At Revive Functional Medicine in Brentwood, New York, we never dismiss perimenopause symptoms as “just aging.” We use advanced testing and personalized protocols to restore balance, reduce symptoms, and protect long-term health.

Comprehensive Hormone & Adrenal Testing

Standard bloodwork (FSH, estradiol on day 3) misses the dynamic fluctuations of perimenopause. We use:

DUTCH (Dried Urine Test for Comprehensive Hormones) to map estrogen/progesterone metabolism, cortisol rhythm, and androgen levels over a full day.

Full thyroid panel (TSH, free T3, free T4, reverse T3, antibodies) because suboptimal thyroid is extremely common.

Continuous glucose monitoring (CGM) to uncover insulin resistance that worsens weight gain and energy crashes.

Targeted Nutrition & Blood Sugar Stability

Stable glucose = fewer hot flashes, better mood, easier weight management. We guide women toward:

Protein-first meals + healthy fats + fiber to blunt spikes.

Seed cycling or cycle-syncing nutrition to gently support estrogen/progesterone.

Anti-inflammatory foods (cruciferous vegetables, omega-3s, turmeric) to reduce estrogen-driven symptoms.

Lifestyle & Stress Resilience Tools

Cortisol dysregulation fuels most perimenopause misery. We prioritize:

Sleep hygiene and circadian rhythm support.

Adaptogens (ashwagandha, rhodiola) and magnesium to calm the HPA axis.

Red light therapy (at-home devices we recommend) for improved sleep, reduced inflammation, and skin/joint support.

Bioidentical Hormone Support When Needed

For severe symptoms, we use body-identical progesterone (oral or topical), low-dose estradiol (if appropriate), and DHEA to gently bridge the transition—always guided by testing and monitored closely.

Gut & Detoxification Focus

The gut (estrobolome) regulates estrogen clearance. Healing leaky gut, supporting liver detox pathways, and reducing toxin load dramatically eases symptoms.

Real Results from Revive Patients

Women who work with us often report:

Hot flashes reduced or gone within weeks.

Deep, restorative sleep returning.

Mental clarity and stable moods.

Easier weight management without extreme dieting.

Renewed energy, libido, and confidence.

They tell us: “I feel like myself again—for the first time in years.”

Perimenopause Is a Transition—Not a Sentence

You don’t have to white-knuckle through hot flashes, brain fog, weight gain, and mood swings while being told it’s “normal.” Perimenopause is a powerful window to optimize your health for the decades ahead. With the right tools—advanced testing, personalized nutrition, stress management, targeted supplementation, and innovative therapies like CGM and red light—you can emerge stronger, more resilient, and more vibrant than before.

At Revive Functional Medicine in Brentwood, NY, we specialize in helping women navigate perimenopause with grace and science-backed support. No more guessing. No more suffering in silence.

Ready to stop surviving perimenopause and start thriving?