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 (193 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
Subscribe & Save 15%
- $1.96 per serving
- Free shipping
- Pause or cancel anytime
$58.95
/ Month ~~$69.35~~
One time purchase

$69.35

30 Day Supply

Doctor–Recommended Pairing by:

Dr. Banafsheh Bayati

Board-Certified OB/GYN | Medical Co-Founder, Perelel

Medically Recommended By:
Dr. Banafsheh Bayati, Board-Certified OB/GYN | 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.”

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

Perimenopause Multivitamin

Supplement Facts

Serving Size: 2 Capsules | Servings Per Container: 30

Supplemental Facts - Supplement Facts
Nutrient	Amount per Serving	% Daily Value
Amount Per Serving		% DV
Vitamin A (as beta carotene)	900 mcg RAE	100%
Vitamin C (as ascorbic acid)	50 mg	56%
Vitamin D (as cholecalciferol)	100 mcg (4000 IU)	500%
Vitamin E (as d-alpha tocopherol)	15 mg	100%
Thiamin (as thiamin hydrochloride)	2 mg	167%
Riboflavin (as riboflavin 5'- phosphate)	2 mg	154%
Niacin (as niacinamide)	14 mg NE	88%
Vitamin B6 (as pyridoxal 5'-phosphate)	3 mg	176%
Folate (as L-5-methyltetrahydrofolate calcium)	1000 mcg DFE	250%
Vitamin B12 (as methylcobalamin)	12 mcg	500%
Biotin	30 mcg	100%
Pantothenic Acid (as d-calcium pantothenate)	10 mg	200%
Choline (as choline bitartrate (VitaCholine®))	25 mg	5%
Iodine (as potassium iodide)	150 mcg	100%
Magnesium (as magnesium bisglycinate chelate)	25 mg	6%
Zinc (as zinc bisglycinate chelate)	15 mg	136%
Selenium (as L-selenomethionine)	55 mcg	100%
Copper (as copper bisglycinate chelate)	0.9 mg	100%
Chromium (as chromium nicotinate glycinate chelate)	20 mcg	57%
L-Theanine	100 mg	**
Coenzyme Q10 (ubiquinone)	25 mg	**
Boron (as boronganic glycine)	1 mg	**
Vitamin K2 (as menaquinone-7)	30 mcg	**
** % Daily Value (DV) not established

Omega DHA + EPA

Supplement Facts

Serving Size: 1 Softgel | Servings Per Container: 30

Supplemental Facts - Supplement Facts
Nutrient	Amount per Serving	% Daily Value
Amount Per Serving		% DV
Calories	10
Total Fat	1 g	1%*
Polyunsaturated Fat	1 g	**
Cholesterol	<5 mg	1%
Fish Oil	500 mg	**
Total Omega-3 Fatty Acids	375 mg	**
DHA (Docosahexaenoic acid)	250 mg	**
EPA (Eicosapentaenoic acid)	100 mg	**
Other Fatty Acids	25 mg	**
* Percent Daily Values (DV) based on a 2,000 calorie diet
** % Daily Value (DV) not established

Metabolic Support*

Supplement Facts

Serving Size: 1 Capsule | Servings Per Container: 30

Supplemental Facts - Supplement Facts
Nutrient	Amount per Serving	% Daily Value
Amount Per Serving
L-Carnitine L-Tartrate	100 mg	**
Green Tea Leaf Extract	50 mg	**
Berberine HCl	50 mg	**
** % Daily Value (DV) not established

Perimenopause Complex*

Supplement Facts

Serving Size: 1 Capsule | Servings Per Container: 30

Supplemental Facts - Supplement Facts
Nutrient	Amount per Serving	% Daily Value
Amount Per Serving
Ashwagandha Root and Leaf Extract (Sensoril®)	125 mg	**
DIM (3 3'- Diindolymethane)	60 mg	**
Rhubarb Root Extract	4 mg	**
** % Daily Value (DV) not established

[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

Engineered by Doctors.

Board-Certified OB/GYN | Medical Co-Founder, Perelel

Dr. Banafsheh Bayati, MD, OB/GYN, FACOG

Dr. Bayati is a board-certified Obstetrician and Gynecologist with an emphasis on preventative women’s health and holistic care.

See full credentials →

Board-Certified OB/GYN | Maternal-Fetal Medicine (MFM)

Dr. Amber Samuel, MD, OB/GYN & MFM

Board-certified OB/GYN and maternal-fetal medicine specialist focused on high-risk pregnancy and maternal health.

