How do I know if I’m in perimenopause?

Most women will start to experience perimenopause symptoms in their mid-40s, but some can start as early as in their mid to late 30s. For many women, the first sign of perimenopause is a change in their menstrual cycle. Tell-tale signs may also include hot flashes, night sweats, vaginal dryness and heart palpitations—as well as emotional changes such as increased anxiety and fatigue. Some liken perimenopause symptoms to worsening PMS symptoms. There are many other overlooked signs and symptoms. If you’re experiencing hormonal changes, it’s best to check in with your physician.

What’s the difference between perimenopause and menopause?

Perimenopause is the transition leading up to menopause. On average, this chapter can last about four years, but can range up to 10 years. During this time, our hormone levels start to fluctuate—which can impact everything from menstrual cycle regularity, mood and even body temperature regulation (hello, hot flashes). These hormonal fluctuations, ultimately, will impact nearly every organ system in our bodies. It’s both a gradual and seismic shift in our body chemistry. Unfortunately, this important life transition is poorly understood and under-researched. (Most medical schools and OB/GYN residency programs lack appropriate perimenopause curricula entirely.)² With the launch of Perimenopause Support Pack and our continued $10 million pledge to close the women’s health research gap, we’re determined to create a world where women are educated, supported and feel ready for perimenopause—and beyond.¹Cleveland Clinic²Menopause via NIH

Are Perelel products 3rd Party Tested?

Yes, we complete third-party testing on all of our products to confirm purity and potency. All of our vitamins are made in FDA Registered and Inspected Facilities, which meet FDA 21 CFR 111 guidelines and are also cGMP Certified. All raw materials for our vitamins are tested directly prior to production to ensure their purity and quality. COAs are performed on every batch of manufactured vitamins to ensure final product integrity and quality, which includes testing for heavy metals, microbes, allergens and contaminates. We then complete third-party testing for heavy metals, microbes and potency to confirm our products are safe under USP standards. In addition, our pre and postnatal formulas have earned us certification from the Clean Label Project, a leading nonprofit that sets one of the industry's highest standards for consumer transparency. We’re proud to have earned Clean Label Project’s highest honor, the Purity Award!If you're interested in learning more, check out our blog post here on heavy metals.

What is the difference between the Women’s Multivitamin and the Peri Multivitamin?

Although the two formulas may look the same, we have made some specific changes based on ways to best support women in Perimenopause: Ingredient dose increases to provide stage-specific support with Vitamin A, Vitamin D, Vitamin E, Niacin, Folate, Vitamin B12, Biotin, Choline, Selenium, CoQ10, and Theanine.

Where do you source your ingredients?

All of our products are manufactured in the USA at high-quality partners that follow FDA's current Good Manufacturing Practices (cGMPs) to ensure quality and safety. Our ingredients are sourced throughout the world to ensure we have the cleanest and most bioavailable formats of each vitamin or mineral.

Perelel Perimenopause Support Pack box on a beige background

Perimenopause support pack with capsules and a supplement on a white background

Woman lying on a couch with text about Sensoril's stress relief and sleep support benefits.

Woman holding a pink product package against a pink background

Woman in a white coat with text about a peri support pack for perimenopausal women, featuring Dr. Banafsheh Bayati.

Person holding a glass of water and pills with a box labeled 'Perelet' on a table.

4.9

Rated 4.9 out of 5 stars

4.9 Stars (151 Reviews)

Perimenopause Support Pack

Support for hormonal shifts

OB/GYN-formulated, research-backed, 3rd party tested
Helps support healthy estrogen metabolism*
Eases symptoms like hot flashes and irritability*
Supports sleep and stress relief*

RECOMMENDED
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$58.95
/ Month ~~$69.35~~
One time purchase

$69.35

30 Day Supply

Doctor–Recommended Pairing by:

Dr. Banafsheh Bayati

MD, OB/GYN, FACOG, Medical Co-Founder, Perelel

“Peri Support Pack supports women experiencing the start of perimenopause, and is formulated with their specific needs in mind. With knowledge, lifestyle changes, nutritional and supplemental support, we can be ready for the perimenopause transition.”
Dr. Banafsheh Bayati
MD, OB/GYN, FACOG, Medical Co-Founder Perelel

Love my vitamins

"Ever since I have been taking these, I feel more energy!"
Michele M. Verified Buyer

Peri Support Pack is AMAZING!

