A registered nurse's honest guide

Still Tired

Fatigue in perimenopause and menopause. What is actually happening, what is worth ruling out first, and what actually helps.

Most books on this promise your energy back in a week or two. This one does not, because I could not find good evidence that anyone can promise that. What it does instead is tell you where the research is thin, which tests are worth knowing by name, what to say when you are brushed off, and what genuinely helps, ranked by how much evidence sits behind it.

If you have been tired for a year and have been told your labs are normal, start with the free guide. It is nine pages and it is yours.

The free guide

Start here

Nine pages, about fifteen minutes.

Why this tiredness is different from being tired before, and the four jobs estrogen was quietly doing.
When tiredness needs a doctor rather than a guide. If you read one page, read that one.
The tests worth knowing by name, and what to do if you get brushed off.
What actually helps, ranked by the evidence behind it. And what it looks like when it is working, which is slower and smaller than anyone tells you.
Why NAD+ gets sold to you the way it does, and what the research actually shows.

Get the free guide

Free. No payment details asked for.

Who wrote this

I am a nurse, and I am going through this too

Thirty years in cardiac care, trauma ICU, recovery rooms and procedural sedation. I am also 56, and this is happening to me while I write about it.

I wrote these because I went looking for them and mostly found people selling something. I am a registered nurse, not a menopause specialist, and you will find me saying so throughout. Nothing here replaces your own doctor. What I can do is tell you what the research says and what it does not say, and be straight with you about the difference.

What you will not find here

No supplement I am quietly selling you. No promise about how you will feel by Friday. No claim that one thing explains all of it.

If you want the long version

The Complete Guide

$37

Sixty-four pages. Twelve sections.

The long version of each thing that helps: sleep, movement, food and blood sugar, stress, supplements, and lowering what you are exposed to.
What to do when it is not working. How to track what changes, how long to give it, and what it means if nothing shifts.
A workbook: five worksheets to get started, a month on one page, and room to write.
A week of simple meals with recipes, morning routines, and three guided relaxation tracks.

Get the complete guide

One payment. Yours to keep.

Cover of the complete guide, Still Tired, a nurse's guide to fatigue in perimenopause and menopause