See full credentials →

Board-Certified OB/GYN | Reproductive Endocrinology & Infertility

Dr. Andy Huang, MD, FACOG

Board-certified OB/GYN specializing in reproductive endocrinology and fertility care for individuals and couples.

See full credentials →

Board-Certified OB/GYN | Reproductive Endocrinology & Infertility

Dr. Brian Levine, MD, MS, FACOG

Leading reproductive endocrinologist and infertility specialist helping patients navigate IVF and fertility care.

See full credentials →

Board-Certified OB/GYN

Dr. Aminah Bliss, MD, OB/GYN

Board-certified OB/GYN in Los Angeles with 25+ years of experience in women’s health and preventative care.

See full credentials →

Board-Certified Pediatrician

Dr. Caryn Cassidy, MD, FAAP

Board-certified pediatrician and President of the LA Pediatric Society focused on newborn and maternal wellbeing.

See full credentials →

Board-Certified Pediatrician

Dr. Lisa Stern, MD, FAAP

Board-certified pediatric hematologist-oncologist and longtime LA physician named a Super Doctor since 2008.

See full credentials →

Naturopathic Medicine | MSCP

Dr. Caitlin O’Connor, Naturopathic Doctor

Naturopathic doctor with 20+ years of experience supporting women through hormonal shifts and pregnancy.

See full credentials →

MD, MS

Dr. Sarah Oreck, MD, MS

Board-certified reproductive psychiatrist specializing in women’s mental health and perinatal wellness.

Birth Doula

Latham Thomas

Birth doula, maternal health educator, and founder of the global pregnancy and parenting platform Mama Glow.

RD, CLEC, Pre & Postnatal Dietitian

Stephanie Lauri

Registered dietitian and lactation educator specializing in prenatal and postpartum nutrition.

LaC, Acupuncturist & Herbalist

Samantha Manka-Segal

Acupuncturist and herbalist specializing in fertility, hormonal balance, and integrative women’s health.

Birth Doula, Pre & Postnatal Yoga & Meditation Instructor

Patti Quintero

Birth doula and meditation teacher helping families navigate pregnancy and postpartum with confidence.

Pre & Postnatal Trainer, DONA Doula

Rachel Nicks Lyons

Prenatal and postpartum fitness expert and doula helping moms stay strong through pregnancy and recovery.

PT, DPT, WCS, CPT

Allison Oswald

Board-certified women’s health physical therapist specializing in pelvic floor and postpartum recovery.

Women's Health Advocate & Birth Doula

Erica Chidi

Birth doula and maternal health educator helping women navigate fertility, pregnancy, and postpartum.

MS, RD

Shira Barlow

Registered dietitian and founder of The Food Therapist focused on nutrition for hormonal health and fertility.

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 193 reviews

Total 5 star reviews: 172 Total 4 star reviews: 17 Total 3 star reviews: 4 Total 2 star reviews: 0 Total 1 star reviews: 0

98%would recommend this product

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193 reviews

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AM
Ashley M.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
Yesterday
Amazing!
Love these individual packages! Makes my life easy… and we all know that’s what a working mom needs!
Was this helpful?
DO
Deborah O.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
6 days ago
A great working support pack/supplement
I started taking the Perimenopause Support pack a few months back and they have really made a difference in how I feel. There is definitely a difference in how I was feeling prior to how I feel now. I recommend the support pack for those in the Perimenopause stage. One of the best things I've done in a long time - so glad my doctor recommended Perelel.
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M
Megan
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
6 days ago
Increased energy
I looked into to Perelel on a coworkers recommendation. I have noticed increased energy especially towards the end of the day. Instead of slogging through the essential tasks and then loafing on the couch I feel motivated to pick up an extra chore or two. Even my family has noticed. I have also lost a few pounds in my first month on this pack. Other vitamins used to upset my stomach but I have had that with these.
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C
Crystal
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
1 week ago
The BEST!
I have been struggling with peri symptoms and was looking for a more natural way to help support my body going through this. I stumbled upon these and did some research and decided then they sounded exactly what I was looking for. And boy was I impressed! These are fantastic. I have noticed a significant difference on the way I feel since I have started them. I highly recommend trying these !
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JS
Jennifer S. P.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
1 week ago
Everything I Didn’t Realize I Was Missing
It only is this “grab & go” packet convenient but it contains everything that I didn’t realize I was missing. After just a month of consistently taking these vitamins, I feel so much better. It was such an easy fix for all the minor health nuisances I had going on with what I thought was in my head.
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