"I just completed my first order of the Peri Support Pack and I am truly impressed! I like that they come in convenient, easy to take packets!"
Abbigail M. Verified Buyer

Life Changing

"I’m a 39 year old mother of 4 kids. I was more moody than usual, I had brain fog, my period started to be a little off. I have been on them for 1 month and I can see a significant change. I have more energy, my mood swings have decreased significantly along with the brain fog"
Adriana R. Verified Buyer

[Wondering if] it’s perimenopause?

It’s not in your head. It’s in your hormones.
Tap the symptoms that sound familiar.

CYCLE CHANGES

Irritability

Lack of energy

Hot flashes

Night sweats

Weight gain

Feelings of anxiety

Brain fog

You could be in perimenopause or menopause.

What you’re feeling is normal.

Get targeted symptom relief with our all-in-one vitamin routine formulated by doctors who have been there.

So, what's inside?

Key Ingredients in our
Perimenopause Support Pack

Peri Multivitamin

2 Capsules per Pack

Omega DHA + EPA

1 Softgel per Pack

Metabolic Support

1 Capsule per Pack

Perimenopause Complex

1 Capsule per Pack

Key Ingredients

Perimenopause Support Pack

The Difference

Perimenopause Support Pack

Other Vitamins

Founded by an OB/GYN

Formulated by a team of leading OB/GYNs, dietitians and naturopaths

Industry-Inspired, Not Doctor-Designed

Formulas designed without direct input from doctors, with minimal advisory involvement

Targeted Nutrition

Clinically-backed ingredients to support a healthy perimenopause transition*

One-Size-Fits-All

Generic formulation for women’s health after 35

High Quality Ingredients

Bioavailable formats of essential nutrients that your body can easily absorb*

Generic Ingredients

Cheap, standard ingredients to preserve shelf life

Clean Label Project Certified

Independently tested and certified for over 200 contaminants including heavy metals, endocrine disruptors, and plasticizers.

Standard Routine Testing

Basic testing relying on routine industry requirements.

Convenient

Everything you need in one daily pack

The DIY Women’s Health Routine

Multiple bottles that don’t work in synergy

59% OF WOMEN say they didn’t know about perimenopause until they were already experiencing it.

No one prepared us for the cycle shifts. The brain fog. The emotional rollercoaster.

Your Doctor-Formulated Routine for Perimenopause & Menopause

Help your body ease the transition with an all-in-one routine with targeted supplements for symptom relief.

Doctor-Backed, 3rd Party Tested

We hold our products—and your health—to the highest standards. Here's what you can expect for every Perelel Product:

Rigorous vetting & testing at every stage of manufacturing
Meticulous formulation in partnership with our Perelel Panel
Doctor-recommended doses to ensure nutrients make an impact
Every ingredient is backed by research
Micro, heavy metal and purity testing of every batch
Made in the USA in FDA Registered and Inspected Facilities that are cGMP certified

Learn More

Questions & Answers

Find answers to your most frequently asked questions about this product below.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Formulated by doctors. Trusted by women.

Join the Perelel community.

