ Support heart health

✓ Increase fullness after meals

✓ Promote healthy digestion

✓ Reduce the risk of colon cancer

Women should aim for approximately 25–30 grams of fiber daily.

Excellent Sources of Fiber

Vegetables

Broccoli

Brussels sprouts

Cauliflower

Spinach

Green beans

Carrots

Asparagus

Artichokes

Fruits

Apples

Pears

Berries

Oranges

Kiwi

Beans and Legumes

Black beans

Kidney beans

Lentils

Chickpeas

Split peas

Whole Grains

Oats

Steel-cut oats

Barley

Farro

Brown rice

Whole grain bread

Whole grain pasta

Nuts and Seeds

Chia seeds

Ground flaxseed

Almonds

Walnuts

Pumpkin seeds

Understanding Carbohydrates

Carbohydrates are your body’s preferred source of energy.

The goal isn’t to eliminate carbohydrates.

The goal is to choose carbohydrates that provide lasting energy, fiber, vitamins, and minerals.

Simple Carbohydrates

These digest quickly and often lead to rapid blood sugar spikes.

Examples include:

• Soda

• Candy

• Cookies

• Cakes

• Pastries

• Doughnuts

• Sugary cereals

• White bread

• White rice

• Chips

• Fruit juice

Complex Carbohydrates

These digest more slowly because they contain fiber and nutrients.

Excellent choices include:

Sweet potatoes

Brown rice

Quinoa

Oats

Steel-cut oats

Beans

Lentils

Whole grain breads

Whole grain pasta

Vegetables

Whole fruit

Healthy Fats Are Essential

For years, women were told that eating fat would make them gain weight. We now know that healthy fats are an important part of a balanced diet.

Healthy fats help:

✓ Support brain health

✓ Improve satiety

✓ Support heart health

✓ Help absorb fat-soluble vitamins (A, D, E, and K)

✓ Provide essential fatty acids the body cannot make on its own

Choose healthy fats such as:

• Extra virgin olive oil

• Avocados

• Almonds

• Walnuts

• Pistachios

• Chia seeds

• Ground flaxseed

• Pumpkin seeds

• Natural peanut butter or almond butter

• Fatty fish such as salmon, trout, sardines, and mackerel

Like all foods, healthy fats are best enjoyed as part of a balanced diet.

Limiting Processed Foods

One of the simplest ways to improve your health is to eat more foods that look like they came from nature and fewer foods that came from a factory.

Not all processed foods are unhealthy. Frozen vegetables, frozen fruit, plain Greek yogurt, and canned beans are technically processed and can be excellent choices.

The foods we encourage women to limit are ultra-processed foods, which often contain refined grains, added sugars, unhealthy fats, excess sodium, preservatives, and artificial ingredients while providing relatively little nutritional value.

Examples include:

• Sugary breakfast cereals

• Candy

• Cookies

• Cakes

• Doughnuts

• Chips

• Cheese puffs

• Fast food

• Frozen pizzas

• Breaded frozen meals

• Chicken nuggets

• Hot dogs

• Processed lunch meats

• Instant noodles

• Snack cakes

• Sugary granola bars

• Sweetened beverages

Instead of focusing on restriction, try replacing these foods with healthier choices most of the time.

Progress—not perfection—is the goal.

Foods That Give You More Than One Benefit

Many of the healthiest foods provide protein, fiber, and complex carbohydrates together, making them excellent choices for blood sugar control, satiety, and overall health.

Build a Balanced Plate

Instead of counting calories, think about building your plate.

🥩 One-quarter: Lean protein

🥦 One-half: Non-starchy vegetables

🍠 One-quarter: High-fiber complex carbohydrates

🥑 Include: Healthy fats such as olive oil, avocado, nuts, or seeds

This simple approach provides the nutrients your body needs while supporting healthy blood sugar, muscle maintenance, and long-term health.

Nutrition Is About Consistency, Not Perfection

Healthy eating isn’t about following a perfect diet.

It’s about making better choices more often than not.

There will always be birthdays, holidays, vacations, and celebrations—and that’s okay.

What matters most is the pattern of your eating over months and years.

At The Menopause Wellness Center, we don’t believe in fad diets or quick fixes.

We believe in helping women develop sustainable habits that support lifelong health. Combined with regular physical activity, strength training, quality sleep, stress management, and hormone therapy when appropriate, good nutrition becomes one of the most powerful tools available to help women thrive during perimenopause, menopause, and beyond.