A registered nurse's honest guide
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 ten pages and it is yours.
The free guide
Ten pages, about fifteen minutes.
Free. Just your email.
Who wrote this
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 is for women who want more than the explanation.
$37
One payment. Yours to keep.
Reader words
Questions
A private daily tracker that opens in your phone's browser and comes with the Complete Guide. You log sleep, energy, mood, and steps in about a minute a day. After a week or so, the Trends screen starts showing your patterns.
Entries stay on the device you use. Phone and computer don't sync. Export a CSV backup weekly. Your entries live on your device, not in an online account. Clearing your browser history or site data erases them, which is one more reason to export weekly.
Checkout is through Gumroad. Your receipt email has a View content button that opens your download page: the guide, the tracker link and password, and the setup steps, all in one place. If you have a Gumroad account, it is also saved in your Gumroad Library.
Enter your email on the free guide page and it comes straight to your inbox. If nothing shows up within a few minutes, check your spam or promotions folder.
No. This is education, written by a registered nurse. It is not a substitute for care from your own doctor, and reading it does not create a nurse-patient relationship. If your tiredness is new, severe, or comes with other symptoms, see your doctor first.