Follow and tag us @perelelforperi

4.9

Rated 4.9 out of 5 stars

Based on 151 reviews

Total 5 star reviews: 135 Total 4 star reviews: 14 Total 3 star reviews: 2 Total 2 star reviews: 0 Total 1 star reviews: 0

99%would recommend this product

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151 reviews

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KL
Krista l.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
21 seconds ago
The best
I’m 41 and have noticed a huge change in my energy levels and daily bloating. After starting Perelel, I have more energy and my bloating is gone!! I notice a difference when I miss taking it. Having it in individual packs is much easier for me to take and bring on vacation. Highly recommend!
Was this helpful?
M
Megan
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
2 days ago
Hooked and I’ve told all my friends
I was having a really hard time handling mood swings and just feelings of rage. It was impacting my marriage and I made an appointment with my PCP for help. Since I couldn’t get in for months, I decided to try Perelel. It has helped with my sleep and immensely with my mood. My husband was so happy with the results, HE made sure to sign me up for the subscription 😅 It started helping very quickly and has only improved over time. It’s not magic, I still deal with peri symptoms, but it’s a lot more manageable now. For reference, I’m 43. I started getting peri symptoms at 38 (sleeplessness and anxiety).
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EH
Emily H.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
2 days ago
Great option
I’ve felt a real boost in energy and daily comfort since starting. Highly recommend.
Was this helpful?
GL
Grace L.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
3 days ago
LOVE
Felt results within a few days. Better energy and clarity.
Was this helpful?
RM
Renee M.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
4 days ago
Perimenopause vitamin pack
I actually ran out of these vitamins after taking them for only about 2 months -but I felt different without them & had to make sure my subscription was current & on auto to resend me every month! I really like the perimenopause pack & take the pack every morning. I do need to make sure to eat with the multivitiamins as I will feel slightly nauseous if I don't eat before or when taking them. But overall best mulit vitamin pack I've had for perimenopause stage of life!
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Perimenopause Support Pack

Support for hormonal shifts

Game Changer

Build Your Perimenopause Routine

Triple-Support Protein

Libido Support*

Cellular Hydration Powder

Synbiotic Greens Powder

Sleep Support*

Daily Iron Ease

Daily Probiotic

Hormonal Balance Support*

Stress Support

Dr. Banafsheh Bayati

Reviews

Love my vitamins

Peri Support Pack is AMAZING!

Life Changing

Product Description

Benefits

Provides Optimal Nutrition

Heart, Brain & Cognitive Support

Helps Support Metabolic Health

Relief of Menopause Symptoms

Directions

Our Standards

Who This Is For

[Wondering if] it’s perimenopause?

Optimal Nutrition

Stress and Immune Support

Heart Health

Brain & Cognitive Support

Helps Support Metabolic Health

May Help Healthy Blood Glucose Regulation

Relief of Menopause Symptoms

Clinically Proven Stress Relief and Sleep Support

Key Ingredients

Vitamin B12 12 mcg as Methylated B12

Ashwagandha 125 mg Sensoril®

Metabolic Support 100 mg L-Carnitine + 50 mg Berberine + 50 mg Green Tea Extract

Vitamin D 4,000 IU Vitamin D

Vitamin K2 30 mcg as Menaquinone-7 (MK-7)

Zinc 15 mg of Zinc Bysglycinate Chelate

L-Theanine 100 mg of L Theanine

Omega DHA + EPA 375 mg of Omega-3 Fatty Acids (250 mg of DHA + 100 mg EPA)

Other Key Ingredients

Founded by an OB/GYN

Industry-Inspired, Not Doctor-Designed

Targeted Nutrition

One-Size-Fits-All

High Quality Ingredients

Generic Ingredients

Clean Label Project Certified

Standard Routine Testing

Convenient

The DIY Women’s Health Routine

59% OF WOMEN say they didn’t know about perimenopause until they were already experiencing it.

Your Doctor-Formulated Routine for Perimenopause & Menopause

Doctor-Backed, 3rd Party Tested

Questions & Answers

How do I know if I’m in perimenopause? Chevron icon

What’s the difference between perimenopause and menopause? Chevron icon

Are Perelel products 3rd Party Tested? Chevron icon

What is the difference between the Women’s Multivitamin and the Peri Multivitamin? Chevron icon

Where do you source your ingredients? Chevron icon

Formulated by doctors. Trusted by women.

Join the Perelel community.

Create a personalized routine in 1 minute

Your Doctor-Formulated Routine for Perimenopause & Menopause