Perimenopause Free Guide
You're not broken.
You’re in perimenopause, and your body is asking for support.
If you’re experiencing mood swings, fatigue, stubborn weight changes, poor sleep, brain fog, and/or anxiety which has started years before your periods stop, this free guide will help you finally understand what’s really happening.
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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Does this sound familiar?
You feel wired but exhausted.
Your emotions feel unpredictable.
Sleep is lighter, broken, or unrefreshing.
Your body feels harder to manage despite doing “all the right things”.
Blood tests come back "normal"—but you don’t feel normal.
No one warned you that perimenopause could begin in your late 30s or that it could last up to 10 years.
And most importantly—
No one taught you how to support it properly.
In this Perimenopause Free Guide you'll learn:
Why symptoms can appear years before menopause
How fluctuating oestrogen and low progesterone affect mood and sleep
The role of cortisol in weight gain, anxiety, and fatigue
Why gut health is critical for hormone balance
What to focus on first without overwhelm
This guide gives you clarity, language, and reassurance, so you can stop blaming yourself.
What is Perimenopause?
Perimenopause is the natural hormonal transition leading up to menopause.
During this phase:
- Oestrogen fluctuates (not just declines)
- Progesterone steadily drops
- Testosterone and DHEA reduce
- Cortisol (your stress hormone) often rises
- Gut and liver detoxification slow down
These changes don’t just affect your cycle; they impact your brain, mood, metabolism, bones, heart, and long-term cognitive health.
Why a Functional Medicine Approach Matters
Conventional care often says:
“Wait it out. Treat symptoms.”
Functional & Longevity Medicine asks:
- Why are these symptoms happening now?
- Which systems are under strain?
- How can we prevent future disease and not just cope?
This guide introduces a whole-systems framework, supporting:
✔ Hormonal harmony
✔ Gut & liver detoxification
✔ Stress & adrenal resilience
✔ Metabolic and mitochondrial health
✔ Brain, bone, and heart protection
download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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download the free guide
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start with understanding: download the free guide
Get more insights in Dr Nirusha's Free Guide 'Understanding Perimenopause: A Functional Medicine Approach'.
Thank you! please download your free guide below—a copy has also been sent to your email.
Please keep an eye on your emails (and junk folder) for the free guide; if you don't receive it within 24 hours, please email contact@drkumaran.com.
Ready to Go Deeper?
This free guide is your starting point.If you want step-by-step support, practical protocols, and a clear roadmap…
The Full Midlife Rebalanced®: Your Perimenopause Healing Guide Includes—
✔ Symptom trackers & personalised planners
✔ Hormone, gut, brain & metabolic protocols
✔ Food lists, supplements & adaptogens
✔ Testing guidance (DUTCH, gut, nutrients)
✔ A 4-week reset frameworkNervous system and emotional healing tools
available for just £5. releasing 20 February 2026.
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About the Writer: Dr Nirusha Kumaran
BMBS, BMedSci, MRCGP, DRCOG, DFSRH, Dip IBLM / BSLM, AFMCP
Dr Nirusha Kumaran is a GP, Functional & Longevity Medicine Specialist, supporting women through perimenopause and midlife using evidence-based, root-cause medicine.Her work focuses on preventing burnout, metabolic disease, cognitive decline, and hormonal chaos before they become “normalised”.
