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.

peri support pack Ingredients and Benefits

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Dr. Banafsheh Bayati quote about Peri Support Pack

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4.9

Rated 4.9 out of 5 stars

4.9 Stars (133 Reviews)

Perimenopause Support Pack

Support for hormonal shifts

30% OFF

FIRST 3 MONTHS

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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- Save 15% every following month
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$48.55 First 3 Mo First 3 Months ~~$58.95~~
One time purchase

$69.35

30% OFF first 3 months with code HELLO2026

Perimenopause Support Pack

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

Feel good long after january

30% off your first 3 months

Feel good long after january

30% off your first 3 months

Feel good long after january

30% off your first 3 months

[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 133 reviews

Total 5 star reviews: 119 Total 4 star reviews: 12 Total 3 star reviews: 2 Total 2 star reviews: 0 Total 1 star reviews: 0

98%would recommend this product

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133 reviews

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L
Liz
I recommend this product
Rated 5 out of 5 stars
Yesterday
No more Hot Flashes!
It was a change back to normal in was not expecting! After just a few days my energy was back and the hot flashes had stopped! I even started sleeping better. Total life changer. Thank you!
Was this helpful?
MH
Melissa H.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
3 days ago
Best support system
These help me push through fatigue, sleep better, and my hair and skin are still perfectly dewy from the fish oil. I finally feel like I’m getting all that I need, and filling in the gaps of what’s missing.
Was this helpful?
AB
Amanda B.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
3 days ago
Complete relief
After only a few days of starting my perimenopause pack, I felt so much better! Definitely take with a large meal/dinner because I was starving the rest of the day when I tried taking them in the morning.
Was this helpful?
CM
Carissa M.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
2 weeks ago
wonderful!
I can defiantly tell a difference when I'm taking this. My mood is improved and I just fell better! I love that I can get everything in one packet so I don't have to juggle a bunch of bottles. I would definitely recommend this product.
Was this helpful?
ST
Stefanie T.
Verified Buyer
I recommend this product
Rated 5 out of 5 stars
1 month ago
I Seem to Have More Energy
I'm not sure if it's a placebo effect or not, but since taking this support pack, I have more energy.
Was this helpful?

Perelel Water Bottle

Save 30% off your first 3 months*

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save 30% off your first 3 months*

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Our Story

Safety & Testing

Perimenopause Support Pack

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

Ingredients

[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?

What’s the difference between perimenopause and menopause?

Are Perelel products 3rd Party Tested?

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

Where do you source your ingredients?

Formulated by doctors. Trusted by women.

Join the Perelel community.

Create a personalized routine in 1 minute

Your Doctor-Formulated Routine for Perimenopause & Menopause