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Best Foods to Balance Hormones Naturally During Perimenopause (Backed by Dr. Greger’s Research)

Updated: Jul 21

Discover the Top Foods for Hormonal Balance During Perimenopause


Dr. Michael Greger smiling next to the cover of his book “How Not to Age,” which explores science-backed ways to support healthy aging and natural hormone balance through diet.

Navigating Perimenopause Naturally: What You Eat Matters

If you’re in your 40s or 50s and feeling “off”—hot flashes, mood swings, sleep issues, or stubborn weight gain—you’re not alone. Hormonal changes can lead to these challenging symptoms. The good news is that you can find relief without solely relying on medication.


In How Not to Age, Dr. Michael Greger provides valuable research demonstrating how certain foods and lifestyle choices can rebalance hormones, ease symptoms, and enhance long-term well-being. This journey is about nourishment and not restriction.


Common Symptoms of Hormone Imbalance in Perimenopause

A woman in her 40s or 50s holding her head in discomfort, showing signs of a hormonal headache or perimenopause-related symptoms like brain fog or stress.

Many women experience these symptoms:

  • Hot flashes and night sweats

  • Low energy or brain fog

  • Bloating and unexplained weight gain

  • Mood swings or increased anxiety

  • Irregular periods and disrupted sleep


These symptoms are often connected to fluctuating estrogen levels. Fortunately, what we eat and how we care for ourselves can provide natural support.


Best Foods to Eat for Hormonal Balance (Backed by Science)

Embracing a whole food, plant-based diet rich in fiber, healthy fats, and phytoestrogens can be transformative. Here are Dr. Greger’s top food recommendations for achieving hormonal balance:


A vibrant whole food plant-based spread including leafy greens, oats, apples, flaxseeds, soybeans, and berries—ideal for supporting hormonal health, gut function, and natural detoxification.

✅ 1. Flaxseeds

Including just 1-2 teaspoons of ground flaxseeds in your daily routine may help reduce hot flashes, support estrogen metabolism, and enhance skin clarity. They're rich in lignans (phytoestrogens) and omega-3 fatty acids, both beneficial for hormonal health.


✅ 2. Whole Soy Foods

Forget the outdated myths about soy. It contains gentle plant estrogens (isoflavones) that help balance hormones rather than disrupt them. Tofu, tempeh, soy milk, and edamame can significantly lower the frequency of hot flashes, boost bone density, and contribute to breast health.


✅ 3. Fiber-Rich Foods

Foods like leafy greens, berries, oats, lentils, beans, and cruciferous vegetables play a key role. Fiber helps your body eliminate excess estrogen, ensuring smooth hormonal detoxification.


✅ 4. Nuts and Seeds

Incorporate almonds, walnuts, pumpkin seeds, and sunflower seeds into your diet. These offer healthy fats, antioxidants, and essential micronutrients that support your endocrine system while reducing inflammation.



Foods That May Worsen Perimenopause Symptoms

Dr. Greger emphasizes the impact of certain foods that can destabilize hormonal balance:

  • Refined sugar and processed foods

  • Red meat and processed meats

  • High-fat dairy products

  • Saturated fats like butter and palm oil


These foods have been associated with more severe hot flashes, mood swings, and metabolic shifts during menopause.


Why Fiber Is Your Hormonal Best Friend

Here’s an intriguing fact from How Not to Age: our ancestors consumed up to 100 grams of fiber daily; however, most of us barely reach 15 grams.


Fiber contributes not only to digestion but also binds to excess estrogen in your gut, expelling it from the body. Low fiber intake can lead to excess estrogen reabsorption, aggravating symptoms such as bloating and weight gain.


What We Can Learn from Japanese Women

A traditional Japanese meal setting featuring tofu cubes, steamed vegetables, and rice—highlighting plant-based foods rich in phytoestrogens that support hormonal balance during perimenopause.

Only about 15% of Japanese women report hot flashes during menopause, a stark contrast to the up to 80% in Western countries. Interestingly, there’s no specific word in Japanese for “hot flash.”


What’s the secret? Their traditional diet is abundant in fermented soy, green tea, and vegetables, with little animal fat. This plant-centric approach supports hormonal balance and reduces inflammation naturally.


Clinical Research: Soy and Menopause Relief

Dr. Greger cites research showing that:

  • Consuming half a cup of cooked soybeans daily can decrease hot flashes by up to 88% in just three months.

  • Soy consumption may boost bone density, enhance memory and mood, and lower breast cancer recurrence risks.


A Natural Approach to Hormonal Balance That Works

The key to navigating perimenopause isn’t about achieving perfection. It’s about making small, consistent changes that can have a substantial impact. Dr. Greger suggests the following lifestyle adjustments:


  • Increase plant-based foods and reduce animal products.

  • Incorporate 1-2 teaspoons of ground flaxseeds each day.

  • Regularly consume whole soy foods.

  • Aim for fiber intake of 30-40 grams/day.

  • Limit processed foods and saturated fats.

  • Engage in physical activity, manage stress, and prioritize restful sleep.


These habits can help smooth the journey through perimenopause without the need for hormone therapy.


Quick Q&A

Q: What are the best natural remedies for perimenopause?

A: Flaxseeds, soy products, leafy greens, berries, whole grains, and stress-management practices such as yoga and adequate sleep are excellent remedies for balancing hormones during perimenopause.


You Don’t Have to Do This Alone

Suzanne Saleh, wellness coach and author, supporting women in midlife with natural, plant-based approaches to hormone health and vitality.

If you’re facing the challenges of perimenopause and seeking supportive, natural approaches to feel like yourself again—I’m here to help.


I provide private wellness consultations and hormone-friendly programs tailored for women over 40. Together, we’ll cultivate a lifestyle that nourishes your body, balances your hormones, and promotes peace of mind.


If you have any questions or wish to explore how I can assist you, feel free to reach out through the contact form on my website.


Suzanne Saleh’s 30-Day Body Reset Program designed to support natural detox and hormone balance for women over 40.

For additional support, consider my 30-Day Body Reset Program. This online program is specifically designed for women 40+ who wish to restore energy, alleviate perimenopause symptoms, and implement empowering lifestyle changes.


If this resonates with you, sign up HERE.


Let's reset your hormones, energy, and vitality the natural way.


For further insights and tips, follow me on Instagram and join my private Facebook group here.


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